Kilpatrick | 2015

Employer Reporting Scenarios by Group Size and Plan Type

By Scott Kilpatrick | Published Thu, Jan 21, 2016

Beginning in 2016, large employers and employers who offer self-funded plans are responsible for reporting information to their employees. The … FULL STORY

Posted in Industry News, Our Perspective | Tagged 1094, 1095, 2015, 2016, ACA, employer mandate, IRS, large group, section 6055, section 6056, self-funded, small group | Comments Off

Summary of Carrier 10/1 Strategies

By Scott Kilpatrick | Published Wed, Aug 26, 2015

The Affordable Care Act (ACA) extends the definition of a small employer to up to 100 employees beginning January 1, … FULL STORY

Posted in Carrier News | Tagged 2015, ACA, BCBS, CMS, community rating, early renewals, humana, large group, medical, Memorial Hermann, small group, transitional relief, UHC | Comments Off

BCBS Webinars about Composite Rate Billing in Small Group

By Scott Kilpatrick | Published Wed, Aug 26, 2015

On Thu, Sep 3, BCBS will host two webinars to review their new composite rate billing option for small groups … FULL STORY

Posted in Carrier News | Tagged 2015, 2016, BCBS, composite rating, medical, small group | Comments Off

TX Small Group Composite Rating for 2015 Explained

By Scott Kilpatrick | Published Tue, Aug 25, 2015

Earlier this year, CMS approved a request from TDI allowing small group carriers to invoice employer using a uniform 4-tier … FULL STORY

Posted in Carrier News, Industry News | Tagged 2015, 2016, ACA, CMS, composite rating, medical, per-member rating, small group, TDI | Comments Off

CMS Approves TDI Request for Composite Rating in Texas

By Scott Kilpatrick | Published Mon, Mar 16, 2015

Update on Mon, Mar 16, 2015; revised on Sun, Mar 29 and Fri, Aug 21:

On Tue, Mar 10, CMS formally … FULL STORY

Posted in Industry News | Tagged 2015, CMS, composite rating, HHS, medical, per-member rating, small group, TAHU, TDI | Comments Off

Employer Reporting Requirements: Begin Collecting Data Now for 2016 – UHC

By Scott Kilpatrick | Published Thu, Jan 8, 2015

Even though we just started 2015, it’s time to start thinking about IRS 6055 and 6056 reporting requirements. True, mandatory … FULL STORY

Posted in Industry News | Tagged 2015, 2016, employer mandate, full-time employee, IRS, large group, medical, minimum essential coverage, minimum value, section 6055, section 6056, self-funded, small group, UHC | Comments Off

2015 Composite (or Member) Rate Methods by Small Group Carrier

By Scott Kilpatrick | Published Mon, Oct 13, 2014

When HHS issued the market rating rules for small group policies effective in 2014, they generally prohibited traditional composite rating … FULL STORY

Posted in Carrier News, Industry News | Tagged 2014, 2015, ACA, Aetna, BCBS, composite rating, grandfathering, HHS, humana, medical, Memorial Hermann, per-member rating, small group, transitional relief, UHC | Comments Off

BCBS Small Group 2015 Medical Portfolio Updates

By Scott Kilpatrick | Published Wed, Sep 24, 2014

For groups renewing in 2015, Blue Cross and Blue Shield of Texas will make some changes to their small group … FULL STORY

Posted in Carrier News | Tagged 2015, BCBS, medical, small group | Comments Off

UHC New Small Group Medical Plans for 2015

By Scott Kilpatrick | Published Fri, Aug 15, 2014

UHC released their 2015 small group medical plan designs for quoting on Jul 22. They are offering these plans to … FULL STORY

Posted in Carrier News | Tagged 2015, medical, small group, UHC | Comments Off

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