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What Employers Can Expect from the Trump Administration | Ohio Benefit Advisors

Significant Shift in Immigration Policy Trump has been vocal about his stance on immigration in regard to deportation and illegal immigration. He also seeks to strengthen U.S. jobs, wages, and security through the nationwide use of E-Verify. Trump plans to work with Congress to strengthen and expand the use of E-Verify as currently less than … Continued

2016 Election Results: The Potential Impact on Health and Welfare Benefits | Ohio Benefit Advisors

Following the November 2016 election, Donald Trump (R) will be sworn in as the next President of the United States on January 20, 2017. The Republicans will also have the majority in the Senate (51 Republican, 47 Democrat) and in the House of Representatives (238 Republicans, 191 Democrat). As a result, the political atmosphere is … Continued

Reporting Minimum Essential Coverage | Ohio Benefit Advisors

Minimum essential coverage (MEC) is the type of coverage that an individual must have under the Patient Protection and Affordable Care Act (ACA). Employers that are subject to the ACA’s shared responsibility provisions (often called “play or pay”) must offer MEC coverage that is affordable and provides minimum value. In the fall of 2015 the … Continued

Do You Know Who Your Primary Care Physician Is? Well, You Should. |Ohio Benefit Advisors

The Affordable Care Act (ACA) has brought about many changes to the health insurance industry. As we are now in the sixth year of implementation of the Act, we are seeing more changes coming just around the corner. Generally speaking, most health plans can be classified into two categories: HMO and PPO. With an HMO … 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

Nondiscrimination Regulations Relating to Sex, Gender, Age, and More Finalized | Ohio Employee Benefits

The Department of Health and Human Services (HHS) recently issued a final rule implementing Section 1557 of the Patient Protection and Affordable Care Act (ACA), which will take effect on July 18, 2016. If entities need to make changes to health insurance or group health plan benefit design as a result of this final rule, … Continued

Small Businesses See Big Hikes in Health Plan Costs | Ohio Employee Benefits

New Survey Data Reveals Health Plan Costs, Options by State and Industry Health insurance premium renewal rates increased an average of 6.2 percent for all plans in 2015, up from the previous year’s 5.6 percent increase, according to new survey data released from United Benefit Advisors (UBA), the nation’s leading independent employee benefits advisory organization. … Continued

What Is COBRA, and Does It Apply to My Business? | Ohio Employee Benefits

In the earlier days of the Patient Protection and Affordable Care Act (ACA), a common question among employers and benefit advisors was whether there would still be a need for COBRA, the Federal Consolidated Omnibus Budget Reconciliation Act of 1985. Many people speculated that COBRA would be a thing of the past. This was a … Continued

2017 Benefit and Payment Parameters Rule and HIP FAQ | Ohio Employee Benefits

The 2017 Benefit and Payment Parameters (BPP) rule, an annual rule that sets policies relating to the Patient Protection and Affordable Care Act (ACA), has been released by the Centers for Medicare and Medicaid Services (CMS). The 2017 rule contains numerous updates, including the annual open enrollment periods for the individual market, rating areas for small … Continued

Transitional Reinsurance Fee for Self-funded Group Health Plans |Team Kaminsky

By Jennifer Kupper, In-house Counsel for iaCONSULTING, a UBA Partner Firm The Patient Protection and Affordable Care Act (ACA) established the Transitional Reinsurance Program to help stabilize premiums in the individual private and public marketplaces. The Transitional Reinsurance Fee (TRF) applies to fully insured and self-funded major medical plans for 2014, 2015, and 2016, regardless of … Continued

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