Free Webinar – Studying “The Study” – Analyzing the DOL’s Review of Self-Funding
cmonfils | March 31, 2011
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PPACA Update
cmonfils | March 31, 2011
March 31, 2011 – A report published yesterday by the U.S. Department of Labor focused on self-insured group health plans incorporates key input provided by the Self-Insurance Institute of America, Inc. (SIIA). DOL officials had consulted with SIIA representatives on multiple occasions as part of their research for the report.
“We are pleased to see that our proactive effort to educate the DOL regarding self-insured health plans has resulted in a reasonably objective report,” said SIIA Chief Operating Officer Mike Ferguson. (more…)
HHS Issues ACO Guidance
cmonfils | March 31, 2011
HHS Issues ACO Guidance
The Obama administration on Thursday outlined a new approach to medical care that it said could mean higher quality and less risk for patients, while also saving millions of dollars for taxpayers.
The Obama administration on Thursday outlined a new approach to medical care that it said could mean higher quality and less risk for patients, while also saving millions of dollars for taxpayers. (more…)
PPACA Update
cmonfils | March 31, 2011
www.siia.org March 30, 2011
The U.S. Department of Labor today has issued its long-awaited report today on self-insured health plans as required by the Patient Protection of Affordable Care Act. SIIA is currently reviewing the report and will be issuing a statement shortly regarding its content.
ACA – Group Health Plans Report – Abstract of 2008 Form 5500 Annual
ACA – Annual Report on Self-Insured Group Health Plans
ACA – Self-Insured Health Benefit Plans Report
Video to Promote HB 2430
cmonfils | March 31, 2011
The link below will take you to a video promoting TABA’s transparency bill – HB 2430 that was filed by Rep. Kolkhorst. It has a survey you can complete in support of the bill. Please forward it to as many people as you can. We will tally the survey votes -
Uncertainty Marks Health Law Anniversary
cmonfils | March 30, 2011
Business Insurance Opinions March 28, 2011
THE HEALTH CARE REFORM law’s one-year anniversary, which was last week, is an appropriate time to reflect on the statute.
There are many provisions—extending coverage to employees’ adult children, eliminating pre-existing medical condition exclusions and extending federal health insurance premium subsidies to the lower-income uninsured—that enjoy widespread support and are in the national interest. (more…)
Massachusetts Lawyers Weekly
cmonfils | March 29, 2011
3/29/11
Massachusetts Lawyers Weekly has chosen India L. Minchoff, founding partner of The Law Offices of Russo & Minchoff, as an Up & Coming Lawyer at their annual “Excellence in the Law” event. Attorney Minchoff is one of only 20 lawyers across the state to be chosen for this honor for all of her outstanding accomplishments in the legal community.
The “Excellence in the Law” awards event will take place on Thursday, June 2, 2011, from 5:30pm-8pm in Boston.
SOUTH DAKOTA DEFEATS PROPOSED “MADE WHOLE” LEGISLATION
cmonfils | March 29, 2011
Matthiesen | Wickert| Lehrer, S.C March 2011 Newsletter
By Melissa M. Stone
For a second consecutive year, South Dakota has defeated an attempt to introduce “Made Whole” legislation into the insurance subrogation arena. The “Made Whole” Doctrine is an equitable defense to the subrogation or reimbursement rights of a subrogated insurance carrier or other party, requiring that before subrogation and/or reimbursement will be allowed, the insured must be made whole for all of its damages. Precisely what being “made whole” means varies from state to state, but the concept is, nonetheless, fairly similar in each state. A well-respected legal treatise defines the Made Whole Doctrine as follows: (more…)
Big Win for Captives in the Big Sky State — And Related News
cmonfils | March 29, 2011
www.self-insuranceworld.blogspot.com
March 23, 2011
The Montana State Legislature only meets for two months every two years so getting a bill passed requires a certain amount of precision. So it is particularly impressive that legislation to significantly improve the state’s captive insurance statute cleared the House and Senate by near unanimous votes and is expected to be signed into law by the governor. (more…)
Stop-Loss Insurance, Reinsurance and “Partially Self-Insured” — We Need to Talk
cmonfils | March 29, 2011
www.self-insuranceworld.blogspot.com
March 25, 2011
Forgive me for stating the obvious, but words mean things. I make this seemingly odd comment because I continue to observe a couple words being misused by self-insurance industry professionals on a regular basis and we all need to get on the same page.
Perhaps most aggravating is the term “partially self-insured,” which continues to get tossed around to describe self-insured health plans that utilize stop-loss insurance. Of course there is no such thing as being “partially” self-insured so the term is sloppy at best and can actually be harmful. (more…)
A False Alarm at the IRS for TPAs
cmonfils | March 29, 2011
www.self-insuranceworld.blogspot.com
March 25, 2011
We normally report on actual legislative/regulatory developments, but this post discusses a false alarm coming from the IRS that appeared to subject health care TPAs to burdensome new reporting requirements in order to help head off any potential industry confusion.
At issue is Department of Treasury Final Rule 6050 W, which was published way back in August of last year. The rule is intended to define “third party transaction settlement organizations” in furtherance of the IRS’ goal of creating a mechanism to better track the flow of money within the economy. (more…)
SIIA Files Comment Letter with IRS Regarding Stop-Loss
cmonfils | March 29, 2011
MyHealthGuide Source: Self-Insurance Institute of America, Inc. (SIIA), 3/24/2011, www.SIIA.org
The Self-Insurance Institute of America, Inc. filed comments in a letter with the Internal Revenue Service (IRS) in response to the agency’s request for comments regarding the distinction between health insurance and stop-loss insurance.
As part of the new healthcare law, the IRS is tasked with setting new limits on the tax deduction for executive compensation. The new law also now extends the compensation deductibility limits to employers who sell “health insurance”. (more…)
Always on My Mind
cmonfils | March 29, 2011
Best’s Review By Lori Chordas March 2011
Compliance is a word that can conjure up trepidation for employers.
That uneasiness isn’t going away anytime soon as the amount of new compliance and regulatory requirements around employee benefits continues to grow.
But employers don’t have to go it alone. Benefit brokers and consultants are stepping in to help iron out details of upcoming requirements, prepare employers for those changes and alleviate their uncertainty. (more…)
Feds Investigate CHS Health Plan
cmonfils | March 25, 2011
Carolinas HealthCare System’s tie to health benefits firm has led to conflict questions.
By Ames Alexander aalexander@charlotteobserver.com Posted: Thursday, Mar. 17, 2011
The U.S. Labor Department is investigating Carolinas HealthCare System following questions about whether its relationship with a health benefits company it co-owns poses a conflict of interest.
The company, MedCost, provides health benefits to the Charlotte-based hospital chain’s roughly 30,000 employees. (more…)
Judge affirms ICA’s standing to pursue ERISA claims
cmonfils | March 25, 2011
March 14, 2011 — The International Chiropractors Association (ICA) announced today that its claims challenging the overpayment recovery practices of various Blue Cross Blue Shield entities were upheld by Judge Matthew F. Kennelly of the United Stated District Court in Chicago, IL, in Pennsylvania Chiropractic Association, et al. v. Blue Cross Blue Shield Association, et al., Case No. 1:09-cv-05619. (more…)
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