Medical Loss Ratio (MLR)
The Medical Loss Ratio, or MLR, is the percentage of premium dollars received by a health insurance carrier that is spent on medical claims and quality improvement.
Compliance Confidence
ACA and regulatory compliance today can be the source of great concern and frustration for plan managers. Our dedicated team of attorneys and experts is solely focused on analyzing and interpreting benefit regulations to provide you with the advice and actions steps you need to meet your regulatory responsibilities.
Webinar Recap: Responding to a Marketplace Appeal Notice When You Made an Offer of Coverage
In the months following the Healthcare.gov open enrollment period, employers began to receive notices regarding employees who enrolled in coverage via the Health Insurance Marketplace and were approved for a…
Cadillac Tax Update: Summer 2016
Beginning in 2020, the Affordable Care Act (ACA) will levy a 40 percent excise tax on health plans that are deemed to be overly generous.
IRS to Accept ACA Filings After June 30 Deadline
The IRS has announced that electronic Affordable Care Act (ACA) information returns may continue to be filed after the filing deadline, which was June 30, 2016.
The Final White Collar Exemption Rule Is Here: Now What?
As senior vice president of regulatory affairs and reform initiatives, Annette is responsible for health care reform initiatives and strategic development at OneDigital. She advises, educates and supports OneDigital’s overall…
The FMLA And Absence Notification: Is Your Policy Being Followed?
In order to operate efficiently, many employers have established procedures that employees must follow when reporting that they will be absent or late for work
Employee Leave: Clarifying STD, FMLA, And ADA
In addition to the federal requirements under the Family and Medical Leave Act (FMLA) and the Americans with Disabilities Act (ADA), many states, and even many localities and municipalities, have…
What Regulatory Issues Should You Be Watching In 2016?
To a large degree, employers have been consumed over the last few years determining which aspects of the Affordable Care Act (ACA) apply and how to be in compliance with…