Advancedbenefitconsulting.com
Advanced Benefit Consulting: Full Service Employee Benefit
WEBSelf-Insurance. Whether you’ve been self-insured for 20 years or a newcomer to this… We can help you. Our principals have over 40 years combined experience in self-insured health plans and can assist you in every component, from bidding excess coverages, to finding an administrator, to designing your plan, to writing your Plan Document and Summary Plan …
Actived: 8 days ago
Health Plan Documentation: What You and Your Clients Need to …
WEBBy: Marilyn Monahan, Monahan Law Office Published by The Orange County Association of Health Underwriters (OCAHU) and posted with permission of OCAHU Department of Labor (DOL) audit activity is increasing, and many employers are not prepared. The DOL audit process requires employers to produce an extensive list of …
Transparency in Coverage Rules: Breaking Them Down for Real …
WEBOn October 29, 2020, the Department of Health & Human Services, Department of Labor, and Treasury Department collectively issued proposed and final rules on “Transparency in Coverage” that will require most employer-sponsored group health plans to disclose price and cost-sharing information to its plan participants upon request, …
Evaluating Self-Funding For Your Health Plan
WEBLearning Objectives. This course introduces the attendee to the concept of self-funding in health plans, comparing it to fully insured plans and other funding options, and provides a comprehensive look into plan design, risks, mitigation of those risks, and how to implement an effective self-funded plan. Is self-funding right for your clients?
Reference Based Pricing
WEBReference Based Pricing reimburses hospitals and other facilities based on a multiple of Medicare rates, which is known, fair and acceptable to most providers. Because the rates are generally higher than Medicare rates (most commonly 140% to 150% of Medicare), most facilities accept this pricing structure.
Health Plan Compliance for 2022: ERISA Requirements for …
WEBSince the health insurance industry finally has some breathing space and feels some relief following the Single Payer threat, and the author removing AB-1400 from the assembly floor before a vote, we have at least a bit of time to concentrate on other things, before the next scare happens (which it undoubtedly will, as the Nurses …
Reference Based Pricing
WEBBy: Dorothy Cociu, RHU, REBC, GBA, RPA Vice President, Communications, OCAHU services. Medical miracles save millions of people a year and make people’s lives better. The problem is, the costs keep going up, and no one seems to care about doing anything to stop that. Yes, insurance premiums keep rising, but why is that? Is […]
Contact Us at ABC
WEBContact Advanced Benefit Consulting. (714) 693-9754. Advanced Benefit Consulting & Insurance Services, Inc. DBA: Advanced Employee Benefits & Insurance Services. 5130 E La Palma Ave, Suite 211, Anaheim, CA 92807. Mailing: PO Box 6677, Fullerton, CA 92834. California Insurance License Number 0D40564. (714) 693-9754: Toll Free (866) 653 …
Empowered Education Center
WEBTake Control of Your Education. Courses are open for enrollment. New courses are being added regularly in a variety of topics. Please view our on-demand self learning courses that empower you and your team to meet compliance, continuing education, and operational skill requirements for a variety of fields.
More On HIPAA HIPAA’s Nondiscrimination Rules
WEBThe interim final rules and proposed regulations for the nondiscrimination regulations of HIPAA were released on January 8, 2001. The interim final regulations are applicable the first plan year on or after July 1, 2001, unless the provisions were covered in earlier rules, in which case they were effective May 8, 2001.
Dept of Labor Issues New Model Marketplace Exchange Notices …
WEBNew Model Marketplace Exchange Notices. As a reminder, these notices must be issued to all new hires. Notices are available for employers that sponsor health plans, as well as those who do not. Download Model Notice for Employers
Summary of Benefits and Coverage
WEBAnthem Gold PPO 20/30%. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will. be provided separately.
Cost Containment in the Large Group Health Insurance Market
WEBPublished data shows brand name drug prices have increased nearly 11%. Specialty drug spending is forecast to increase another 15% in 2018, which is up to 50% of the total dollars spent on pharmacy costs. [1] The highest cost medications on the market right now are gene therapy agents such as Kymriah ($373k), Luxturna ($850k) and …
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