by Monica Mifsud | Sep 23, 2022 | Blog, Affordable Care Act, HR
Knock knock! Who’s there? MLR Rebates, that’s who! For those who do not what MLRs are, here is a small, summarized excerpt to get you caught up: “The Affordable Care Act (ACA) established medical loss ratio (MLR) rules to help control health care coverage costs and...
by Monica Mifsud | Jun 3, 2022 | Blog, Affordable Care Act, HR, featured
Wow! It is that time of year again. For those who do not know, this is a PCORI Fee reminder, and it happens every year for the sponsors of self-funded health plans. This action is a requirement under the Affordable Care Act, which was set to expire in 2019, but it has...
by filicedev22 | Sep 13, 2018 | Blog, Affordable Care Act, Front Page, HR
Under the Affordable Care Act, insurance carriers are required to spend a minimum percentage of premium dollars on medical care and health care quality improvement. This minimum percentage is referred to as “medical loss ratio” (MLR) and is set at 85% for large group...
by filicedev22 | Dec 13, 2017 | Blog, Affordable Care Act, HR
A new year brings new employment laws and regulations for employers, and 2018 is no exception for California. A variety of measures were passed on both the State and local levels that will take effect on January 1. STATE LEGISLATION New Parent Leave Act:...
by filicedev22 | Nov 27, 2017 | Blog, Affordable Care Act, HR
In an effort to make health coverage more affordable and accessible, the Affordable Care Act (ACA) implemented parameters to the premium rating methodologies used by insurers in the individual and small group markets. Insurers in these markets can vary premium based...
by filicedev22 | Nov 8, 2017 | Blog, Affordable Care Act, Benefits Consulting
Open Enrollment for individual health plans is underway, but the political climate has created much confusion and angst for consumers. Below is a list of tips, considerations, and truths for this open enrollment period, which runs from November 1, 2017 through...
