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13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
Committee Approved 11 Health Care Reform Bills This Week As a part of its health reform efforts this week, the Committee voted to advance 11 health care reform bills offering new flexibility for employers about how to design their health plans and American families more health care choices and choice about how to pay for it and what coverage to buy popular with many providers, patients and employer and other… [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
The SHOP Marketplace is intended to offer an opportunity for for small employers who want to provide health and dental insurance to their employees. [read post]
7 Dec 2015, 9:37 am by Cynthia Marcotte Stamer
Employment losses almost inevitably bring losses in health and other coverages and benefits. [read post]
14 Dec 2015, 12:07 pm by Cynthia Marcotte Stamer
In contrast, private industry employer costs for health care averaged $2.83 per hour or 8.5 percent of the average of $33.37 per hour employee compensation cost paid by government employers for hours worked in September 2015 for hours worked in September 2015. [read post]
23 Jun 2016, 10:21 am by Cynthia Marcotte Stamer
The Foothill wrongful termination settlement resolving H-2A visa rule violation charges illustrates an often overlooked side of the potential Catch-22 that U.S. employers can face when making hiring and other employment choices between work-eligible foreign and U.S. citizen employees or candidates. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
Spring Clean Your Health Plan House Since any reforms eventually enacted are unlikely to retroactively eliminate liability of employers, their health plans or fiduciaries for violations of federal health plan mandates, health plan terms, or associated contracts occurring before the effective date of reform, employer and other health plan sponsors, fiduciaries, insurers and administrators should begin by identifying,  cleaning up any… [read post]
18 Aug 2015, 7:52 pm by Cynthia Marcotte Stamer
Equal Employment Opportunity Commission (EEOC) against  Visalia, California -based Magnolia Health Corporation and its affiliates (Magnolia) highlights the need for healthcare industry and other U.S. employers adequacy and defensibility of their practices for offering accommodation to, hiring, screening and other employment practices with respect to persons with actual or perceived disabilities in light of the EEOC’s prioritization of disability… [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
Employers sponsoring group health plan coverage now or in 2014, check the adequacy of your insurer or third party administrator’s claims and appeals processes and notices. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
Obviously, health plans, business associates and other parties at minimum, should evaluate and address the adequacy of their own health plan security safeguards, practices and procedures impacting internet access and sharing of ePHI by and between the health plan, its workforce, business associates, sponsoring or contributing employers and others. [read post]
21 Aug 2015, 6:07 pm by Cynthia Marcotte Stamer
Employers, Insurers & Plan Fiduciaries Face Big Risks From Out-Of-Pocket Limit & Other Federal Health Plan Rule Violations As amended by ACA, health plan violations of ACA and various other federal health plan mandates carry big risks for health plans, their sponsoring employers, and representatives of sponsoring employers, insurers and third party administrators responsible as fiduciaries for administering a group… [read post]
3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Employers, Insurers & Plan Fiduciaries Face Big Risks From Out-Of-Pocket Limit & Other Federal Health Plan Rule Violations As amended by ACA, health plan violations of ACA and various other federal health plan mandates carry big risks for health plans, their sponsoring employers, and representatives of sponsoring employers, insurers and third party administrators responsible as fiduciaries for administering a group… [read post]
12 Oct 2017, 4:22 pm by Cynthia Marcotte Stamer
(iii) HRAs are tax-advantaged, account-based arrangements that employers can establish for employees to give employees more flexibility and choices regarding their healthcare. [read post]
9 Mar 2016, 9:01 am by Cynthia Marcotte Stamer
Along with this individual mandate, the ACA: Dictates that all group and individual health insurance policies other than a narrow list of “excluded” plans include the rich and generally expensive package of ACA-mandated “essential health benefits,” pay a host of ACA-imposed taxes and assessments, and comply with a host of tight ACA market reforms; Penalizes employers with 50 or more full-time employees (large employers) that fail to offer… [read post]
12 Dec 2017, 1:27 pm by Cynthia Marcotte Stamer
Of course, the employer mandate is not the only Obama care provision that employers and their health plans need to worry about. [read post]
2 Mar 2016, 5:00 pm by Cynthia Marcotte Stamer
When Vermont sought to require the Plan’s third-party administrator, Blue Cross Blue Shield of Massachusetts, Inc. [read post]
15 Sep 2015, 5:37 am by Cynthia Marcotte Stamer
Stamer uses her deep and highly specialized health, insurance, labor and employment and other knowledge and experience to help employers and other employee benefit plan sponsors; health, pension and other employee benefit plans, their fiduciaries, administrators and service providers, insurers, and others design legally compliant, effective compensation, health and other welfare benefit and insurance, severance, pension and deferred compensation, private… [read post]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Employers, Insurers & Plan Fiduciaries Face Big Risks From Federal Health Plan Rule Violations As amended by ACA, health plan violations of ACA and various other federal health plan mandates carry big risks for health plans, their sponsoring employers, and representatives of sponsoring employers, insurers and third party administrators responsible as fiduciaries for administering a group health plan in accordance with these… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
  On one hand, failing to design and administer their health benefit programs to comply with these and other rules and interpretations about the preventive care and other federal health plan mandates imposed by the ACA or other laws can trigger significant liability for insurers as well as group health plans and theirsponsoring employers. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
  On one hand, failing to design and administer their health benefit programs to comply with these and other rules and interpretations about the preventive care and other federal health plan mandates imposed by the ACA or other laws can trigger significant liability for insurers as well as group health plans and theirsponsoring employers. [read post]