An update on why Medical Loss Ratios are important

The Health Care Reform act includes the limitation of how much a plan must pay out in claims.  The unintended impact of this is the reduction in service (already) by most broker.  For insurers, cutting commissions was the easiest way to meet the requirements.  More than half of brokers have seen cuts of 25% and some have seen cuts of …

Determining Exempt vs. Non-Exempt Employees

Print This Article Determining Exempt vs. Non-Exempt Employees The Fair Labor Standards Act (FLSA) is a federal law which requires that most employees in the United States be paid at least the federal minimum wage for all hours worked and overtime pay at time and one-half the regular rate of pay for all hours worked over 40 in a workweek. The …

New “I-9 Central” Online Resource Helps Employers Understand Form I-9 Requirements for Verifying Employment Eligibility

Print This Article New “I-9 Central” Online Resource Helps Employers Understand Form I-9 Requirements for Verifying Employment Eligibility U.S. Citizenship and Immigration Services (USCIS) has launched I-9 Central, a new online resource center dedicated to Form I-9,Employment Eligibility Verification. This free, easy-to-use website builds on recent employment-related enhancements by providing employers and employees simple one-click access to resources, tips and guidance to …

Provider Changes at Carolina Care – Important

Pitts Radiology Associates Rejoins Network    Medical Mutual and its Family of Companies have reached an agreement with Pitts Radiology Associates— a radiology services provider at several hospitals in South Carolina, including Kershaw County Medical Center, Newberry County Memorial Hospital, Palmetto Health and Providence—to provide in-network services to our members.   The Company had previously been unable to come to …

AHIP: Exchange Makers Should Mind Enrollment Periods

 By ALLISON BELL Published 6/14/2011  Subscribe to Life & Health Drafters of a National Association of Insurance Commissioners (NAIC) health insurance exchange white paper should give an example of what can go wrong when states adopt guaranteed issue laws without establishing open enrollment periods. C.M. Gallaher, a vice president at America’s Health Insurance Plans (AHIP), Washington, makes that suggestion in a …

‘Pre-existing’ hurdles eased

By Renee Dudley rdudley@postandcourier.com Saturday, June 4 Premium rates will drop and eligibility will get easier for South Carolinians applying for health coverage through the state’s insurance program for people with so-called “pre- existing” medical conditions, the U.S. Department of Health and Human Services announced this week. In South Carolina, rates for the Pre-Existing Condition Insurance Plan will drop 14.7 …

A no-frills health insurance bill

State Senate proposal leaves thorny details for later date By CATHLEEN F. CROWLEY Staff writer Published 12:01 a.m., Saturday, June 11, 2011 ALBANY — Leaders of the state Senate introduced a no-frills bill on Thursday that would establish the basic structure of a health insurance exchange and leave many of the controversial decisions for a later date. The tactic may be necessary …

Survey: Rising Health Rates Hit Home

 By ALLISON BELL Published 6/8/2011  Subscribe to Life & Health Insurance industry employers’ own health coverage costs are about 9.7% higher this year than they were in 2010.Compdata Surveys, Olathe, Kan., a unit of Dolan Technologies Corp., has based that figure on results from a survey of 210 insurance companies, insurance brokerage firms and other insurance industry employers at about 1,750 …

California Blue Shield Agrees to Net Income Limit

By ALLISON BELL Published 6/8/2011  Blue Shield of California, a nonprofit health insurer, says it will try to limit its annual net income to 2% of revenue.California Blue Shield, San Francisco, will make that move retroactive to 2010, meaning that the company could send about $180 million to the company’s customers and to California communities, according to California Blue Shield Chairman …

Congress proposes to limit 401(k) leakage

The Rosenbaum Law Firm, Garden City, NY A few months back, I wrote an article about some 401(k) provisions are bad ideas and quite a few of them were about some loan and hardship features that were burdensome to plan sponsors and could cause many errors in plan administration which puts the plan at risk for being out of compliance. …