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Posts from: August 2016

Are you ready for Open Enrollment Season??

Author: Jan Fernandez    Posted: August 25, 2016

With over 69% of all employer sponsored health plans renewing January 1, 2017 it’s time to get ready for your employees Open Enrollment period; but are you going to be ready? 2017 holds new legal changes affecting the design and administration of your plans. You should review your plan documents to confirm that they include the required changes. Do you have a Summary Plan Description “SPD” or summary of material modifications “SMM”? This is different […]

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Costs For New Enrollees In ACA Plans Higher Than For Long-Term Enrollees

Author: Venus Dean-Bullinger    Posted: August 22, 2016

I recently read an article in the SHRM newsletter that discussed the Blue Cross and Blue Shield Association revealing that consumers who were “newly insured under the Affordable Care Act were sicker, used more medical care and had higher medical costs than those who already had coverage.”  We all had assumed that those who had not been sold individual plans due to “Pre-existing Conditions” would be high utilizers of their new plans.  Why, because they […]

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Providers can make you pay up front!

Author: Venus Dean-Bullinger    Posted: August 2, 2016

So, I just had surgery a couple months ago.  I was caught off guard when the outpatient surgical facility asked me to pay my portion of the bill “up front”.  This seemed odd to me when I didn’t even have a High-Deductible Health Plan.  Nonetheless, they advised that this is how they handle their billing at many facilities now.  So, I requested they divide it into 3 installments, and payed the first before I went […]

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From The Blog - New Year’s Resolutions vs Goals

Happy New Year!  Here’s to 2016! I love this time of year.  It is cliché to say it is a new year, new birth, new beginning but it is.  I take full advantage of it. This is the time of year for you to set some goals.  Start fresh.  Perhaps you need to remove someone from your Facebook page or snapchat that you just don’t enjoy reading their comments. Don’t waste your time and energy […]

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