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Oxford Health Announces Prescription Drug List Changes

Oxford Health has just announced changes to their PDL for small groups in NY, NJ, and CT beginning January 1st, 2013. The big change this quarter involves Lipitor coverage, which […]

Emblem To Change EPO/PPO Participation Requirements In NY

The following changes with Emblem Health, small group enrollment requirements will be implemented effective 11/1/2012 for all new business in New York: 1) Minimum 2 contracts or 60% participation after […]

No End In Sight For Allstate/State Farm Policy Cancellations

By now, most residents on Long Island are aware of the fact that State Farm, Allstate, and other “big name” insurers have been cutting back on their residential property insurance […]

Women’s Preventive Care Health Benefits

As you may know, the Affordable Care Act (ACA, or Health Care Reform law) includes changes that are being phased in over a number of years. The latest set of […]

EmblemHealth Introduces Health Essentials EPO Plan

Beginning October 1, 2012, Emblem Health will be introducing a brand new, EPO product for small groups. It’s core design is to provide hospital-only coverage (plus a few additional features) […]

Health Care Reform Update: Mid-2012

Attached is a piece we have developed detailing the latest updates in health care reform per the Patient Protection and Affordable Care Act (PPACA). This provides an overview of the […]

Emblem To Terminate Groups Back To Last Paid Coverage Period

This week, Emblem has announced a change in the way they terminate health groups for non-payment of premiums. Beginning with group health premiums due on or after 9/1/2012, Emblem will […]

Leveraging Your Commercial Insurance For Job Safety

All business owners know that liability losses increase commercial insurance premiums upon policy renewals. In some cases, it could even lead to the non-renewal of such policies. This is why […]

US Supreme Court Upholds 2010 Health Care Reform Bill

The US Supreme Court today has ruled the 2010 health care reform bill constitutional on the individual mandate. Meaning, you must take health care coverage or be hit with a […]

Horizon BCBS Meets 2011 MLR Requirements – No Rebates Issued

Based on Horizon Blue Cross/Blue Shield’s annual Medical Loss Ratio report filing with the Department of Health and Human Services for tax year 2011, federal MLR rebates for 2011 will […]