Company Size Impacts Application of "Pay or Play" and Information Reporting Requirements

Employers are reminded that it is important to know how many full-time employees they have in order to ensure compliance with the employer shared responsibility provisions ("pay or play") and corresponding information reporting requirements of the Affordable Care Act (ACA)-which apply only to applicable large employers (ALEs). Learn more.

Important commission information from Geisinger Health Plan

I am writing to inform you of an important update to our commission payment schedule effective July 1, 2016. At that time, we will introduce a new, streamlined per subscriber per month (pspm) compensation plan. Read more.

ACA Health Rate Filings

Insurance companies offering individual and small group health insurance plans are required to file proposed rates with the Pennsylvania Insurance Department for review and approval before plans can be sold to consumers. Read more.

Capital BlueCross Producer Hotline Available for Individual and Medicare Products

Beginning on June 1, 2016, Producers who are listed as the agent of record on a policy will be able to contact the Capital BlueCross Consumer Market Producer Hotline at 866-889-2516 for inquiries pertaining to enrolled members in the following products in the individual market: PersonalBlue PPO, Capital BlueCross Short Term Major Medical, Healthy Benefits HMO and PPO, SeniorBlue® HMO, SeniorBlue® PPO, SecureBlue Medicare Supplement, and BlueCross Dentalsm and Blue Cross Vision. Read more.

How the ACA is affecting benefits enrollment

The Affordable Care Act is beginning to have an impact on employer plans. And one of those areas of difference is enrollment. Read more.

Employers advised to proceed with caution on wellness

Many employers seek to adopt wellness programs to decrease healthcare costs and improve employee productivity. Read more.

Report: Federally funded institute avoids comparing drugs, other treatments

An institute that pays researchers to compare medical treatments has spent only half of its more than $1.4 billion in available federal money on what is called comparative effectiveness research and has largely ignored prescription drugs, despite their role in driving up health care costs, according to a study released Tuesday by a Washington-based policy group. Read more.

In a Secret Meeting, Revelations on the Battle Over Health Care

On Jan. 13, 2014, a team of Internal Revenue Service financial managers piled into government vans and headed to the Old Executive Office Building for what would turn out to be a very unusual meeting. Read more.

NAHU Calls on Congress to Keep the Employer Exclusion

Earlier this week, NAHU called on members to take action on our latest Operation Shout to tell Congress not to eliminate or cap the employer exclusion. Read more.

I.R.S. Ruling Is Obstacle to Health Care Networks Promoted by Obama

A ruling by the Internal Revenue Service creates a significant obstacle to a new type of health care network that the Obama administration has promoted as a way to provide better care at lower cost, industry lawyers and providers say. Read more.

CPAHU CE Meeting July 26, 2016

CPAHU is holding a CE meeting July 26, 2016 at the URL offices in Harrisburg, 8:00 AM to 12:00 PM. Topics include: MEC continuation of discussion – Do you see a place for this product, Self-Funding & Captive Self-Funding – What are your thoughts and experiences, and Enrollment Platform (Benefits Connect) – Do you know when to use. Register now.

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.