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Health Plan Options

3 ways Aetna shook the ACA’s foundations today

Aetna executives were kinder to the Affordable Care Act public exchange system and market rules in the first quarter than executives at some of the company's competitors. Read more.

Federal Labor Laws by Number of Employees

Special Note on Health Care Reform: The Affordable Care Act includes comprehensive health insurance reforms with compliance requirements affecting employers of various sizes. For the latest information, please visit the Health Care Reform section. Learn more.

2016 State-Based Marketplace Public Use Files

In an effort to facilitate greater access to Marketplace data, CMS released a set of state-based Marketplace public use files (SBM PUF). Read more.

AFA new sales quoting and underwriting updates for PA, DE and WV

With Aetna Funding Advantage, your clients can depend on a predictable monthly payment, the protection of stop-loss, and an opportunity for cost savings. Read more.

Aetna self-insured plans are now available!

We’re excited to announce Aetna Whole Health – WellSpan plans are now available on a self-insured basis to plan sponsors with membership in York and Adams counties. Read more.

10 healthcare differences between Clinton, Trump

As the presidential candidates begin stumping around the country, many will hear their views on the current state of healthcare in the United States. Read more.

Small employers dropping health benefits

Employees who work at small organizations historically have been less likely to have employer-sponsored health insurance. But that’s even more the case these days. Read more.

Does severance trigger ERISA? Why employers should care and what to do

Generally speaking, many employers do not think about the Employee Retirement Income Security Act (ERISA) when it comes to severance, whether at the front end, when employment agreements or policies are negotiated and planned, or at the back end, when termination occurs and the severance is paid. Read more.

CPBJ 2016 Health Care Symposium: 3 things we learned

Several leaders shared views on the opioid crisis, cyber crime and insurance coverage at this month's symposium in Harrisburg. Read more.

Pa. health insurers defend requests for higher premiums

In a hearing convened by state regulators, health insurers in Pennsylvania defended their requests to raise insurance costs in 2017 to make up for losses on plans offered under the Affordable Care Act. Read more.

4 employer challenges brought on by ACA compliance

Complying with the Affordable Care Act has put employers “through hell,” and a look at the future “is scary,” Brad Mandacina, AVP and director, HR technology at Lockton, said Thursday at a conference in Park City, Utah. Read more.

3 new things to know about your HIPAA desk audit risk

Federal health data cops are setting up a compliance lottery you might prefer to skip. Read more.

5 reasons to back the Anthem-Cigna and Aetna-Humana deals

The U.S. Department of Justice is throwing the antitrust book at Indianapolis-based Anthem's effort to acquire Bloomfield, Connecticut-based Cigna Corp., and Hartford-based Aetna's effort to wed Humana. Read more.

Attorneys spar over Hershey-Pinnacle merger

A federal court in Philadelphia today heard arguments about a merger between two of Central Pennsylvania's largest health systems, with a decision expected later this summer. Read more.

Registration for the Federally-facilitated Individual Marketplace (FFM) and the Small Business Health Options Program (SHOP) Marketplace

Plan year 2017 FFM agent and broker registration and training is now available on the CMS Enterprise Portal. Read more.

2017 FFM Certification Details – Testing now open!

Registration and training information. Read more.

Learn how to help consumers who could lose eligibility for financial help because they are dually enrolled/eligible for Marketplace coverage and Medicaid/CHIP

CMS uses periodic data matching to confirm consumers who are enrolled in Marketplace coverage and receiving advance payments of the premium tax credit and cost-sharing reductions are not also enrolled in or eligible for minimum essential coverage through Medicaid and/or the Children’s Health Insurance Program (CHIP). Read more.

CPAHU follow up to July CE meeting

For everyone who attended the CE meeting yesterday, here is the link that Vince and Shelly Bloom had mentioned on "What will healthcare policy be under President Trump or Clinton?" Read more.

Summary of CMS emails for week of July 18

This weekly email summarizes the content of emails distributed by the Centers for Medicare & Medicaid Services (CMS) to agents and brokers during the preceding week to keep you up-to-date on the Federally-facilitated Marketplaces (FFMs). 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. Register once and you'll be signed up for all of the 2016 Weekly PPACA Conference Calls. Register now.

Weekly PPACA Conference Call Archives

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