News 2017-08-20T09:17:05+00:00

ERISAPros News

Avoiding the Accidental MEWA

“To become a MEWA, a plan needs only to cover employees of two or more employers. Because intent is irrelevant, an employer can find itself inadvertently creating a MEWA if it allows employees of other employers or nonemployees to participate in its welfare plan…. Once a MEWA, a plan can […]

By | February 6th, 2018|

ERISAPros January 2018 Updates

Thank You

 

ERISAPros would like to thank you for your business and partnership. We wish you a happy and healthy 2018.

 

New Year’s Resolution

 

At this time of year, many people resolve to change or modify their behavior or actions to lead a better life. We at ERISAPros would like […]

By | January 30th, 2018|

4 Steps to Control Health Care Costs

Learn how predictive analytics can save self-funded employers on health care costs. “We must turn to non-claims data to supplement claims information in search of prospective risk. Predictive analytics providers such as DataSmart Solutions have observed that statistically-proven non-claims data and historical claims information can be combined to produce […]

By | December 1st, 2017|

Mercer’s Mike Sinkledam Reminds Calendar Year Plans to Implement New SBC Requirements During This Year’s Open Enrollment

“While ‘not a lot has changed from last year, from a compliance standpoint, when it comes to open enrollment, the new Summary of Benefits and Coverage (SBC) template and uniform glossary need to be implemented during this year’s open enrollment for calendar year plans,’ according to Mike Sinkeldam, a principal […]

By | November 20th, 2017|

What to Do When You Receive an Out-of-Network Shakedown Letter

“A physician-owned, out-of-network health care service provider – such as an ambulatory surgery center or a sleep center – sends a demand letter to the plan administrator. The letter asserts an appeal of a denied benefits claim by one of the plan’s participants; requests copies of a lengthy list of […]

By | November 13th, 2017|

Telemedicine Expanding Rapidly

“According to one recent survey, telemedicine services (i.e., remote delivery of healthcare services using telecommunications technology) among large employers (500 or more employees) grew from 18% in 2014 to 59% in 2016. Common selling points touted by telemedicine vendors include reduced health care costs and employee convenience. However, state licensure […]

By | October 17th, 2017|

DOL Opposes UnitedHealth’s Cross-Plan Offsetting Practice

“The Labor Department opposes a health insurance practice called ‘cross-plan offsetting,’ in which insurers like UnitedHealth reduce payments owed to medical providers for services rendered to specific patients. The reductions are meant to offset overpayments the providers previously received on account of different patients who participate in other plans insured […]

By | October 9th, 2017|
Signup for Our Monthly Newsletter

Monthly Archives