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Here is the latest edition of Model Consulting's Week in Review Newsletter. We
hope you find the Newsletter informative and helpful.
Your feedback is
extremely important to us. Please contact Tracy Duffield at 215.947.7167 or
tduffield@modelconsultinginc.com to share your ideas, comments
and/or suggestions. We look forward to hearing from you! |
 Aetna: Dependent Coverage Up to Age 26 Extended
We
know many families are worried about their dependents losing medical coverage
when they graduate from high school or college or otherwise age out of
coverage. Health care reform will address this issue nationwide later this
year, when new regulations will go into effect. However, some plan sponsors may
want to make changes earlier, to help these dependents remain insured without a
gap in coverage.
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AmeriHealth NJ: Early Extension of Dependent Care Coverage
Beginning
June 1, AmeriHealth will extend health insurance coverage for young adults up
to age 26 who are currently covered by their parents' individual or
employer-sponsored health plans.
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Anthem: Breast Cancer Rescission Allegations
On Thursday, a Reuters news article accused
our parent company of targeting for rescission women who have been
diagnosed with breast cancer. While the article was an egregious
misstatement of the facts, there have been numerous follow-up media inquiries
as well as political statements based upon it.
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Capital
Blue Cross: Early Implementation of
Dependents to Age 26 Provision
For plan
years beginning 9/23/10, the new Federal health care reform law provides for
coverage of adult children up to age 26. Capital BlueCross will implement this
provision on 6/1/10 for dependents who are enrolled under their parent's
coverage. This early implementation is intended to bridge potential gaps in
coverage until the provisions of the new health care reform law are fully
implemented.
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CIGNA: Accelerates the Patient Protection and
Affordable Care Act Provision
We are proactively
extending health coverage for adult dependent children currently enrolled in
CIGNA health plans who may experience a gap in coverage until a new health
reform provision is implemented this September. This new regulation requires
plans to extend dependent care coverage to age 26 on the first plan anniversary
after September 23, 2010.
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Health Care Reform Update from
EFLEX: Over-the-Counter Medications
The Patient
Protection and Affordable Care Act-also known as health care reform -was signed
into law on March 23, 2010 and brings with it some changes in the way
over-the-counter (OTC) medications and other non-prescription items will be
reimbursed through flexible spending accounts, health savings accounts and
health reimbursement arrangements.
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Healthcare Reform: What Employers Need to Know Now
The
new healthcare reform law passed last month dramatically changes the landscape
of employment practices. Many provisions apply to all employers, regardless of
size or whether the employer currently sponsors a group health plan. Certain
provisions take effect immediately. Others will be phased in over the next
several years. While the law is no doubt complex and touches on many facets of
our economy and society, our nation's employers are in many ways on the front
line of these changes. Discussed below are some key provisions employers should
be aware of now.
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Highmark: April Updates Newsletter
This month's edition includes articles
on Wellness Information, National Walk @ Lunch Day, and the Grand Opening for
New Highmark Direct Stores.
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Important Medigap Information
The
National Association of Insurance Commissioners (NAIC) is modernizing the
Medigap insurance marketplace from the prior "1990 plans" to
distinguish them from the "2010 plans". As a result, all
insurance carriers must revise their plan offerings to conform to these
new standard Medigap insurance policies that will take effect on June
1, 2010. In order to
comply with this new regulation, the carriers are in the process of filing
the new Medigap plans for 2010. Until the states approve the filings, no business can
be sold for June 1, 2010 effective dates and beyond.
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Independence Blue
Cross: COBRA Premium Subsidies Extended
Again
The COBRA premium subsidy period was recently
extended to May 31, 2010, thanks to the passing of the Continuing Extension Act
of 2010. The COBRA subsidy is available for up to 15 months.
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Independence Blue Cross: Early Extension of
Dependent Care Coverage
Beginning June 1, Independence Blue Cross (IBC)
will extend health insurance coverage for young adults up to age 26 who are
currently covered by their parents' individual or employer-sponsored health
plans.
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UnitedHealthcare: H1N1 Update
Based
on current epidemiological trends, we are ending all special measures that were
enacted last October to address the H1N1 situation. This will apply to all
fully insured and self-funded clients and includes the following:
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