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15 Drastic Cost Containment Policies for Employers in a Fiscal Emergency

  • On March 31, 2025
It is no secret that the Trump Administration has cut government funding grants for a vast array of organizations. Many employers that relied upon these grants to finance their operations are now left reeling amidst an unexpected shortage of capital. Under circumstances such as these, it may be advisable for affected organizations to consider more drastic […]
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Litigation Surrounding Tobacco Use Premium Surcharges

  • On March 24, 2025
A number of class-action lawsuits have been filed against employers, claiming that premium surcharges for tobacco use violate federal regulations. These suits have been brought by current and former employees of large U.S. companies, including PepsiCo, Walmart, Target, and Whole Foods, who argue that their health plan premiums were higher due to their tobacco use, […]
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MMO: Ohio House Bill 315 Covers Hearing Aids, Equivalent Copays for Certain Therapies

  • On March 18, 2025
Topic: Broker Relations | Applies to: All Groups Effective April 3, 2025, Ohio House Bill 315 will require insurance carriers to cover hearing aids (and related services) at no member cost-sharing and mandate equivalent copays for physical therapy, occupational therapyand chiropractic services compared with primary care physician copays. The law applies to all fully insured individual […]
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Can Employers Offer Different Benefits to Different Groups of Employees?

  • On March 17, 2025
The Health Insurance Portability and Accountability Act (HIPAA) prohibits group health plans and group health insurance issuers from discriminating against individuals regarding eligibility, premiums, or coverage based upon a health status-related factor. The HIPAA nondiscrimination provisions set forth eight “health factors” that may not be used to discriminate in health coverage among individuals: Similarly Situated Individuals While […]
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HR Insight: Navigating the Changing Landscape of Employment Laws: What HR Leaders Need to Know in 2025

  • On March 17, 2025
As we step into 2025, HR leaders face a rapidly evolving regulatory environment. With shifts in government priorities and an increasingly complex labor market, staying ahead of changes in employment laws is critical. From new legislation to wage and hour regulations, worker protections, and compliance requirements, HR professionals must be prepared for the challenges and […]
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Anthem Ohio Farm Bureau MEWA SIC Codes and Benefits

  • On March 12, 2025
Anthem has published the latest Ohio Farm Bureau MEWA SIC code list, along with the member benefits available to enrolled medical members. Please contact your ExpressLink representative with any questions.
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Anthem: Ohio Small Group SOCA MEWA Information as of March 2025

  • On March 12, 2025
The most recent list of SOCA MEWA participating chambers can be found here. Notable changes include: Please contact your ExpressLink representative with any questions.
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SummaCare: New Case Submissions – No More Need for Wage and Tax Information

  • On March 11, 2025
In a move that simplifies the process for submitting cases, SummaCare will not require wage and tax information for groups of 2 or more employees.
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White House Releases New Executive Order on Healthcare Price Transparency

  • On March 10, 2025
The Trump administration has released another executive order (EO) with the potential to impact employers. It is titled “Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information.” This EO, intended to increase enforcement of price transparency requirements, orders the Department of Labor, Treasury, and Department of Health and Human Services […]
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Take a Closer Look at the HIPAA Nondiscrimination Rule’s Prohibition of Actively-at-Work Clauses

  • On March 3, 2025
The HIPAA nondiscrimination rule states that an employer cannot “refuse to provide benefits because an individual is not actively at work on the day that individual would become eligible for benefits.” Yet, actively-at-work clauses, which require an individual to be actively at work on the day their benefits become effective, remain....
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