12 Jan

New Rules Proposed for Expansion of Association Health Plans

From Mark Avery, Chief Strategy Officer

In response to President’s Trump Executive Order last October, the Department of Labor on Thursday released proposed draft regulations for the expansion of Association Health Plans.  This is something to watch closely in the months ahead.

There are many implications, but the most significant change from today is currently business groups, or associations, that want to sponsor an AHP, must be organized for purposes beyond simply the creation of a health program.   Under the proposed regulations, that’s not the case. A health program would be reason enough.  According to the DOL’s release, “a plan could serve employers in a state, city, county, or a multi-state metro area, or it could serve all the businesses in a particular industry nationwide”.

As with most things, the devil will live in the details, but depending on how the rules are ultimately written this could have a tremendous impact on the small group health market.  Interestingly, we might see much of it driven by the carriers themselves as they view it as another way to offer plans to smaller employers outside the requirements of ACA and modified community rating.

We will watch this closely.

Original article from Kaiser Health News: “Trump Administration Rule Paves Way For Association Health Plans

04 Jan

January 2018 TrussConnect

WORKERS COMPENSATION POLICY REMINDER

Did you know that if your entity is a Limited Liability Corporation in Kansas, your members (owners) are automatically excluded from coverage under your Workers Compensation policy? To get coverage for an owner, they must complete an Election Form. See attached. This can be especially important if you make changes to your ownership in the middle of your policy term and forget to advise your Truss representative. A Workers Compensation claim could be denied. Form: Election of Individual to Come Under Act

WHERE DOES THE HEALTH CARE INDUSTRY STAND AT THE END OF 2017?
By Alan Goforth, benefits pro
This article originally appeared on December 27, 2017, at benefitspro.com

Brokers, carriers, and politicians have written and spoken volumes about the status of health care benefits in 2017. As the year winds down, is it possible to sum up the 12-month roller-coaster in just one word? “Uncertain,” says Liz Gallops, individual insurance specialist for Allegacy Benefit Solutions in Winston-Salem, North Carolina.
Read More

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