Compliance Questions: Temporary Employees & FMLA

Q.  My client regularly utilizes temporary employees, some of whom we hire permanently. Does the time they work as a temp (through an agency) count toward the 12-month and 1,250 hour eligibility requirements? A: An employee is eligible to take FMLA leave when, among other things, he/she has worked for the employer for 12 months (which, … Read more

Gateway Health: Change of Process for Submitting Applications

Attention all Agents (Employed and Broker):   Gateway Health will be removing the “upload application” functionality of their CRM to ensure all applications are received, documented and processed properly. ALL applications MUST be faxed so they are accurately processed in a timely manner. Please use one of the following Fax Numbers:  412-255-7204 855-314-3927 855-314-3928 855-314-3929 855-314-3930 888-456-3947 888-456-5502 … Read more

BREAKING: Senate punts on ‘doc fix’; passage expected after spring break

Originally Posted to Modern Healthcare | By Paul Demko  | March 27, 2015 There will be no doc fix until at least mid-April. The Senate adjourned for spring break on Friday morning without taking up legislation to permanently repeal Medicare’s sustainable growth-rate formula for paying doctors. That doesn’t mean physicians will face a 21.2% cut in pay on April 1, … Read more

House votes for permanent doc fix, bill goes to Senate

Originally Posted to Modern Healthcare | By John N. Frank , Adam Rubenfire and Paul Demko  | March 26, 2015 The U.S. House Thursday voted overwhelmingly in favor of scrapping Medicare’s sustainable growth-rate formula, passing a permanent doc fix 392-37. The measure next goes to the Senate for a vote. President Barack Obama has indicated he will sign the measure. The Senate still needs to … Read more

Kynect: Important Agent & Agency Selection Information for KY Agents

Kentucky Agents: please see below for important information regarding agent and agency selection in the Kynect system. Here is a view of an Agent Dashboard from the “Overview” tab. Agents can see all their agency affiliations listed here by clicking on “View All.” If an agent looks for his/her agency affiliations on the DOI website (insurance.ky.gov), … Read more

Just for you! Health and Wellness Product Webinars for Brokers Only

Originally posted to Anthem’s Producer Online News | March 10, 2015 You may have heard about Anthem’s popular Wellness on the Run employer webinar series that helps employers learn the latest workplace wellness tactics and motivate employees toward better health.  This year, there are three webinars just for Anthem’s valued agent partners. These agent-only events are intended to help … Read more

United Healthcare: State Definitions for Determining Small Group Size

The Department of Health and Human Services (HHS) is expected to release future guidance on determining group size for purposes of federal adjusted community rating (ACR). However, current HHS guidance is that state definitions of “small group” will be used for 2014 and probably 2015 as well, for most reform purposes. This will generally mean that … Read more

Health Spending Rises Only Modestly

Spending on health care in the United States grew in 2013 at the lowest rate since the federal government began tracking it in 1960, the Obama administration said Wednesday.  It was the fifth straight year of exceptionally small increases in the closely watched indicator. The data defied critics who had said such slow growth would not continue for … Read more

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