Starting a small business and trying to figure out just what type of insurance coverage you need? You may need a BOP. I can hear you now, “Wait, what’s a BOP?” A BOP is a Businessowners Policy. According to the IRMI Glossary, the holy grail of insurance definitions, BOPs are package policies that provide both […]
On Tuesday, the Departments of Health and Human Services, Labor, and the Treasury (the “Departments”) issued proposed regulations revolutionizing the existing ACA landscape with respect to employers and individual health insurance policies. Proposed Regulations: https://www.federalregister.gov/documents/2018/10/29/2018-23183/health-reimbursement-arrangements-and-other-account-based-group-health-plans News Release: https://www.dol.gov/newsroom/releases/ebsa/ebsa20181023 Fact Sheet: https://www.dol.gov/sites/dolgov/files/OPA/factsheets/wh-hra-factsheet.pdf The proposed regulations would be applicable for plan years beginning on or after January 1, 2020. Prior […]
Question: When can an employer terminate health benefits for an employee on FMLA leave for failure to timely pay the employee-share of the premium? What are the employee’s COBRA rights? Compliance Team Response: Payment Must Be More Than 30 Days Late Employers can terminate coverage for an employee on FMLA leave if the employee is more […]
ABD has partnered with the Worldwide Broker Network (WBN) to develop an exchange/mindshare program for young insurance professionals. The program is a platform that aims to enable employees in the various WBN member firms to work together in an environment designed to support development and exchange between WBN member firms. Last month, I had the […]
How do you know if your broker knows what they’re doing? How do you know what you don’t even know? I know, last week I promised you I’d walk you through my thoughts on how to know if your broker knows what they’re doing and now, I return, only to propose a different question, but […]
I recently attended the First Republic NextGen Conference in Monterey and spoke to the group about managing the insurance purchasing process. The conference was made up of the next generation of venture capital and private equity finance professionals who may often be involved in the insurance and benefits purchasing decisions for their firm but aren’t […]
Question: Do employers with fully insured medical, dental and vision plans need a HIPAA notice of privacy practices? Compliance Team Response: HIPAA Privacy Notice Generally Not Required for Fully Insured Plans As a starting point, all employer-sponsored group health plans—including fully insured plans—are HIPAA covered entities. For fully insured plans, although the group health plan is […]
With the Medicare open enrollment period beginning next Monday (October 15) comes the annual reminder that the Part D Notice of Creditable Coverage (the “Notice”) is due to employees by the same date. The purpose of the Notice is to inform employees whether their employer-sponsored group health plan’s prescription drug coverage is at least as […]
Question: When should employers appeal the notice of an employee’s subsidized enrollment in the Covered California state exchange? Compliance Team Response: What Are the Notices? These notices are technically referred to as Section 1411 Certifications in the ACA. However, they’re more commonly referred to as Employer Exchange Notices or Covered California Employer Notices. The notice informs […]
This article was written by Chris Hann and previously featured in Leader’s Edge Magazine. You are on the board of Peninsula Family Service, a Bay Area nonprofit that serves vulnerable populations. What is it about PFS that appeals to you? I It’s the opportunity to serve the neediest in our own community, where households making $117,000 qualify […]
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