Tag: insurance

  • Will Discount Drugs be discounted from counting toward insurance?

    September 10, 2019

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    The Department of Labor issued new guidance to delay enforcement of a recent rule related to drug manufacturer coupons. The ruling is due to a conflict it had with an earlier ruling, but now there is more confusion and another ruling is expected later this year.  Under the new interpretation, insurers and plans DO NOT have to count the value of a drug manufacturer coupon toward the annual cost sharing limit when a generic equivalent is available.  This may imply, however, that they DO have to count it when a generic is unavailable.  Stay tuned.

  • REMINDER: HEALTH PLAN PCORI FEES ARE DUE JULY 31 | CA Benefits Team

    July 22, 2019

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    Employers that self-insured any group health plans in 2018, including health reimbursement arrangements (HRAs), are responsible for determining whether the annual PCORI fee applies to their plan. If so, use Form 720 to calculate, report, and pay the fee by July 31, 2019.

    PCORI stands for the Patient-Centered Outcomes Research Institute. Federal law imposes a small annual fee on most health plans that include medical benefits in order to raise revenue to finance the Institute’s work. See our blog for details on which employer-sponsored plans are subject to the PCORI fee, how to calculate the 2018 amount, complete Form 720, and make payment.

    By Kathy Berger

    Originally posted on thinkhr.com

  • Meanwhile, Insurance Carriers are Nervous but Investors are Elated with Inflated Hopes

    June 10, 2019

    Tags: ,

     

    At a time when some would rather be out of the business under the onslaught of Medicare for All proponent, venture funding for insurance and insurtech companies hit all-time highs in 2018.  In 2014, funding was roughly $800 million.  In 2018, funding was up to $2.5 billion.  The leaders on the health insurance front are Oscar and Bright Health.

    The “insurtech” play, while not related to health insurance, is also interesting and worth noting.  Wefox Group is in the digital insurance market, Root Insurance will have auto insurance rates based on driver testing and Metromile will charge premiums based on miles driven.

  • Will Discount Drugs be discounted from counting toward insurance?

    September 10, 2019

    Tags: , ,

    The Department of Labor issued new guidance to delay enforcement of a recent rule related to drug manufacturer coupons. The ruling is due to a conflict it had with an earlier ruling, but now there is more confusion and another ruling is expected later this year.  Under the new interpretation, insurers and plans DO NOT have to count the value of a drug manufacturer coupon toward the annual cost sharing limit when a generic equivalent is available.  This may imply, however, that they DO have to count it when a generic is unavailable.  Stay tuned.

  • REMINDER: HEALTH PLAN PCORI FEES ARE DUE JULY 31 | CA Benefits Team

    July 22, 2019

    Tags: , ,

    Employers that self-insured any group health plans in 2018, including health reimbursement arrangements (HRAs), are responsible for determining whether the annual PCORI fee applies to their plan. If so, use Form 720 to calculate, report, and pay the fee by July 31, 2019.

    PCORI stands for the Patient-Centered Outcomes Research Institute. Federal law imposes a small annual fee on most health plans that include medical benefits in order to raise revenue to finance the Institute’s work. See our blog for details on which employer-sponsored plans are subject to the PCORI fee, how to calculate the 2018 amount, complete Form 720, and make payment.

    By Kathy Berger

    Originally posted on thinkhr.com

  • Meanwhile, Insurance Carriers are Nervous but Investors are Elated with Inflated Hopes

    June 10, 2019

    Tags: ,

     

    At a time when some would rather be out of the business under the onslaught of Medicare for All proponent, venture funding for insurance and insurtech companies hit all-time highs in 2018.  In 2014, funding was roughly $800 million.  In 2018, funding was up to $2.5 billion.  The leaders on the health insurance front are Oscar and Bright Health.

    The “insurtech” play, while not related to health insurance, is also interesting and worth noting.  Wefox Group is in the digital insurance market, Root Insurance will have auto insurance rates based on driver testing and Metromile will charge premiums based on miles driven.

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