Federal agencies issue regulations on the summary of benefits and coverage requirement under the Patient Protection and Affordable Care Act – Articles – Employee Benefit News

Posted by in Facts and Figures, FSAs HSAs HRAs and other Acronyms on 30. Apr, 2012 | 0 Comments

Feds issue regs on SBC requirement By Kate Bongiovanni April 15, 2012 In February, the Departments of Labor, Treasury, and Health and Human Services issued final regulations implementing the new summary of benefits and coverage requirement under the Patient Protection and Affordable Care Act. The agencies also released a separate document providing additional guidance on […]

Small Employer Self Funding

Posted by in Blog Posts, Facts and Figures on 23. Apr, 2012 | 0 Comments

Small Employers and Self Funding  Small companies are routinely and comfortably self funding their employee health benefit plans. Houston Benefit Services Inc has employers with as little as 22 covered people who self-fund. A few of the reasons small companies self fund are: Self-Funding is a legal status not a financing platform. Self-Funding does not […]

Misconceptions about FSA Interaction with HSAs

Posted by in Facts and Figures on 17. Apr, 2012 | 0 Comments

Some employers erroneously think that medical expenses not covered under the HDHP may be covered by a FSA below the high deductible without impacting an individual’s eligibility for the HSA.  As you will see below in the review of permissible FSAs, any plan (with a few exceptions) covering expenses below the  high deductible will make […]

2012 Indexed Amounts for Health Savings Accounts

Posted by in Facts and Figures on 17. Apr, 2012 | 0 Comments

Proc. 2011-32 provides the 2012 inflation-adjusted amounts for Health Savings Accounts. Annual Contribution Limits For calendar year 2012, the maximum annual HSA contribution for an eligible individual with self-only coverage is $3,100.For calendar year 2012, the maximum annual HSA contribution for an eligible individual with family coverage is $6,250.    Note:  Under prior law, the maximum […]

How big of a deal is MLR for Insurers

Posted by in Blog Posts, Facts and Figures on 17. Apr, 2012 | 0 Comments

If MLR had been in effect in 2010, a Commonwealth Fund study says that insurers would have had to rebate $2 Billion in overpayments back to customers. (The rebate process has lots of potential problems, so rebates are not a desirable option.)  53% of the individual market would have received rebates, 24% of small group, […]

Wrong Statistics – SCOTUS

Posted by in Blog Posts, Facts and Figures on 17. Apr, 2012 | 0 Comments

”Wrong” statistics:  There is a new study out with different statistics about the mood of the public to SCOTUS than  the other statistics.  Here is my statistics mantra:  Every number or statistic relating to health costs, public opinion, health, insurance (and everything else) has a built-in 1,000% distortion factor.  It is not that anyone is […]

Understanding ERISA Plans

Posted by in Blog Posts, Facts and Figures on 13. Apr, 2012 | 0 Comments

Printable Version – Includes Modeling Illustration Understanding ERISA Plans – Illustration Understanding ERISA Plans (aka. Self-Funded or Partially Self-Funded Plans) By: Brian Davidson – Ex Healthcare Insider and Private Investigator. Legalities When a typical employer in America sponsors a health plan, that health plan is governed by a series of laws which apply to the design […]