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Category: Health Insurance
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Officials Provide New ACA Guidance in FAQ #35 | Pennsylvania Employee Benefits
On December 20, 2016, federal officials released FAQs About Affordable Care Act Implementation Part 35 (FAQ #35) in an ongoing series of informal guidance regarding the Affordable Care Act (ACA). This FAQ addresses several topics: Special enrollment rules. Preventive services. Qualified small employer health reimbursement arrangements. A summary of the key points from FAQ #35…
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Federal Employment Law Update – December 2016 | Pennsylvania Benefit Advisors
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President Obama Signs 21st Century Cures Act into Law On December 13, 2016, President Obama signed the 21st Century Cures Act (H.R. 6) into law. The law allows certain small businesses to use qualified small business health reimbursement accounts (HRAs) without Affordable Care Act (ACA) related penalties. Certain limits to the accounts would apply, including…
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New Law Allows Small Employers to Pay Premiums for Individual Policies | PA Benefit Advisors
This week, the U.S. Senate passed the 21st Century Cures Act which includes a provision allowing small businesses to offer a new type of health reimbursement arrangement for their employees’ health care expenses, including individual insurance premiums. The act was previously passed by the House and President Obama is expected to sign it shortly. The…
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The New HSA Under Trump’s Proposed Health Plan | PA Employee Benefits
With the election of a new President, health care plans and the fate of the Affordable Care Act are a hot topic of discussion. As part of his 7-tier health plan, President-Elect Donald Trump has proposed a shift in the way health savings accounts (HSAs) are offered to working Americans. Simply put, an HSA is…
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Rules for FSA & HSA Accounts | Pennsylvania Employee Benefits
Overview According to the Internal Revenue Service (IRS), no permission or authorization to set up either an FSA or HSA account is required. Both accounts are intended to help provide you with financial assistance regarding medical care costs. An FSA (flexible spending account) is set up by your employer. An HSA (health savings account) is…
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6 Open Enrollment Considerations You Should Keep in Mind | PA Benefit Advisors
What better way to kick off our holiday-season stress than with talk of deductibles, coinsurance and high premiums? Welcome to open enrollment, where employees can re-evaluate their health care options each November. It’s a prime opportunity to secure better benefits and maximize savings; yet open enrollment is often underutilized. “Although it can be one of…
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Transitional Reinsurance (TRP) Contribution Form Due November 15 | PA Benefit Advisors
On October 3, 2016, federal officials posted the 2016 Transitional Reinsurance Program Annual Enrollment Contributions Form that health insurers and self-funded plan sponsors (employers) will use to make required payments under the Transitional Reinsurance Program (TRP). The 2016 report is due no later than November 15, 2016. Background The Affordable Care Act (ACA) prohibits insurers…
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Employer Medicare Part D Notices Are Due Before October 15 | Pennsylvania Benefit Brokers
Are you an employer that offers or provides group health coverage to your workers? Does your health plan cover outpatient prescription drugs — either as a medical claim or through a card system? If so, be sure to distribute your plan’s Medicare Part D notice before October 15. Purpose Medicare began offering “Part D” plans…
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Pennsylvania Employment Law Update | PA Employee Benefits
Mandated Health Benefits – Oral Chemotherapy Medication On July 8, 2016, Pennsylvania Governor Tom Wolfe signed legislation (H.B. 60) regarding health insurance coverage for oral chemotherapy medications. Pursuant to the bill, whenever a health insurance policy provides coverage that includes coverage for intravenously administered or injected chemotherapy medications which have been approved by the U.S.…
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Health Insurance Industry Terms You Need To Know | PA Employee Benefits
With the ever increasing amount of regulations in the Health Insurance industry – the amount of acronyms is rising rapidly. If you don’t follow the latest news religiously, then you could find yourself M.O. (missing out!). Even if you are a seasoned “insurance chooser” – some of the more common terminology could be just as…
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