Wednesday, October 20, 2010

Employers and Brokers Find Tips at a National Conference

About a week ago I attended a national conference that was geared towards brokers and consultants as well as HR professionals. Although the speakers and topics were different for each group there were some relevant points in this ever evolving world of health insurance that we live in.

*A survey by the National Business Group on Health on how employers will deal with health insurance increases: 63% plan to increase payroll deductions, 46% plan to downgrade benefits - 61% will offer a Consumer Driven Health Plan like an HSA or HRA in 2011.

*Many larger employers are looking into Dependent Eligibility Audits. This procedure identifies dependents that should no longer be covered on the plan (a divorced spouse, a cousin, an aged out child or custody arrangement) and their coverage is terminated - saving the employer money.

*Under health care reform penalties now exist when employers discriminate with benefits for highly compensated employees. Giving these employees a separate richer benefit or paying more towards premiums could result in fines of $100 per day per individual discriminated against. In fact the public is invited to comment on this up until November 4th. use this e-mail address Notice.Comments@irscounsel.treas.gov. Include “Notice 2010-63” in the subject line.

*Experts suggested that employers increase waiting periods to at least 90 days for new hires, disclose the full cost of insurance premiums to employees, implement a Section 125 FSA plan and consider self funding health insurance with a third party administrator.

*Small employers should explore the small business tax credit that is a part of health care reform. In general the credit is available to small employers, less than 25 employees and pay at least half the cost of single coverage for their employees in 2010. Because the eligibility rules are based in part on the number of FTEs, not the number of employees, businesses that use part-time help may qualify even if they employ more than 25 individuals.

*Health care reform allows children to stay on their parents plan up to age 26. This does NOT mean they are still considered dependents for tax reasons. perhaps they are 25 and married and live on their own - yet they are still on mom and dad's health plan. If so be careful if you participate in an H S A or FSA - you most likely cannot use these tax free funds on these "children" (are they really still children??) since they are no longer considered a "dependent".

Hopefully some of these strategies may benefit you and your business.

Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.

W-2 Health Costs Reporting is Optional

The IRS announced last week that it will defer the new requirement under Health Care Reform set to take place in 2011 that employers must report on W-2s the cost of health care coverage. The Treasury Dept and the IRS feel it is necessary to provide employers the time needed to make changes to payroll systems and internal procedures. Guidance from the IRS will be forthcoming. For 2001 the reporting of costs on w-2s is optional and a draft of that form exists for those employers wishing to do so. It can be found here: http://www.irs.gov/pub/irs-utl/draft_w-2.pdf

Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.

Friday, September 10, 2010

Steve Blewitt, GBA recently passed the Pennsylvania Medicaid Long Term Care Services course.

Steve Blewitt, GBA recently passed the Pennsylvania Medicaid Long Term Care Services course. This course provides a broad overview of eligibility for Medicaid Long term Care in Pennsylvania. According to a Harvard Magazine article from July/August 2004 "...nearly 40% of people currently needing long-term care are between the ages of 18-64." Long Term care insurance helps people pay for the cost of such services and can be provided as an employee benefit - like medical and dental insurance.

Thursday, August 12, 2010

"If you like your health plan you can keep your health plan " ......Not exactly ....

At a town hall meeting in New Hampshire exactly one year a go, President Obama repeated a line he used many times. His statement is not exactly true. At a recent broker seminar held by Aetna in Delaware, the company announced some terrific changes coming in October. Among the changes, if you are a small Delaware employer currently with Aetna you will have to change to one of their new plan offerings upon your renewal.

In an attempt to cut administrative costs, be more flexible and adapt to client needs Aetna is streamlining their products by reducing the number of plans available. These plans will be health care reform compliant and hopefully improve pricing.

All plans incorporate 5 key components of health care reform:
1) Remove Lifetime Maximums on all plans
2) Remove Annual limits where required
3) Preventive care 100% covered
4) Dependents covered to age 26
5) No pre-existing conditions for children under 19

Small Delaware employers can pick from 14 plan designs from Aetna.

How will the marketplace react to such changes ? Check back in a year and we will have a better idea. My thought is most employers will appreciate the simplicity - especially if it means better pricing. Aetna is making similar changes in Pennsylvania and my guess is they will in other states too. I doubt Aetna will be alone either. BlueCross BlueShield of Delaware and Coventry Healthcare of Delaware both have scheduled broker seminars for the month of August. I bet they have some changes coming too!


Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.

Friday, July 2, 2010

COBRA Federal Subsidy update

Although Congress has extended the COBRA subsidy four times as part of the amended ARRA they have failed to extend it a fifth time beyond May 31st, 2010. Therefore May 31st, 2010 is the last date someone can be terminated from employment and may be eligible for the federal subsidy. Anyone terminated after this date is currently NOT eligible for the financial assistance previously available.

We will continue to monitor this situation and provide updates if an when anything changes.

Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.

Monday, June 21, 2010

What is Grandfathered Status?

National Association of Health Underwriters (NAHU) has created a summary of “grandfathered status” in the Patient Protection and Affordable Care Act (PPACA, H.R. 3590) and what is means for those weighing whether or not to shop their health coverage.

Click here for the summary

Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.

Friday, May 28, 2010

Another COBRA Subsidy Extension ??

Hard to believe Memorial Day weekend is here - so is the expiration of the eligibility for COBRA subsidy provided through the American Recovery and Reinvestment Act (ARRA) - which is currently May 31st. So if you are laid off from work on June first you are not entitled to the 65% subsidy towards your COBRA premium.

But wait.....The House is soon to act on the "American Jobs and Closing Tax Loopholes Act which includes an extension through December 31st, 2010 for those employees involuntarily terminated to be eligible for the 65%, 15 month COBRA premium subsidy. Once through the House the act would move to the Senate for another vote.

Unfortunately it seems unlikely that it will be approved before Congress goes on vacation from May 29th - June 6th 2010.

This should not come as a surprise, but a new report out shows the subsidy has been helpful in helping families maintain health insurance.

View Report

Enjoy the holiday weekend and stay tuned for more updates!

Steve Blewitt, GBA Vice President of IFS Benefits Steve is licensed in Life and Health in many states. Steve is actively involved in the National Association of Health Underwriters, National Association of Insurance and Financial Advisors, Delaware Society of Human Resource Management, Associated Builders and Contractors of Delaware, Delaware Contractors Association, Delaware State Chamber of Commerce, and New Castle County Chamber of Commerce.