Can you require medical exams to participate?

From the National Law Review: “Flambeau Wellness Program Testing Falls Within ADA Safe Harbor Thursday, January 7, 2016 On December 30, 2015, a federal judge in the Western District of Wisconsin ruled in favor of Flambeau, Inc. (Flambeau) and against the Equal Employment Opportunity Commission (EEOC) in holding that Flambeau’s medical exams as part of its wellness program and self-insured medical plan …

1095 form filing deadline extended.

In a surprise announcement yesterday the IRS released the attached notice delaying a deadline for ACA reporting by almost two months.  The deadline for forms 1095-B and 1095C is as follows: Form 1095-C – from employer to employees – original deadline was 2/1/16, was extended to 3/31/16 Form 1094-C and 1095-C IRS filing by the employer (paper) original deadline was …

Breakdown in NY State oversight caused HealthRepublic Failure

The collapse of Health Republic Insurance of New York, a non-profit insurance co-op established under Obamacare, can be blamed largely on “an apparent breakdown in state oversight,” concludes a report released today by the Empire Center. The report says the state Department of Financial Services (DFS) should loosen its regulatory control of insurance premiums and refocus on the financial soundness …

CIGNA & ANTHEM merger update

From InsuranceBusinessAmerica.com:   Shareholders with Anthem Inc. and Cigna Corporation overwhelmingly approved the planned merger between the two health insurance giants late last week, though likely battles with the US Justice Department over antitrust issues still remain. Anthem’s planned $54 billion purchase of Cigna would create an insurer with 53 million policyholders under the company’s umbrella. Anthem operates Blue Cross …

Things you should know in SC

It has been a very difficult and challenging enrollment period for many of my clients – for several reasons: The failure of Consumers Choice Health Plan has forced clients to change plans – all more expensive then their current plans MUSC is still not available on Blue Cross and Blue Choice. United Healthcare is not available in the low country …

Information you should know in NY

It has been a very difficult and challenging enrollment period for many of my clients – for several reasons: The failure of Health Republic has forced clients to change plans twice – once for December 1, and then look at all new plans for January 1. OSCAR Healthplans no longer covers New York Presbyterian, Weill-Cornell Medical Centers, and NY Methodist …

HeathRepublic Contracts to End November 30!

As you are likely aware, Health Republic members were recently notified that their coverage would be ending on December 31, 2015.  Beginning this evening, all 2015 Health Republic Individual Marketplace enrollees will be receiving a notice from the NY State of Health stating that their coverage with Health Republic will be ending on November 30th, 2015. Starting on Sunday November …

NY Presbyterian leaves Oscar Network

From Oscar 10/30/15: We’re writing to let you know about an important change to our provider network. Effective December 1, 2015, NewYork-Presbyterian facilities and affiliated providers, including New York Methodist and Weill Cornell Medical Center, will no longer be part of the Oscar network. We made this decision to support our goal of providing affordable plans while maintaining high quality …

CMS sending notices to Employers

Starting in the spring of 2016, the Health Insurance Marketplace (federally facilitated marketplace/FFM) will notify employers who have employees enrolled in Marketplace coverage and are receiving advanced premium tax credits (APTC). Employers will get notices if any employee received APTC for at least one month in 2016 and if the employee entered the employer’s address on his or her Marketplace …