About Bruce

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So far Bruce has created 96 blog entries.
7 10, 2016

Can an employer contribute different amounts towards employee medical insurance?

2018-02-04T13:11:24+00:00 October 7th, 2016 |Categories: ACA, Large Group Medical Insurance Articles, Small Group Health Insurance|

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 [...]

5 10, 2016

California Small Business Medical Insurance 2016 4th Qtr. Renewals

2018-02-04T13:11:24+00:00 October 5th, 2016 |Categories: Changes in Medical Care, Health Insurance Reform, Small Business Articles, Small Group Health Insurance|

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 [...]

2 09, 2015

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

2018-02-04T13:11:24+00:00 September 2nd, 2015 |Categories: ACA, Covered California, Health Benefit Exchange, Individual Medical Insurance Articles|

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 [...]

19 01, 2015

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

2015-10-23T16:32:04+00:00 January 19th, 2015 |Categories: ACA, Health Insurance Reform, Large Group Medical Insurance Articles|

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.

25 11, 2014

Group Health Insurance Rates Increase for 2015

2018-02-04T13:11:24+00:00 November 25th, 2014 |Categories: ACA, Health Insurance Reform, Large Group Medical Insurance Articles, Small Business Articles|

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.

7 11, 2014

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

2018-02-04T13:11:24+00:00 November 7th, 2014 |Categories: (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|

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 [...]

8 10, 2014

Vivity: the new hope for health care

2018-05-17T21:17:54+00:00 October 8th, 2014 |Categories: ACA, Changes in Medical Care, Large Group Medical Insurance Articles, Small Business Articles|

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.

5 10, 2014

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

2018-02-04T13:11:24+00:00 October 5th, 2014 |Categories: 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|

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.