The Generic Drug Cost Problem

The Generic Drug Cost ProblemHistorically, employers have looked at generics as a cost saving strategy because the cost of generic medications has been significantly lower than the cost of brand name medications. Surprisingly, however, over the last couple of years, the trend for some generics has not […]

By |2017-07-10T10:53:49+00:00April 16th, 2016|2016 News, News|

The Year of Top Hat Plan Litigation

The Year of Top Hat Plan Litigation“Former employees who terminate employment after having satisfied the minimal vesting requirements of ERISA, but before satisfying the more restrictive vesting requirements of their former employers’ non-qualified plans, have figured out (actually, their lawyers have figured out) that challenging a non-qualified […]

By |2017-07-10T10:40:06+00:00April 6th, 2016|2016 News, News|

Supply Chain Sausage

Supply Chain Sausage“The simple idea that greater purchasing volume lowers producers’ per-unit costs thereby permitting price discounting is the foundation of employer health care group purchasing organizations…. You would think that would mean hospitals would contract with specialized group purchasing organizations (GPOs), pay their annual membership fees […]

By |2017-07-10T10:37:53+00:00April 1st, 2016|2016 News, News|

Special Announcement – ERISA Pros and Wrangle 5500 Announce a Partnership

Recent developments in the Health and Welfare landscape have placed ERISA compliance at the forefront of your clients’ minds. The DOL’s vigorous enforcement efforts have left employers with little room to be non-compliant.

Over the past seven years, ERISA Pros has emerged as a premier professional services firm specializing in providing Welfare Benefit Compliance solutions, focusing […]

By |2017-07-10T11:14:51+00:00March 21st, 2016|2016 News, News|

Under the ACA, Are Employees Receiving Short-Term or Long-Term Disability Benefits Still Considered Full-Time Employees?

Long-Term Disability“For purposes of calculating hours of service, an individual receiving payments from a short-term disability (STD) or long-term disability (LTD) arrangement might be treated as a full-time employee. Two of the determining factors are whether the recipient of disability payments retains his or her status as […]

By |2017-07-10T11:27:30+00:00March 18th, 2016|2016 News, News|

Employers: Be Prepared to Respond to Exchange Notices of ACA-Subsidized Employees

“Beginning in spring 2016, the Affordable Care Act (ACA) Exchanges will begin to send notices to employers whose employees have received government-subsidized health insurance through the Exchanges…

Although CMS has provided these guidelines to apply only to the Federal Exchange, it is likely that the state-based Exchanges will have similar notification programs. Employers should be prepared […]

By |2017-07-10T11:25:08+00:00March 14th, 2016|2016 News, News|

HIPAA Phase 2 Audits Include Business Associates (BAs)

HIPPA Compliance Audit“BA services include claims processing or administration, data analysis, billing and benefit management. Service providers can include third-party administrators, accountants, attorneys, consultants, cloud data storage companies, and pharmacy benefits managers … Here’s a closer look at Phase 1 and Phase 2 audits and the background […]

By |2017-07-10T11:22:37+00:00March 10th, 2016|2016 News, News|