JANUARY/FEBRUARY 2016        
INDUSTRY NEWS                         
Lori Herzog 
New U.S. Health Holdings
Chief Operating Officer

Lori Herzog, former senior director of health plan operations for Ascension SmartHealth, was recently appointed to U.S. Health Holdings (USHH) as chief operating officer.

In her new role, Lori will be responsible for overseeing, developing and setting the strategic direction for overall USHH operation and also for that of wholly-owned subsidiaries Automated Benefit ServicesUS Health and Life Insurance Company and ABS Managed Care Administrators.

Prior to her appointment, Lori held various leadership positions within Meritain Health/Aetna, Optum/UnitedHealth Group and Corporate Benefit Services of America. Most recently, she served as senior director of health plan operations for Ascension SmartHealth, the employee benefits program for Ascension ministries. SmartHealth had its beginnings in 1997 with an original membership of approximately 11,000 employees; membership is expected to reach 65,000 in 2016, with a total annual spend of more than $279 million.

ABS has provided third party administration services for the SmartHealth program since 1997, and so Lori is already a familiar name and face within our organization, having worked with many of our departments and staff as a client for years. Lori lives with her family in Minneapolis, MN, and will be working remotely with our Michigan offices and staff.

The tremendous success of the SmartHealth program stands as testament to Lori's strengths in leading and managing high-performance teams. We anticipate she will deliver similar results to the operational and financial aspects of our organization, and we look forward to her transition from client to team leader.

We know you will share our enthusiasm in welcoming Lori to our team and will likewise join us in anticipating the great advances she will bring to our organization, capabilities and deliverables.
ACA Minimum Essential Coverage Reporting
IRS Form Mailings
 
During the month of February, ABS will be sending employers census reports documenting those employees and dependents for whom the employer-sponsored health plan provided medical coverage during the 2015 calendar year.  This census reporting will be used by the employers in documenting Minimum Essential Coverage (MEC) for plan members, as required by the Affordable Care Act individual shared responsibility provision.
 
Entities offering group health coverage as well as individual taxpayers will be required to  report MEC information to the IRS for the 2015 tax year.  Reporting deadlines were extended by the IRS; for information regarding MEC reporting deadlines and additional frequently asked questions, click here.
 
 
Additional information detailing MEC and Applicable Large Employer (ALE) reporting requirements were offered in the May/June ABS TPA Today.
 
 
Learn more by visiting the following IRS postings:
ABS CONTACTS
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(844) 828-5968
 
EGP BUSINESS
Sue LaCavera
(800) 229-2210 x 139
Sales Support Team Mailbox

   
Donna Sulhan
(800) 229-2210 x 119
 

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