#friendswithhealthbenefits

COVID-19 AND EMPLOYEE BENEFIT PLANS: THE KNOWNS AND UNKNOWNS

What a difference a few days make! Since we last talked with you friends, we’ve both been ordered by our respective governors to stay home at all times with our husbands and pets, plus we need to home-school our children. We’ve spent an obscene amount of money at the grocery store and on Lego sets. [...]

Coronavirus and Health Insurance Coverage – All the Details You Wish You Didn’t Need

This blog entry about coronavirus and health insurance coverage was posted at 2:10 pm Eastern Time on Thursday, March 12, 2020.  By the time you read it, details may have changed. We don't know about you, but between the two of us, we've canceled one vacation, screamed at the television multiple times when Vice Presidents [...]

Reference-Based Pricing and Its Compliance Considerations

While we were at the National Association of Health Underwriter’s Capitol Conference, we ran into quite a few friends and blog readers. Several asked us to write a post about reference-based pricing. Specifically, they inquired if there are any compliance-related concerns. Since we love to accommodate our friends, here it is! Overview of Reference-Based Pricing [...]

What To Do About The Medicare Creditable Coverage Requirements

Many employers have a deadline coming up soon to file their annual Medicare prescription drug disclosure with the federal Centers for Medicare and Medicaid Services (CMS).  So we want to discuss the Medicare creditable coverage requirements. What they are and why employers need to comply. Also, who has to do what, when, where, and how. [...]

Employers Not Prepared for New Jersey Reporting Requirements Face Legal Risk

FEBRUARY 12, 2020 UPDATE! When friends talk about health policy problems, sometimes solutions tend to happen! To respond to the needs of affected employers, the State of New Jersey updated its guidance and reporting methodology on February 11, 2020.  The state is still requiring all affected applicable large employers, carriers and self-funded plans to submit [...]