Anthem Small Group Renewals in Indiana
This is possibly the most interesting time in small group health history locally, not to mention the rest of the country. Anthem releases 4th quarter renewals Small group health insurance renewals have been released for the 4th quarter from Anthem. “WOW” is all I can say! The renewals that are being released are all “grandmothered.” This […]
Dual Rulings on the ACA: How does this affect Hoosier small businesses?
Last week, we had two different rulings come out of the courts. The U.S. Court of Appeals for the D.C. Circuit ruled that it was not legal to give tax credits/subsidies to residents of states that did not develop a state-based exchange. In Richmond, we had another court rule that is was legal for the IRS to […]
What is “Grandmothering” and How It Will Impact You?
There is a new term starting to be used called “grandmothering” by business owners and controllers of companies with less than 50 employees. Grandmothering, is the term that the federal government is using to extend current non-Affordable Care Act policies until 2016. On March 5th 2014, the United States Department of Health and Human Services issued […]
Could a Self-Funded Plan Be Your Best Option?
It’s common knowledge that offering health insurance benefits helps attract and retain great employees, yet businesses are looking for ways to cut costs as benefits get more expensive. Have you ever considered a self-funded insurance plan? In a self-funded plan, a business can provide health benefits directly to employees. Instead of the insurance companies, the […]
Health Care Reform Fees
We know you don’t want to pay anymore money than absolutely necessary for health insurance, but there are a few fees that are going to implemented in the new health care reform law. Under the Affordable Care Act (ACA), there will be new fees and taxes assessed on all Indianapolis commercial (group) health insurance plans. These […]
What Kind of Coverage Will the Plans Sold Through the Health Insurance Exchanges Include?
The Affordable Care Act (ACA) requires that all health insurance plans sold on state exchanges beginning Jan. 1, 2014 cover ten essential benefits: Ambulatory patient services Emergency services Hospitalization Maternity and newborn care Mental health and substance use disorder services, including behavioral health treatment Prescription drugs Rehabilitative and habilitative services and devices Laboratory services […]
Can I Get Health Coverage for a Child with a Pre-Existing Condition?
There’s good news for children with pre-existing conditions who are below the age of 19. Under the Affordable Care Act passed in 2010, they can’t be denied coverage under group plans and most individual family or child-only policies. This applies even if your child has a potentially life-threatening medical condition like asthma or diabetes. This rule applies to all […]
What is an Accountable Care Organization (ACO) and What Will it do?
An accountable care organization (ACO) is a new health care delivery model envisioned by theAffordable Care Act (ACA) in which a group of doctors, hospitals and other health care providers work together to coordinate care for people enrolled in Original Medicare. Many Medicare beneficiaries have several chronic conditions and see several different doctors. As often as not, the doctors don’t […]
Are Employers Required by the Affordable Care Act to Purchase Group Insurance for Their Employees?
Yes, the Affordable Care Act requires large employers to provide coverage to full-time employees or pay a penalty. This provision, called the “play or pay” rule, goes into effect Jan. 1, 2014. Small employers – those with fewer than 50 employees – are exempt from the coverage requirement and penalty. As a side note, be aware that the […]
