Tag: benefits

Rules Attempt to Streamline ACA Benefits Summary

Proposed changes to the Summary of Benefits and Coverage rules under health care reform include additions and subtractions to the SBC template, as well as clarifications on how plan sponsors and insurers may apportion the responsibility to furnish the SBC to participants. A third example would be added to the cost-sharing examples required in the […]

9th Circuit Reverses Ruling on Participant’s Claim for Surcharge

Plan participants can recover personal, rather than plan, losses under arguments of “surcharge,” the 9th U.S. Circuit Court of Appeals recently ruled, reversing an earlier opinion, which had been at odds with other federal circuits. On Dec. 16, the circuit court handed down the new ruling in Gabriel v. Alaska Elec. Pension Fund, 2014 WL 7139686 (9th […]

Quality Starts With People

The other day, I was driving through a small town and saw a sign on the side of a building that read, “Nobody ever regrets buying quality.” That got me thinking about quality. Did the proprietor of this business have it right? Does no one ever regret paying for a quality product or service?

Benefit Analysis Technology Helps Control Healthcare Spending

SPECIAL from HR Tech Las VegasThe world of HR is being changed by technology every day in new and exciting ways, with advancements in everything from promoting company culture to benefits management. Castlight Health presented its innovations at this year’s HR Technology® Conference and Expo in Las Vegas.

Definition of ‘Excepted Benefits’ Would Expand under ACA Proposal

Two specific types of limited wraparound coverage could qualify as “limited excepted benefits,” under health care reform rules proposed Dec. 19 by the U.S. Departments of Labor, Health and Human Services and the Treasury. “Excepted” status would be available on a temporary “pilot” basis to coverage that: wraps around a Multi-State Plan offered by the U.S. Office […]