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Health Plan Options

ACA Letters & To-Do Lists

The customizable ACA To-Do Lists below summarize key Health Care Reform requirements that apply to a particular company, depending on their size and whether they have fully-insured or self-insured plans. Learn more.

New Pilot Program for Pre-Enrollment Verification of SEPs

CMS is launching a new pilot program in 2017 to test a process that requires pre-enrollment verification of consumers’ special enrollment period (SEP) eligibility for Individual Marketplace coverage. Read more.

Highmark Updates Week of December 26th

This week's Alert covers the following topics: January 1 Open Enrollment Date Deadline Ends for Off-Exchange Applications and Updated Short Term Blue Application Available Now. Read more.

President Signs HRA Revisions

PrimePay is able to immediately support provisions. Read more.

Product Information

Get applications, brochures, and more for group and individual health on our website. Get product information.

GOP chairmen question ObamaCare's Medicaid spending

A group of Republican chairmen is pressing the Obama administration for answers about ObamaCare’s Medicaid expansion as the fate of the program is up in the air. Read more.

New Special Enrollment Rules Will Shift Paperwork Burden To Consumers

People who want to sign up for a policy on healthcare.gov after the annual open enrollment period ends Jan. 31 may have to produce a paper trail proving that they qualify for a “special enrollment period” before their coverage can begin, according to details of a pilot program described last week by federal officials. Read more.

HHS Moves to Help High-Risk Enrollees, Stabilize Obamacare Markets

Insurers will get more help covering high-risk Obamacare enrollees under a rule finalized Dec. 16. Read more.

How to know if a health plan meets affordability requirements

Affordability is the key to the Affordable Care Act, but figuring out what that means to employers can often be a pain. Read more.

Why Drug Costs Will Keep Rising in 2017

At the start of 2016, we made 10 healthcare predictions for the year ahead. Overall, we were 50% right, which is either a failing grade in high school or a great average in baseball. Read more.

How Much Do Health Insurance Subsidies Cost Taxpayers?

Taxpayers will fork over nearly $10 billion more next year to cover double-digit premium hikes for subsidized health insurance under President Barack Obama’s law, according to a study released Thursday. Read more.

IRS focuses on low-income liars in new ACA premium tax credit regs

The Internal Revenue Service has completed work on a collection of Affordable Care Act regulations that could make life harder for low-income people who fib about their income potential to qualify for tax credits. Read more.

Cover letters: The key to simplifying ERISA plan document requests

Sponsors of qualified retirement plans and group health plans may receive tens, if not hundreds, of plan document requests every year. Read more.

Obama administration revamps group disability claim rules

The Obama administration's Employee Benefits Security Administration has rejected pleas from disability insurers and plan administrators and forged ahead with an overall of group disability plan claim procedures. Read more.

CMS Releases FAQs on Agent/Broker Compensation

The Centers for Medicare and Medicaid Services (CMS) has released resources regarding the differing of compensation based on the metal level plan sold. Read more.

1/10 Self-Funded Group Health Plans 101

With the many changes that have taken place in the last few years in the health insurance industry and the inevitable changes to come, I would like to invite you to join our Self-Funding 101 webinar on January 10th at 10am. Read more.

Weekly PPACA Update Conference Call

Since the passage of the Affordable Care Act Law in 2010, there has been incredible change in the Individual and Group Health industry with products and in the way they are sold and paid for. In 2017, a new Federal Administration will be in place and even more changes will be ahead of all of us. Because of these inevitable changes and in a continuing effort to keep our agent-partners informed, we are holding weekly webinars. The webinars will serve as a place to get your questions answered, learn about compliance requirements and discuss topics and strategies that will lead to your continued success in the individual and group health insurance markets. Register once for all of the 2016 Weekly PPACA Conference Calls. Register now. Register now.

Weekly PPACA Conference Call Archives

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