HR Insight: Navigating FMLA and ADA

On July 8, 2024

The Family and Medical Leave Act (FMLA) and the Americans with Disabilities Act (ADA) are two fundamental laws that protect employees’ rights. Both are designed to support workers facing health challenges, offering distinct but equally important forms of protection. Many employers may find the intersection of these laws complex, but understanding their protective nature is […]

On July 2, 2024

Rich Wallack, Regional Vice President of Sales & Service for Northeast Ohio, has announced his plans to retire at the end of this year.

On July 1, 2024

The Supreme Court of the United States (SCOTUS) has a tradition of issuing its most controversial verdicts in June, during the last few days of its annual term. On Friday, June 28, 2024, SCOTUS issued verdicts in favor of the plaintiffs in Relentless v. Department of Commerce and Loper Bright Enterprises v. Raimondo. Both matters challenged commercial fishing […]

On June 25, 2024

The Short-Term Bonus from Medical Mutual will be applicable to all 364-day policies with a December effective date. Read more for additional details.

On June 24, 2024

The Consolidated Appropriations Act of 2021 amended the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) by requiring every health insurance issuer offering fully insured coverage and group health plan sponsors (aka employers who offer level-funded or self-funded coverage) to analyze their plans for mental health parity compliance. The analyses need to ensure that any […]

On June 24, 2024

In an effort to promote utilization of our self-service tools, beginning this July SummaCare will only be sending Commercial Group (non-MEWA) monthly premium invoice summary pages to employers via U.S. mail. This page provides current premium amount due, due date and a remittance slip. The invoice detail page(s) will be viewable on Plan Central, our […]

On June 18, 2024

Things have certainly changed over the last few years. How did we get from a time when people worked to live to where we are now? Increasingly, employers are struggling to find qualified candidates, and workers feel that their opportunities for advancement have stalled. What happened?

On June 17, 2024

The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary just released its projections of national health expenditures (NHE) and health insurance enrollment for the years 2023-2032. This data is published annually and is often referred to as the “official” estimates of health insurance enrollment and national health spending.

On June 13, 2024

Twice each year, adjustments may be made to prescription drug formularies and drug lists based on changes in the market. Updates to the National Preferred formulary with Express Scripts will be effective July 1, 2024.

On June 10, 2024

Anthem is adding 4 “NEW” plans to the SOCA MEWA platform effective with 9/1/24 effective dates and later.

News & Updates

HR Insight: Navigating FMLA and ADA

MMO: Rich Wallack, Regional VP of Sales & Service for Northeast Ohio, to Retire at End of 2024

Why a Supreme Court Ruling in Favor of Fishermen Will Have a Huge Impact on Healthcare Requirements Moving Forward

MMO: Introducing Short-Term New Sales Bonus

Don’t Forget About Mental Health Parity

SummaCare: Premium Invoice Changes for Commercial Groups

HR Insight: From the Great Resignation to the Great Talent Stagnation – Where Are We Now?

CMS Releases National Health Spending and Health Insurance Enrollment Data

MMO: Updated: National Preferred Formulary Updates Effective July 1, 2024; Member Notifications Sent

Anthem: NEW SOCA MEWA Plans Available with 9/1/24 Effective Dates and Later