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October 2016

Can an employer contribute different amounts towards employee medical insurance?

October 7th, 2016 |

Some of our employer clients have asked: “Can an employer contribute different amounts towards employee medical insurance for different employees?”  Employers often treat employees differently (for example not all employees earn the same wage).  However, they don’t want to violate any discrimination laws.   We are not attorneys and don’t give […]

Posted in: ACA | Large Group Medical Insurance Articles | Small Group Health Insurance

California Small Business Medical Insurance 2016 4th Qtr. Renewals

October 5th, 2016 |

Experts estimate that 50 to 70 percent of the small businesses in California that offer employee medical insurance will renew their plans in December 2016.  Many California small business medical insurance companies have begun to release their renewal rates for December 2016 and for many employers the renewal rates look very […]

Posted in: Changes in Medical Care | Health Insurance Reform | Small Business Articles | Small Group Health Insurance

April 2016

Kaiser unveils the future of medicine at new Santa Monica facility

April 27th, 2016 |

Yesterday I had an opportunity to get an advance look at the new Kaiser Permanente (KP) medical facility in Santa Monica and at the same time get a glimpse of the future of medical care.  To say that this facility is revolutionary would be an understatement.   While the Kaiser facility occupies […]

Posted in: ACA | Changes in Medical Care

September 2015

Need health insurance outside of the open enrollment period – consider the California Major Risk Plan (MRMIP)

September 2nd, 2015 |

If you didn’t sign up for individual health insurance in California during the open enrollment period, you’re not stuck.  A little known state program, Major Risk Medical Insurance Plan (MRMIP), may be your saving grace.  While no insurance company will offer you coverage outside of the open enrollment period unless […]

Posted in: ACA | Covered California | Health Benefit Exchange | Individual Medical Insurance Articles

February 2015

IRS Forms 1094-C and 1095-C – employers must complete for 2015 tax year

February 20th, 2015 |

Like the W-2 forms that employers give to employees and the IRS that report wages; beginning in 2016 employers with 50 or more employees must give employees and the IRS a completed 1095-C form. The 1095-C reports on an employee's medical insurance coverage.

Posted in: ACA | Health Insurance Reform | Large Group Medical Insurance Articles

January 2015

Do Employers Need to Give Employees IRS Form 1095-C in 2014 for Health Insurance Coverage in 2014?

January 19th, 2015 |

The good news is that in July, 2013 the IRS issued Notice 2013-45 which gave large employers “transitional relief” from the “shared responsibility” penalties.... Accordingly, neither the reporting requirements nor the employer shared responsibility provisions apply for 2014.

Posted in: ACA | Health Insurance Reform | Large Group Medical Insurance Articles

November 2014

Group Health Insurance Rates Increase for 2015

November 25th, 2014 |

Last week the Los Angeles Times reported that large employers estimate that the cost of group health insurance will increase about 5% in 2015. I was quoted in the last two paragraphs of the article, talking about the 2015 rate increases for California small businesses. We've seen rates increase from a few percent to twenty percent depending on the characteristics of the employees.While there are winners and losers among California employers; we have been able to change our clients to different insurance companies and different plans so that in most cases they won't have any increase and many of our clients will pay less for group health insurance in 2015 than they did in 2014.

Posted in: ACA | Health Insurance Reform | Large Group Medical Insurance Articles | Small Business Articles

For the Third Time DOL & IRS say an Employer Can NOT reimburse employees for individual health insurance plans

November 7th, 2014 |

Today the U.S. Department of Labor released yet another notice/guidance/ “FAQ” instructing employers that “an employer health care arrangement cannot be integrated with individual market policies to satisfy the market reforms.”  Obstinate vendors continue to push their high cost TPA services and claim that an employer can cancel a group […]

Posted in: (SHOP) Covered California Small Business Articles | ACA | Health Insurance Reform | Individual health insurance vs group health insurance | Individual Medical Insurance Articles | Large Group Medical Insurance Articles | Small Business Articles

October 2014

Vivity: the new hope for health care

October 8th, 2014 |

Right before my eyes I saw the top executives from the top hospitals with the top executive from the top insurance company pledge to offer high quality medical care at lower cost. They described how they have aligned incentives for everyone to provide top patient care. If they can do that cost-effectively, they will share in the savings. If not, they will collectively share in the loss...This is a game-changer for health insurance.

Posted in: ACA | Changes in Medical Care | Large Group Medical Insurance Articles | Small Business Articles

Group Health Insurance vs Individual Coverage: Compare After-Tax Cost, Provider Networks & Plan Benefits

October 5th, 2014 |

Perhaps a company could give employees a salary bonus or "taxable discretionary wellness stipend" so that employees can buy their own individual medical coverage. If you’re considering a salary bonus or "wellness stipend" for employees to purchase their own individual medical insurance you should consider the following...Tax and worker’s comp savings are THE major reasons that companies sponsor group health insurance plans rather than offering a taxable stipend or salary bonus...A salary bonus or taxable wellness stipend for health insurance is extremely tax inefficient and forces employees to purchase inferior health insurance plans in the individual market.

Posted in: ACA | Covered California | Health Insurance Reform | Individual health insurance vs group health insurance | Individual Medical Insurance Articles | Large Group Medical Insurance Articles | Small Business Articles