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HIPAA Phase 1 Audits | Ohio Benefit Advisors

The Health Insurance Portability and Accountability Act (HIPAA) established national standards to secure and protect the privacy of health information. The Health Information Technology for Economic and Clinical Health Act (HITECH) requires the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) to conduct audits of covered entities and business associates in … Continued

Prescription Drug Copay Trends | Ohio Employee Benefits

UBA’s Special Report – Trends in Prescription Drug Benefits explores our Health Plan Survey findings in more detail, particularly examining what’s happening with prescription drug plan design among different group sizes, regions and industries. When it comes to copay amounts, median retail prescription drug copays are $10/$30 for two-tier plans, $10/$35/$55 for three-tier plans, and … Continued

Which Employers Are Incentivizing Generic Drugs Over Brand Name? | Ohio Employee Benefits

According to UBA’s new Special Report – Trends in Prescription Drug Benefits, 61.8% of plans required employees to pay more when they elect brand-name drugs over an available generic drug (a 5.5% increase from 2014); 37.9% of those plans require the added cost even if the physician notes “dispense as written.” On the other hand, … Continued

Which Employers Are Aggressively Increasing Rx Tiers for Cost Savings | Ohio Employee Benefits

The Latest UBA Survey data shows employers are flocking to two strategies to control rising prescription drug costs: moving to blended copay/coinsurance models vs. copay only, and adding tiers to the prescription drug plans. Almost half (48.9%) of prescription drug plans utilize three tiers (generic, formulary brand, and non-formulary brand), 4.3% retain a two-tier plan, … Continued

In Focus: Digital Eye Strain and Vision Benefits | Ohio Employee Benefits

Eighty-one percent of employees have elected vision benefits in 2016, up from 78 percent last year, according to Transitions. This increase moved vision into a tie with dental as the second most popular benefit election behind medical. Digital eye strain, which is detailed by a report from The Vision Council, could be a contributing factor … Continued

Designing Your HRA or Flex Contributions to Meet Affordability Requirements | OH Employee Benefits

An Applicable Large Employer (ALE) that offers minimum essential coverage (MEC) to substantially all of its full-time employees may still owe penalties if the coverage it offers is inadequate because it is not “affordable” or it does not provide “minimum value.” Coverage is considered affordable if it costs less than 9.5 percent of the employee’s … Continued

January is Glaucoma Awareness Month | OH Employee Benefits

January is National Glaucoma Awareness Month, an important time to spread the word about this sight-stealing disease. Currently, more than 3 million people in the United States have glaucoma. The National Eye Institute projects this number will reach 4.2 million by 2030, a 58 percent increase. Glaucoma is called “the sneak thief of sight” since … Continued

New Tax Breaks Affect Employer Benefit Plans | Ohio Employee Benefit Broker

Congress passed a sweeping omnibus spending bill including government appropriations and tax extenders. Included in the 2,200-plus page bill are four provisions of particular interest to employers that sponsor group benefit plans. Cadillac Tax Delayed Until 2020 The Affordable Care Act (ACA) imposes a 40-percent excise tax on the value of employer-provided health coverage exceeding … Continued

Negotiating over COBRA Coverage – Use EXTREME CAUTION! | OH Employee Benefits

By Elizabeth Kay, Compliance & Retention Analyst AEIS Advisors, A UBA Partner Firm Have you ever overheard the new employee in the break room, bragging about how good their health insurance was with their previous employer, and how much less expensive it was than the coverage they are currently being offered? You may think ”If … Continued

Cadillac Tax – Should employers be making changes now? | Ohio Employee Heath Insurance

By Elizabeth Kay, Compliance & Retention Analyst AEIS Advisors, A UBA Partner Firm The Affordable Care Act (ACA) has brought about many changes in employee benefits. Plans have been eliminated, benefits added, rules changed, and rules have been delayed. The ACA has always been a heavily debated topic between the Republicans and Democrats, and now … Continued

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