On May 11, 2012, the Department of Health and Human Services (HHS) issued final rules on the Medical Loss Ratio (MLR) rebate notices for policyholders and subscribers who are not receiving rebates. Insurance companies and HMOs will not be required to communicate their specific MLR percent to those who are not receiving rebates. Instead, they [...]
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Exchanges!
A Proposed Rule Could Make Millions Ineligible For Health Insurance Subsidies by Erik Berman A major issue in the workplace today is the U.S. Government’s Health Care Insurance subsidy proposal to allow low to moderate income employees to opt out of their employer’s health insurance coverage and instead get federal subsidies to buy insurance through new [...]
Continue →Is Massachusetts Working?
A question that everyone in the health insurance industry is asking right now is if this health reform law is going to work. Well right now in Taxachussetts, the law is live! So if you want some insight to the future, one merely has to examine our friendly state in the North East. They have [...]
Continue →Health Care Reform Guide
Since the making of the Medicaid and Medicare programs in the U.S., perhaps the most far-reaching health legislation is the health care reform signed into law by President Barack Obama. Also, other changes are likely to occur once a reconciliation bill part of the health care overhaul is passed by the Senate. It is expected [...]
Continue →Health Reform Effects on Employers and Benefits
The Implications of Health Care Reform on Employers and the Benefits They Offer to Employers The employer-provided health benefits in the U.S. are facing a large change, if not the largest. President Barack Obama signed into law a new health care reform that restructures employer-sponsored health benefits following the passage of the Affordable Care Act [...]
Continue →PCIP Costs Double Initial Projections
The best thing that came out of the current health reform legislation is PCIP which has been a godsend to some of our uninsurables. What we have been doing is placing these people with a low cost discount carrier until the 6 month waiting period elapses and they can sign up with PCIP. It is [...]
Continue →Feds Jump Into Health Insurance Fray
I woke up this morning to find that the government was getting back into the business of playing favorites by loaning money (at very low rates) to certain organizations that promise to launch consumer governed health plans in eight states currently and eventually all 50. I guess I knew this day was coming, but in [...]
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