Thursday, January 29, 2009
Monday, January 26, 2009
- Having the taxpayer fund 65% of the cost of COBRA for employees who lose their job for 12 months or until new coverage is obtained.
- A mandate for employers to make COBRA available until employees who are both 55 with 10 years of service are Medicare Eligible or secure alternative coverage.
The HR Policy Association has a nice summary of all the reasons such proposals would be estimated to expand COBRA costs by an estimated $65B as well as directly impacting employer health plan costs via adverse selection I strongly suggest you read.
By continuing to expand the scope of COBRA on the backs of the taxpayers and employers the Congress will quickly create just another Cost shift on those who work for a living. John Adams was a wise man.
Thursday, January 22, 2009
Check here or here for my prior posts on PBM's.
I may be busy but Iam still watching you untransparent PBM's.
Thursday, January 8, 2009
1. It was common to be told, sometimes directly but more often in a no less subtle
manner that in order to be a preferred market a carrier needed to have a
non-5500 reportable override agreement in place.
2 .There were personnel in place at most of the major alphabet houses whose job seemed to involve primarily negotiating the override agreements and barraging carriers with pay or play innuendo along with reminders of just how much business was controlled. In short there was the A list and the B list. Guess who earned most of the business?
3. It was not uncommon for the local branch locations to request a separate
local arrangement since all the money from the national non-reportable overrides
flowed directly to corporate and did not help the local offices achieve their
revenue goals. "Can you help us, so we can help you with your goals?"
Marsh was involved with a "pay-to-play" arrangement centered on its receipt
of contingent commissions, in addition to standard commissions and fees, from
certain insurance companies. Contingent commissions, also known as profit
sharing commissions, are incentive-based compensation programs offered to
brokers by insurance companies. These arrangements were often undisclosed to
consumers, and provided an incentive for brokers to steer business to the
insurer that offered the most lucrative contingent commissions, often in
violation of their clients' interests, according to the officials.
Wednesday, January 7, 2009
- More Disability Claims will Occur
- Claims will last longer
- ADA has been expanded and increased litigation will result.
- FMLA regulations have been amended but your FMLA process must be ready to combat fraud.
- If your claims experience factors into your rates are you ready?
Add this to the agenda for planning this year and be sure to retain a qualified consultant, like me for instance, who has deep experience in these matters to assist you as you will need the right plan design and the right vendors. Employers who act now will not be facing massive premium and claim increases two to three years down the road or answering hard questions from management.