Healthcare Blog

Posts tagged "design health"

Goodbye Employer Provided Health Insurance

health insuranceAn article from Market Watch highlights Rick Lindquist and Paul Zane Pilzer, co-authors of “The End of Employer-Provided Health Insurance.” The book goes over why group health insurance is a thing of the past and why individuals, their families, and their employers are all benefiting from moving away from group health insurance options.

Group health insurance rates continue to rise and that’s where Zane Benefits steps in. Zane Benefits is not a health insurance company, but a company that administers defined-contribution plans. What is that you might be asking? It is a benefit plan that gives employees a set amount of money each month that they can use for reimbursement of their health insurance premiums. This plan allows employees to have choice in selecting their health insurance plan. The employer is removed from the selection and allows the employee to shop for an insurance plan that custom fits them and their family.

In Lindquist and Pilzer’s book they project that by 2017, the majority of small businesses will switch to defined-contribution. This shift is being led by small business owners, but they aren’t the only ones dropping health insurance and looking for other options. Verizon and AT&T leaked documents saying they were considering dropping health insurance plans as well.

With the potential savings benefit of this plan why wouldn’t all companies choose this option. Well simply said, you don’t know what you don’t know. Companies don’t understand how a defined-contribution plan could benefit them, not only savings on the part of the employer and the employee, but also helps employee retention as well. What employee wouldn’t want to choose their own health insurance rather than have somebody choose for them?

Read the full Market Watch article HERE and let me know if this is an option you would look into for your company!

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Posted by Lauren Yeager in All Posts, Health Insurance, Small Business and tagged , , , , ,

Common Misconceptions with Defined Contribution

QuestionThere are common misconceptions with defined contribution plans as to their legality and how to set them up to comply with regulations. One of the common questions comes from understanding that the employer is not directly paying for an employee’s individual health insurance. When a company sets up a defined contribution plan it must be compliant with IRS, ERISA, HIPPA, and ACA guidelines. We typically recommend using an administrator when setting up these plans. So why do you need to set up a formal plan to be in compliance versus giving the employee funds directly?

To maintain compliance employers aren’t involved in the employee’s decision to choose their individual health policy, the employer does not directly pay for the insurance premium, and the employer is not involved in any communication between the individual and the insurance company. When following the above guidelines it allows the employer to contribute to an individual health insurance plan maintaining compliance with federal law.

In a defined contribution plan employers are able to give employees different contributions based on their class or position within the company. This class can be based on job categories, geographic location, part-time or full-time status, etc. A class must treat all employees equally, to avoid discrimination. These classes are defined by the employer in an ERISA plan document before the defined contribution plan is put into place.

We have found Zane Benefits is one of the best at administering defined contribution plans. Zane offers a FAQ sheet on their website HERE. For more common misconceptions and answers visit their website. What are some of your biggest questions when it comes to Defined Contribution?

 

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Posted by Lauren Yeager in All Posts, Did You Know?, Health Insurance, In The News, Small Business and tagged , , , ,

Healthcare.gov is working?! Opinion or Fact?

A recent article by St. Louis Today gives praise to the controversial Healthcare.gov website touting 11.7 million Americans enrolled through Healthcare.gov this year up from the 6.3 million enrolled last year. Although, there is around a 10 percent drop off, according to the article, from those that initially enroll to those who stay enrolled. Healthcare.gov allows Healthcare.govAmericans to receive a subsidy to help supplement the cost of rising health premiums in the States that do not have their own State run marketplace. The Federally run marketplace gets it’s fair share of criticism and negative news in the media, but these numbers exceeded the goals that the Government had set for its second year of open enrollment. The website can be utilized whether an individual will receive a subsidy or not. Healthcare.gov is a helpful tool to shop a wide range of health insurance options. With all the controversy associated with the roll-out of the ACA how do you feel Healthcare.gov is working? Read the full article HERE

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Posted by Lauren Yeager in All Posts, Health Insurance, In The News and tagged , , , , , , ,