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MEDICAL LOSS RATIO (MLR) REBATES 2020

Are you an employer that is receiving a rebate check from your group medical insurance carrier? September 30 is the deadline for insurers to issue rebates, if required, under the Affordable Care Act’s medical loss ratio (MLR) rule. It is estimated that insurers will return over a quarter billion dollars to employer groups this year. … Continued

Proposed 2020 Benefit Payment and Parameters Rule | California Benefits Group

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule for benefit payment and parameters for 2020. CMS also released its draft 2020 actuarial value calculator and draft 2020 actuarial value calculator methodology. According to CMS, the proposed rule is intended to reduce fiscal and regulatory burdens associated with the Patient Protection and … Continued

Cobra Liability in Mergers and Acquisitions | CA Employee Benefits Agency

The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires certain group health plans to make continuation coverage available to certain individuals who would otherwise lose group health plan coverage due to a qualifying event. Employers who go through business reorganizations, such as mergers and acquisitions (M&A), will need to know whether COBRA continuation coverage must be … Continued

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