Opposing View for Insurance Premium Rates

/ / All Posts, Health Insurance, In The News

It’s not often that an article written asks itself to be pitted against somebody with an opposing view, but that is exactly what USA Today did when they asked The Galen Institute to write their view on next years insurance premium rates. USA Today’s camp states that premium increase will be at a minimum and that for Obamacare critics there is never any good news, and that critics think “Obamacare is a ready to-implode disaster.” The article goes on to quote several rate requests submitted for 2016, and says that any large rate hikes are due to miscalculated rates from […]

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More Co-Ops Go Flop

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Last week a webinar was given by several well informed professionals on the Affordable Care Act and the topic at hand, co-op shut downs. We are 8 down and counting stated Scott Harrington, Wharton School at UPenn Professor of Health Care Management, echoing the sentiments of the other panelists. After several more health co-ops have shut their doors just before the opening of the 2016 enrollment period one can’t help but say who is next. Many of the cooperatives seemed to fail before they even started, but with the prospect of true governmental help they could have survived. As stated during the

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Common Misconceptions with Defined Contribution

/ / All Posts, Did You Know?, Health Insurance, In The News, Small Business

There 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

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Did You Know, Not All Doctors are In Network?

/ / All Posts, Health Insurance

You enroll in your health plan and choose an option that is affordable and seemingly everything you are looking for, but is it really? I come from personal experience when I discuss this as I was extremely naive to how health coverage works when I first started working in this industry. I received my health cards last year and noticed a doctor printed on my card but failed to look at the fine print. I thought nothing more of what was printed on my card.  A few months later I was sick and needed to see a doctor, so I called a

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Open Enrollment Starts Today

/ / All Posts, Did You Know?, Health Insurance

Open Enrollment is here for 2016 health plans. According to an article on The Street, individuals spend less than 30 minutes researching their benefits. If you are someone that understands health insurance plans backwards and forwards this sounds like a decent amount of time to spend, but many Americans do not understand the other language that is “health insurance.” This kind of care less response to choosing something incredibly important could have a huge impact when you find yourself filing claims for a medical procedure that you weren’t expecting. Once you enroll in a health plan during Open Enrollment for

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