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for US Airways in AZ

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for Employee Fiduciary Corporation in FL

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Significant New Changes to Claims and Appeals Requirements
"All of the amended requirements discussed above are effective for plan years beginning on or after January 1, 2012. The other claims and appeals requirements in the interim final rules, which are unchanged, are generally effective for plan years beginning on or after September 23, 2010 (January 1, 2011 for calendar year plans)." (Franczek Radelet P.C.)

6th Annual Obesity and Wellness Congress   [Advert.]

Convening providers, payers, employers and public purchasers, the 6th Annual Obesity and Wellness Congress will discuss preventative and collaborative solutions to reverse the nationwide epidemic of obesity.

Expert Outlines Current Problems with Wellness and Prevention ROI Studies and Suggestions for Achieving Accurate and Meaningful Results
"Many of the strategies used to determine—and support—wellness-program ROIs are flawed and would not stand up in a respected, peer-reviewed medical or financial journal. Methods are suspect, studies are poorly designed and assumptions are often shaky." (Human Resource Executive Online)

Stop Health Coverage? Factors for Consideration by Employers
"Given all of [the] uncertainties, precisely estimating how many employers will respond one way or another is difficult. But it's helpful to look at some of the key factors that an offering employer might consider in deciding whether to continue to offer health benefits, almost as a sort of balance sheet from the perspective of employers and their workers . . . ." (Henry J. Kaiser Family Foundation)

Insurers, TPAs May Bear Sizeable Excise Tax Burden for COBRA Violations
"Examples of failures that would trigger excise taxes are COBRA notice failures (missing, late, or incomplete initial or qualifying event notices); COBRA premium violations (overcharging, or not complying with grace period rules); and procedural failures such as not allowing COBRA recipients to make changes at open enrollment, or on special enrollment events." (E Is for ERISA)

Actuarial Value under the Affordable Care Act (PDF)
"Under ACA, actuarial values potentially can be structured based on one of two approaches: plans with similar benefit designs would have similar actuarial values or actuarial values would correspond more directly with the expected share of spending paid by the plan." (American Academy of Actuaries)

Wellness Efforts Could Cut Costs in Mid-Market
"Mid-market employers have been slow to embrace wellness, primarily because health insurers haven't been giving them full credit for the contribution such programs have been making to lower health care costs." (Business Insurance)

Consumption of Narcotic Pain Relievers Having Detrimental Impact on Injured Workers and Their Employers
"Addiction, deaths and longer disability durations are among problems caused by overprescribing narcotic pain medications known as opioids to injured workers, while medical guidelines that could help alleviate the problem are rarely followed, occupational medical experts say." (Business Insurance)

North Dakota's PPACA Waiver Request Denied
"HHS said that North Dakota's application makes it clear that: No issuer is reasonably likely to withdraw from the individual market. Every issuer is pricing, or will be pricing, to an 80% MLR, and Consumers are not likely to lose access to agents and brokers. Based on the information provided, North Dakota's market is able to meet the 80% MLR standard in the near future, according to the announcement." (PLANSPONSOR.COM)

Survey Shows Employees' Hold Job Security, Benefits and Challenges Paramount
"[82%] of surveyed employed and unemployed workers felt that being offered financial protection benefits showed their employers cared about their well-being, which was rated over a high base salary or a results-based bonus program." (Employee Benefit News; free registration required)

Connecticut Adds Gender Identity to Anti-Discrimination Law
"SHRM reports that in the new law . . . 'gender identity or expression' is defined as 'gender-related identity, appearance or behavior, whether or not that gender-related identity, appearance or behavior is different from that traditionally associated with the person's physiology or assigned se.x at birth.'" (PLANSPONSOR.COM)

Employers Find Increase in Wellness Incentive "Most Beneficial" Element of Health Reform Law, Lockton Survey Shows
(Lockton)

MedVantx Launches Break Through Pharmacy Automation Platform for Worksite Health Clinic Marketplace
(MedVantx, Inc.)

National Union of Healthcare Workers: Federal Labor Board Orders New Kaiser Election After Finding SEIU Guilty of "Coercive" Conduct that "Interfered with Employees' Freedom of Choice"
(National Union of Healthcare Workers)

Self Insured Plans Upgrades Website
(Self Insured Plans, LLC)

West Virginia Launches New Online Contribution Reporting System for Employers
(State of West Virginia)

IPA Launches Unique Billing and Reconciliation Software for Health Care Plan Sponsors
(Innovative Process Administration, LLC)