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Aetna Announces Updates to Small Group Health Plans
Aetna has announced that effective January 1, 2016, will be changing Affordable Care Act (ACA) compliant small group health benefit plan designs. According to a communication letter sent last week, some Aetna and Coventry 2015 ACA compliant plans in Florida will be...
Healthy Tip of the Month: New Cholesterol Drug
A new type of cholesterol-lowering drug called Praluent™ has recently received approval from the Food and Drug Administration (FDA). Praluent is the first of several expected PCSK9 inhibitors that are rapidly making their way through the new drug approval process....
United Healthcare Announces Mailing of MLR Premium Rebate Checks
In the fourth Medical Loss Ratio (MLR) Reporting Year, UnitedHealthcare’s results show that 76 Aggregation Sets in total (group and individual combined) qualified to receive premium rebates totaling $117,626,280 for 2014. For the 2013 Reporting Year, 86 Aggregation...
Affordable Care Act Minimum Essential Coverage Reporting
Draft Instructions and Revised Draft 2015 Forms for IRS Reporting Requirements On August 7, the Internal Revenue Service (IRS) released draft instructions and revised draft 1095-B and 1095-C forms to be used for Affordable Care Act (ACA) Minimum Essential Coverage...
What is a Full-Time Equivalent (FTE) Employee?
Our last post, Group Health Insurance: Notice of Coverage Options, also included in our lattest Expriva News, rose a huge contraversy. Many of you emailed us with a lot of questions. One of the most frequently asked questions was: What is a full-time equivalent (FTE)...
Group Health Insurance: Notice of Coverage Options
Under the Affordable Care Act, employers with more than 50 full-time equivalent (FTE) employees must provide a one-time Notice of Coverage Options to all employees – even part time employees and regardless of whether or not coverage is offered. This notice helps build...
Summary of Benefits and Coverage to All Employees
The Affordable Care Act requires all health plan issuers and group health plans to provide eligible employees with a Summary of Benefits and Coverage (SBC). The SBC provides information to better understand your plan and allows you to compare coverage options. This...
U.S. Supreme Court Ruling on Federal Marketplace Coverage
Yesterday, the Supreme Court of the United States ruled that federal premium assistance tax credits, or subsidies, will continue to be available for qualified individuals who purchase coverage on a Federal Marketplace. The ruling affirmed an earlier decision by the...
Healthy Tip of the Month: Have a Safe Summer
Summer is almost here! This time of the year is perfect to spend lots of time outdoors to relax, exercise, and spend time with your kids and family. However, it can get tricky too. We've put together some important tips to keep in mind during the hottest season of the...
Health Insurance 101: What Is an Explanation of Benefits?
An Explanation of Benefits (commonly referred to as EOB) is a form or document that may be sent to you by your insurance company some time after you had a healthcare service that was paid by the insurance company. An EOB typically describes: the service performed—date...