HHS sets complicated fixed indemnity rules

Insurers may have a chance to sell fixed indemnity health insurance to workers who get weak "minimum essential coverage" (MEC) from self-funded employee health plans. Click here to read more.

Federal government extends option for keeping current plans in Pennsylvania

The U.S. Department of Health and Human Services (HHS) recently extended the option for small employer groups to keep their current plans for two years - beginning on or before October 1, 2016. Aetna is pleased to offer small employer groups in Pennsylvania the option to renew existing plans. Click here to read more.

Highmark Commission Information - Update on Individual Commission Payment Resolution

Distribution Administration has been working to resolve issues regarding commission payments on individual policies. Please note: Commission can only be paid after the premium has been received. Click here to read more.

Highmark Blue Cross Blue Shield Agency Action Alert - May 21, 2014

Distribution Administration has been working to resolve issues regarding commission payments on individual policies. Please note: Commission can only be paid after the premium has been received. Click here to read more.

Highmark Blue Shield Agency Action Alert - May 21, 2014

Distribution Administration has been working to resolve issues regarding commission payments on individual policies. Please note: Commission can only be paid after the premium has been received. Click here to read more.

PrimePay Broker Webinar Series - June 2014

Private-sector employers and group health insurers that do not comply with the Public Health Services Act ("PHSA") mandates incorporated into ERISA are at risk for enforcement action by the DOL and the participant lawsuits. The DOL has updated its health and welfare plan audit requests to include documentation showing compliance with the Affordable Care Act ("ACA"). This is a significant development in the ongoing implementation of the ACA's various coverage and related mandates, in that it marks the first appearance of ACA-related topics in DOL auditing practices. The DOL may also bring a civil action against group health plans to enforce the PHSA mandates incorporated by reference into ERISA. Click here to read more.

Find Opportunities Outside of ACA Enrollment

The window may be closed, but we're about to open doors. Did you know options exist for those that missed the enrollment deadline and for those that are struggling with high-deductible exchange plans? Click here to read more.

Weekly PPACA Update Conference Call

In a continuing effort to assist our agent-partners in getting the information needed to flourish within the under 65 group and individual markets in Pennsylvania, we are holding weekly live webinars. They will serve as a place to get your questions answered and discuss topics and strategies that will lead to your continued success in the health insurance market. Click here to register.

Weekly PPACA Conference Call Archives

Click here to view the archived recordings of the PPACA Conference Calls.

Makeup of State-Run Exchanges vs FFM to Change

The breakdown of states running their own health insurance exchanges versus those using the federally-facilitated marketplace will change in due time – but which way is still up in the air, said a speaker at Wednesday’s National Health Insurance Exchange Summit, held in Washington, D.C. Click here to read more.

PCORI & Reinsurance Fees—Keeping Them Straight

Health plan sponsors and issuers are required to pay fees to fund two new programs established by the Patient Protection and Affordable Care Act (PPACA)—a relatively small Patient Centered Outcomes Research Institute fee (PCORI Fee), due July 31, 2013, and a more significant transitional reinsurance program contribution (Reinsurance Fee), due Jan. 14, 2015, in most cases. Click here to read more.

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