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Blog: Pandemic PTO Carrier Corner:
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This important alert applies to all 2020 Community-rated Premera plans other than Peak Care plans3/10/2020 As of 1/1/2020, as groups renew or enroll with Premera on their Community-rated plans (other than Peak Care), there will be a serious limitation with regards to total knee & hip replacement:
To date, there have been no official producer announcements about this from Premera. They included wording about this new requirement at the end of the table in each of their plan summaries (see page 5 of any of their summaries). We did find an employer flyer for groups of 51+ with the information about which facilities will be considered Centers of Excellence; however, for groups of 51+ the member will have the option to utilize a Center of Excellence or another non-COE provider. With Community-rated groups, members will not have coverage at a non-COE provider unless they obtain a Hardship Exception. We have updated the Plan Comparison Tool output for Premera small group plans (other than Peak Care) to include additional wording under the Hospital benefit description. See this sample of how this now looks. Be Benefits Informed
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Monthly Freebies: Pulse Point - 2019 Employer ACA Reporting Deadlines Vetted Vendor: Norton 260 Deluxe Just because the individual mandate was repealed, doesn't mean that ACA reporting is a thing of the past. Here's what employers need to know.
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Blog: ACA Coverage Reporting Carrier Corner:
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Monthly Freebies: Updated articles - ACA - Fees and Penalties - PP - Employer Pay or Play - PP - ACA Reporting Overview There are different options for continuation of group life coverage and they can behave quite differently. Here is what you need to understand about portability and conversion.
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Blog: Group Life Portability & Conversion - Two Very Different Animals Carrier Corner:
Most companies are aware of COBRA rules as they apply to medical coverage, but there are more forms of continuation that have a habit of tripping people up.
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