Benefit and Risk Management Services

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The Comparative Effectiveness Fee

As a part of the Patient Protection and Affordable Care Act (PPACA), Congress created the Patient-Centered Outcomes Research Institute (Institute), a non-profit organization whose mission is to collect data on various forms of medical care treatments and identify those treatments which are the most clinically effective. In its magnanimity, Congress requires funding for the Institute … Continue Reading

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FSA $2,500 Limit Applies to 2012

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FSA $2,500 Limit Applies to 2012 Fisical Plan Year Plans Although most Internal Revenue Code (IRC) Section 125 plans (Cafeteria Plans) are calendar year plans, there are some plans that are fiscal years plans (e.g. February 1 – January 31). To the delight of tax lawyers everywhere, the IRC contains traps for the unwary! In … Continue Reading

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W-2 Health Care Reporting Requirements:

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Once and Foll All – For Now Ever since the Affordable Care Act (HCR) became law, the HCR W-2 reporting rules have confused even the best and the brightest. At one point, there even was a rumor that employer-sponsored health care coverage would now be taxable (and it is not). The IRS Notice 2011-28 provides … Continue Reading

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Prescription Drug Take Back Day

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Did you know that rates of prescription drug abuse in the U.S. are alarmingly high? More Americans currently abuse prescription drugs than the number of those using cocaine, hallucinogens, and heroin combined. And did you know that studies show that a majority of abused prescription drugs are obtained from family and friends, including the home … Continue Reading

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Womens Preventive Care Services

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As you may recall, the Patient Protection and Affordable Care Act (PPACA) requires all non-grandfathered group health plans, whether insured or self-insured, to provide a panoply of preventive care services to all plan participants including Medicare-eligible individuals. On July 19, 2010, the three agencies in charge of producing regulations (Departments of Treasury, Labor, and Health … Continue Reading

PPO Network Providers

Aetna Anthem Blue Cross of Ca Anthem Blue Shield of Ca Cigna First Health HealthSmart Interplan United Health Care

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Health Care Reform Impacts Over The Counter Drugs

Health Care Reform Impacts Over The Counter Drugs (OTC)

**IMPORTANT** Effective January 1, 2011 Beginning January 1, 2011 an individual participating in a flexible spending account (FSA), health reimbursement arrangements (HRA) or health savings account (HSA) will no longer be able to use tax-advantage money for the reimbursement of over-the-counter medications that are not prescribed by a doctor. This change does not affect insulin, … Continue Reading

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The Affordable Care Act’s New Patient’s Bill of Rights

The Affordable Care Act: New Patient Bill of Rights

A major goal of the Affordable Care Act – the health insurance reform legislation President Obama signed into law on March 23 – is to put American consumers back in charge of their health coverage and care. Insurance companies often leave patients without coverage when they need it the most, causing them to put off … Continue Reading

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Dependent Coverage of Children

Interim Final Rules on Dependent Coverage of Children Released

Interim final rules on the dependent coverage of children to age 26 under the Patient Protection and Affordable Care Act were released May 10, 2010. The regulation is available at: The fact sheet is available at: Frequently Asked Questions are available at:

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The Early Retiree Reinsurance Program

Fact Sheet: The Early Retiree Reinsurance Program

The White House Office of the Press Secretary For Immediate Release Rising costs have made it difficult for employers to provide quality, affordable health insurance for workers and retirees while also remaining competitive in the global marketplace. Many Americans who retire without employer-sponsored insurance and before they are eligible for Medicare see their life savings … Continue Reading

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