Less than two weeks ago, I wrote a blog post that predicted that fireworks would hit California’s small group health insurance market with UHC’s new Association Health Plans. Well, sparks flew. Yesterday, UnitedHealth Care announced that because of “regulatory inquiries over the past couple of weeks” UHC has suspended [...]
Fireworks Will Hit California’s Small Group Health Insurance Market with UHC’s New Association Plans
UnitedHealth Care (UHC) kicked-off Summer 2019 with a bang. During a webinar to their top brokers on July 1st, they made the game-changing announcement that they will introduce 9 new Association Health Plans (AHP) into the California small group marketplace (1-100 employees.) By screening enrollees for pre-existing medical [...]
On Wednesday, I was fortunate to be included in a round table discussion with the senior leadership of Kaiser Permanente's small group sales and account management team. To encourage discussion, Kaiser limited participation to a few key brokers. (2019 Kaiser Key Broker Engagement Luncheon, Pasadena, California. Third from [...]
Many employers want to know why medical insurance rates continue to rise and whether they're paying too much compared to other businesses. Two recently released reports address these questions:Medical Cost Trend: Behind the numbers 2019, is prepared by Price Waterhouse Coopers (PwC)'s Health Research Institute and it projects medical costs [...]
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 [...]
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 [...]
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 [...]
Need health insurance outside of the open enrollment period – consider the California Major Risk Plan (MRMIP)
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 [...]
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.
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.