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So far epstaff has created 15 blog entries.

Patients Overpay for Prescriptions 23% of the Time

“The practice of charging a copay that is higher than the full cost of a drug is called a ‘clawback’ … After taking your insurance card, your pharmacist says you owe a $10 copay, which you pay, assuming that the drug costs more than $10 and your insurance is covering the rest. But unbeknownst to […]

By | 2018-04-02T07:21:45+00:00 April 1st, 2018|2018 News, News|

A Health Plan ‘Down Payment’ Is One Way States Try Retooling Individual Mandate

“As President Donald Trump and congressional Republicans tirelessly try to dismantle the Affordable Care Act, a number of states are scrambling to enact laws that safeguard its central provisions….Maryland is on the cutting edge with legislation moving through both chambers of the Statehouse…. Proposals have been discussed or advanced in at least nine states, including California, […]

By | 2018-04-02T07:20:34+00:00 April 1st, 2018|2018 News, News|

Thanks for Noticing: Disability Claims Procedure Regulations Change Notice Requirement Next Month, Impose Strict Compliance Standard

“The DOL’s revised ERISA disability claims procedures regulations will be taking effect [this] month, and plan sponsors should take a hard look at plan processes over the next few weeks to ensure compliance. The new requirements apply to disability benefit claims filed after April 1, 2018, after a 90-day delay postponed the effective date from […]

By | 2018-04-02T07:19:25+00:00 April 1st, 2018|2018 News, News|

Are Your Qualified and Nonqualified Employee Benefit Plans in Compliance With the New ERISA Disability Claims Regulations?

“[W]here a plan does not provide for its own fiduciaries to make a determination of disability — but instead defers to the determination made by the administrator of another plan (like the employer’s long-term disability plan) — then only the terms of the other plan need to be amended. Examples include health plans that extend […]

By | 2018-04-02T07:16:50+00:00 April 1st, 2018|2018 News, News|

Is the Amazon, JPMorgan, and Berkshire Hathaway Venture Armageddon for Healthcare as We Know It?

“The new venture will focus on the collective buying power of employers who purchase healthcare for the 1.15 million employees in their organizations. Their approach features five strategies widely used by large self-insured employers to contain their employee health costs. This one is expected to leverage technology […]

By | 2018-03-01T12:46:52+00:00 March 1st, 2018|2018 News, News|

How Tax Reform Will Change the Treatment of Fringe Benefits

“Several employer deductions will be reduced or eliminated, including the cost of business-related entertainment expenses and qualified transportation fringe benefits, but employers may be able to claim a credit for a percentage of wages paid to qualifying employees on family and medical leave…. [E]mployees can no longer exclude moving expense reimbursements they receive from employers […]

By | 2018-02-06T13:37:29+00:00 February 6th, 2018|2018 News, News|