The Affordable Care Act (ACA) requires that employers, which are subject to the Fair Labor Standards Act (FLSA), provide information to employees about the availability of individual health insurance plan […]
What has everyone in New York concerned about the ACA is whether or not the major carriers will be participating in the individual NY Health Benefits Exchange (NYHBE). Based on […]
In lieu of the Affordable Care Act, insurance professionals are starting to get their first look at officially released information from the New York State Department of Financial Services with […]
Earlier this year, Oxford Health Plans implemented a new small group recredentialing/recertification process for renewing groups in New York and New Jersey. This involved a resubmission of tax documentation, and […]
Aetna will be updating their group health insurance, prescription drug, pre-certification and step therapy lists beginning June 1 2013, and again on July 1 2013. Highlights are as follows: Precertification […]
Health care reform is in full swing, and many Patient Protection and Affordable Care Act (PPACA) items impact health plans or administrative procedures. This watch list (provided courtesy of Cigna) […]
Effective March 2, 2013, the federal government is suspending new enrollment in all state-run Pre-Existing Condition Insurance Plans (PCIP’s) throughout the country. In New York State, the PCIP is known […]
Beginning with January 1st 2013 effective dates, Oxford will no longer be offering prior carrier deductible credits for small groups in New York. This change affects both UnitedHealthCare and Oxford […]
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 […]
Empire Blue Cross originally had planned to drop the majority of their small health insurance groups in New York on 4/1/2012 regardless of a group’s renewal date. Instead, small group […]