The Affordable Care Act (ACA) requires health plans and health insurance issuers to provide a Summary of Benefits and Coverage (SBC) to health plan applicants and enrollees. The SBC provides information about health plan benefits and coverage. On March 31,…

For Applicable Large Employers (ALEs), choosing a measurement method with which to determine full-time (30 hour) status is necessary for completion of the 1094-C and 1095-C forms to satisfy the Section 6056 reporting requirement. Final regulations provide two methods for…

As reported by the Society For Human Resource Management (SHRM), proposed regulations will be issued shortly by the U.S. Equal Employment Opportunity Commission (EEOC) on the use of financial incentives in worksite wellness programs. In recent months, the EEOC has…

Northeast Delta Dental's Health through Oral Wellness (HOW) program is a patient-centered wellness program designed to help members maintain oral health through education, risk assessment, and evidence-based models of care. Patients at greater risk for oral diseases or medical complications…

Harvard Pilgrim has announced the addition of three new hospitals to their ElevateHealth network - Androscoggin Valley Hospital as of April 1, 2015, and Upper Connecticut Valley Hospital and Weeks Medical Center as of May 1, 2015. ElevateHealth is a…

On February 23, 2015 the IRS issued Notice 2015-16 to begin the process of developing guidance to implement the Cadillac tax, due to take effect in 2018. This notice describes potential approaches with regard to a number of issues under…

Tufts Health Plan and Granite Healthcare Network have signed an agreement to create a new insurance company to be known as Tufts Health Freedom Plan. The five Granite Healthcare Network systems - Catholic Medical Center, Concord Hospital, LRGHealthcare, Southern New…

For 2014, employer-sponsored coverage was generally considered to be affordable under the pay or play rules if the employee’s required contribution for self-only coverage did not exceed 9.5% of the employee’s household income for the year. This required contribution percentage…

2014's Wellness Benefits Survey reviews current trends in wellness programs and the results employers are experiencing with the implementation of these employee initiatives. Program strategies, participation figures and the use of incentives are evaluated at the national level. Contact your…

Due to high demand, NEEBCo has added a second seminar on March 25, 2015. Determination of employer size and full-time employee status using the appropriate ACA standard is critical. On March 25, 2015 from 1pm to 3pm the NEEBCo Conference…

Harvard Pilgrim members in Massachusetts, New Hampshire, Maine and Connecticut can participate in the new EatRight Rewards wellness program, promoting healthy food purchases at participating grocery stores. Members create an account through the EatRight Rewards Web page, register a unique…

On 2/23/15 the US Department of Labor announced a rule change under the Family and Medical Leave Act (FMLA) to include same-sex and common law spouses in the definition of "spouse". Previously, the regulatory definition of "spouse" did not include…