We’re Problem Solvers

You’ve got a problem and we can solve it. The problem occurs all the time: it’s high health plan costs. Every year employers are faced with the same issue – rate increases in their health plan – and they typically search for the same traditional alternatives. It’s like Einstein’s Definition Of Insanity – doing the…

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Want To Maximize Cash Flow?

I know it probably goes without saying, but most employers I talk to don’t actually understand exactly what goes on when they pay a health insurance premium in a fully insured Health Plan. They simply complain every year because they keep getting a rate increase. Would you like to maximize your cash flow in your…

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Are You In Compliance With The New CAA Fiduciary Requirements?

In December of 2021, the Consolidated Appropriations Act (CAA) was signed in the legislation, and among other things it now requires full transparency and disclosure by brokers and consultants and service providers as to the amount that they charge for every service, or program that they provide to you and your company. Service providers may…

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You Can’t Solve The Problem If You Don’t First Understand It

Hear me out on this one. For decades, we’ve all been exposed and educated to the benefits of PPO Networks. Comparing big discounts between insurance companies and network access has always been the norm – even though we really don’t know what the contractual discounts are. Nonetheless, this has always been the standard when shopping…

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A New Spending Bill Extends Telehealth Coverage for High Deductible Health Plans

In late December 2022, President Biden signed legislation extending the ability of high-deductible health plans (HDHPs) to provide benefits for telehealth, or other remote care services, before plan deductibles have been met without jeopardizing health savings account (HSA) eligibility. The legislation extended this relief, originally set to expire on December 31, 2022, for plan years…

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What We Know: PPOs Don’t Work Anymore

For decades we’ve all been taught by the insurance industry and medical providers of the value of networks – PPOs, HMOs, EPOs, EIEIO… While they have served a purpose over those decades, the reality is that they just don’t work anymore. Here’s why: PPO discounts are negotiated by insurance companies as a discount off of…

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Alignment Or Misalignment?

It seems that there’s a lot of misalignment in the world today and it couldn’t be more true in the insurance world, especially the relationship that benefit brokers have with their clients. Are brokers’ interests aligned with their clients’ interests? I would say not. Where is the value of benefits professionals? Is it in the…

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