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Healthcare vs. Health Insurance

April 25, 2023

Healthcare vs. Health Insurance What is the difference? Healthcare refers to the range of services and treatments provided by medical professionals to diagnose, treat, and prevent illness and injury. Healthcare services may include physician consultations, hospital care, surgeries, medical tests, and therapies, among others. On the other hand, health insurance is a financial product that …

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All About Spousal Surcharges & Carve-Outs

March 7, 2023

We look at a number of strategies to help employers lower their health insurance costs. One of these are Spousal Surcharges and Spousal Carve-outs. Let’s explore each of these in greater detail and as always, you can schedule a complimentary call with an advisor to discuss these in greater detail. A Spousal Surcharge increases the employee contribution to …

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Prescription Drug Reporting: Consolidating the Takeaways

December 5, 2022

Listen up everyone! The following is an outline of the new required drug reporting law and how you as an employer, provider, or producer are impacted whether self-funded or fully insured.  The law requires group health plans and health insurance issuers offering group or individual health insurance coverage to annually submit to the Departments of …

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Employee Benefits Compliance in 2022 – What Groups Need to Know

January 5, 2022

While we spend time here discussing healthcare and cost trends impacting group health plans, we do also spend quite a bit of time working with our group clients to keep them compliant with the various federal, state, and local laws and regulations surrounding employee benefits. Webinar on 1/20: Benefits Compliance in 2022: Preparing for a …

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Making Predictions for Employee Benefits in 2022

December 1, 2021

As we hurtle towards 2022 and wrap up open enrollments for many of our groups, we’re seeing some continuing trends as well as new ones. With the end of the year upon us and the corresponding flood of lists out there, we figured “Why not add one more?” and put together our predictions for benefits …

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How to Cover Infertility Expenses with an Infertility HRA

November 18, 2021

Much has been said about declining birthrates throughout the developed world. The CDC has found that the US had its lowest birth rate in over 30 years as of 2018. The effects of this are not just the longer people are waiting to have children, but also fertility issues. And these issues are well known …

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Mental Health Support in the American Rescue Plan Act of 2021

March 11, 2021

The $1.9 trillion coronavirus relief package, the American Rescue Plan Act of 2021 (H.R. 1319) was passed by the U.S. House of Representatives and signed into law this week. The bill is enormous and includes funding and provisions for many facets of the U.S. economy. Specifically, this post will cover the key provisions that support …

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Calculator for Health Insurance Marketplace Subsidies

March 11, 2021

KFF Health Insurance Marketplace Calculator The Kaiser Family Foundation (Kaiser Permanente) provides helpful interactive tools and has updated their Subsidy Calculator. with subsidy changes in the American Rescue Act of 2021 (COVID-19 Relief). Check it out through the above link to find out if you qualify for a 2021 premium subsidy after the changes to …

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