ERIKSEN GROUP
phone
x x x
 

Blog

Posts Tagged ‘requirements’

New Final Regulations Expand the Availability of HRAs

Wednesday, July 24th, 2019

JD Supra reports:

“On June 13, 2019, the Department of Labor, the Department of Health and Human Services, and the Department of Treasury (the “Departments”), published final regulations which significantly broaden the types of health plans that may be integrated with a health reimbursement arrangement (“HRA”). More specifically, beginning January 2020, the finalized rules allow HRAs to be integrated with certain qualifying individual health plan coverage and/or Medicare.  The final rules reverse current guidance which requires HRAs to be integrated with only qualifying group health plan coverage. Practically speaking, this means that employers, beginning in 2020, will be allowed to subsidize employee premiums in the individual health insurance market and/or Medicare using pre-tax dollars, provided certain conditions are met. The final rules also allow certain HRAs to reimburse participants for certain premiums paid for excepted benefits. To achieve these results, the final rules create two new types of HRAs.

(more…)

‘Sham’ Sharing Ministries Test Faith Of Patients And Insurance Regulators

Monday, May 20th, 2019

KHN reports:

“Sheri Lewis, 59, of Seattle, needed a hip transplant. Bradley Fuller, 63, of nearby Kirkland, needed chemotherapy and radiation when the pain in his jaw turned out to be throat cancer. And Kim Bruzas, 55, of Waitsburg, hundreds of miles away, needed emergency care to stop sudden —and severe — rectal bleeding.

Each of these Washington state residents required medical treatment during the past few years, and each thought they had purchased health insurance through an online site.

(more…)

Lower costs, fewer benefits in new health insurance option

Tuesday, June 19th, 2018

AP News reports:

“The Trump administration’s new health insurance option offers lower premiums for small businesses and self-employed people, but the policies are likely to cover fewer benefits.

Another caveat: if healthy people flock to the new plans as expected, premiums will rise for those who need comprehensive coverage.

(more…)

Most Short-Term Health Plans Don’t Cover Drug Treatment or Prescription Drugs, and None Cover Maternity Care

Tuesday, May 8th, 2018

KFF reports:

“A new Kaiser Family Foundation analysis of short-term, limited duration health plans for sale through two major national online brokers finds big gaps in the benefits they offer.

Through an executive order and proposed new regulations, the Trump Administration is seeking to encourage broader use of short-term, limited duration health plans as a cheaper alternative to individual market plans that comply with the Affordable Care Act’s requirements. Repeal of the individual mandate penalty – which currently applies to people buying short-term plans – is also expected to boost enrollment starting next year.

(more…)

A new kind of doctor’s office charges a monthly fee and doesn’t take insurance — and it could be the future of medicine

Friday, March 24th, 2017

Yahoo Finance reports:

“Dr. Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016, he decided he no longer wanted a boss.

He took some time off, then one day he got a call asking if he’d be up for doing a house call for a woman whose son was sick. He agreed, and by the end of that visit, he realized he wanted to treat patients without dealing with any of the insurance requirements.

(more…)

Employer Paid Individual Health Insurance Policies Create the Potential for Significant Penalties, but Limited Relief is Available

Thursday, June 25th, 2015

National Law Review reports:

“Despite guidance from the Internal Revenue Service (“IRS”), the Department of Labor (“DOL”) and the Department of Health and Human Services (“HHS”) indicating the prohibition of the practice under the Affordable Care Act (“ACA”), some employers continue to reimburse employees for health insurance premiums. This practice could lead to thousands of dollars in penalties.

Notice 2015-17 is the IRS’ most recent guidance on such arrangements, reaching the same conclusions. It also, however, provides welcome penalty relief for certain employers.

(more…)

Ready for a 255% premium hike?

Monday, March 2nd, 2015

Benefits Pro reports:

“Supreme Court ruling killing PPACA subsidies may cause premiums to skyrocket.

If the U.S. Supreme Court rules that federal subsidies under the Patient Protection and Affordable Care Act are invalid, 7.5 million Americans could face an average premium increase of 255 percent this year. And some could face an increase as much as 779 percent.

That’s the dire warning from consulting firm Avalere Health on the impact that the King vs. Burwell case could have on consumers. Arguments in the case begin March 4.

Avalere said 87 percent of federal exchange customers receive a subsidy. Therefore, the firm said killing the subsidies would cause “average monthly premium contributions for enrollees” to potentially increase “between 122 percent and 774 percent, depending on the state.” Residents in Alaska and Mississippi would see the highest percentage increases in their premium contributions, if the court rules in favor of the plaintiffs.

(more…)

New CMS rules boost consumer protections in exchange plans

Friday, February 27th, 2015

Modern Healthcare Reports:

“The CMS Friday issued final market rules for 2016 (PDF) for the state and federal insurance exchanges. The regulations include stronger requirements for insurers to provide accessible, reliable information about provider networks and drug formularies so that exchange customers can make informed choices.

(more…)

Newsletter Signup

Free Consultation
image_questions
Change Your Broker
 
x x x