January Personal Best Newsletter

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Muneris Insight - Health Insurance, Medicare, Employer Benefits

Rescission of Health Care Coverage

PPACA continues to evolve with updated HHS comments. The laws prohibits the rescission of health care coverage except for fraud or intentional misrepresentation of material fact. What does this mean? Failing to disclose pertinent information that would exclude or deny someone coverage. For example, a new employee who is not a legal resident, someone who…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Appeals Process

Plans that renew on or after 09/23/10 must comply with the new appeals process which gives the consumer more options to appeal a denied claim.  New internal and external appeals processes must follow HHS guidelines, and new state law protocol. The appeals process mirrors that for Medicare beneficiaries who are covered under a Medicare Advantage…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

PPACA – Workplace Wellness Programs

We have discussed the merits of a corporate wellness program in great lengths with our clients. While a few have implemented programs that have achieved some positive results, many employers have simply kicked the tires and passed on a program. PPACA may change your philosophy regarding wellness programs. PPACA Workplace Wellness Program creates a 5-year…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

2010 Employer Annual Survey from KFF

2010 Employer Annual Survey from the Kaiser Family Foundation – one of the leading health research and educational companies.  KFF surveys thousands of employers across the country and the results are used as a benchmark for market trends and how your company compares to other employers. The key findings include the following: Firms with 3-199…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Small Business Tax Credit Forms

The IRS recently released final guidance for small employers eligible for the health care tax credit for the 2010 tax year.  In summary, the tax credit is available to small employers who pay at least 50% of the employee only premium, have less than 25 full-time employees and the average wage is less than $50,000…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Insight on New Preventive Services for 2011

We have spent a lot of time educating employers and employees of the important PPACA provisions that go into effect on or after 09/23/10. One of the most consumer friendly but confusing components of the Obama Health Care Reform Bill lies within the new preventive care coverage. Complying with the new provisions is easier said…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Closing the Coverage Gap – The 2011 Affordable Care Act Made Easy

Closing the Coverage Gap – The 2011 Affordable Care Act Made Easy What is the coverage gap, and how will a member know when they have reached it? Some Medicare drug plans have a coverage gap. This means that after a member and the insurance carrier have spent $2,840 for covered drugs, the beneficiary will…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Non-Discrimination Rules

The IRS just ruled on December 22, 2011, to delay the Non-Discrimination Rules with respect to the Patient Protection and Affordable Care Act (PPACA) which became law on September 23, 2011 and is being enforced as your group health plan renews on or after that date.  The PPACA original legislation prevented an employer from having…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Model Notices Required By Employers

The first wave of health care reform became effective on or after 09/23/10 which means a new round of key reform compliance changes.  As your insurance broker, we are charged to keep you in compliance, keep your employees informed and to ultimately help you navigate through some turbulent waters. Here  is a checklist of five…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Health Care Reform Update – State Based Exchanges

We have discussed in great detail 2014 and what will become a watershed event in the history of health care coverage with the addition of state based exchanges.  At the heart of health care reform is the creation of a federal health insurance option whereby employees, individuals, employers, the uninsured and those that may be…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

Creditable Coverage Disclosure Notice

Creditable Coverage Guidance and Model Disclosure Notice – Employers must send out before November 15th! We are quickly approaching the Annual Enrollment Period (AEP) for those employees and or dependents who are eligible for Medicare.  The Annual Enrollment Period for Medicare folks is very much like your AEP for group health benefits – you get…

Muneris Insight - Health Insurance, Medicare, Employer Benefits

NAIC Guide to Buying Life Insurance

Continuing on the September Life Insurance theme, I have attached the NAIC guide to buying life insurance. It’s chock full of information to help guide any consumer, particularly your employees with the purchase of life insurance. As your employee benefits broker, we can also assist your employees with an individual review of their needs. I can’t…