BenefitsDNA Bulletin

Welcome to the BenefitsDNA Bulletin, a collection of helpful industry information compiled as a resource for all of your benefits questions!

medicare resources

Can you go on Medicare if your employer offers health insurance?

Yes, you can go on Medicare even if your employer offers health insurance, but whether or not it makes sense for you to do so depends on your specific situation. If you are eligible for Medicare, which typically occurs at age 65, you have the option to enroll in Medicare regardless of whether you have

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Why offer disability insurance

Why should an employer offer group disability insurance?

An employer should offer group disability insurance for several reasons: Overall, offering group disability insurance can be a win-win for both the employer and employees. It can provide peace of mind for employees, help attract and retain top talent, and potentially save the employer money in the long run.  Interested in offering a plan?  BenefitsDNA

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Group Vision Insurance

Why offer employer-provided group vision insurance?

An employer may offer group vision insurance as a benefit to their employees for several reasons. Here are some of the main reasons an employer might offer group vision insurance: Overall, offering group vision insurance can be a valuable benefit for both employers and employees. It can help attract and retain employees, promote eye health,

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Group life insurance

Why should employers offer group life insurance?

Employers may offer group life insurance as a way to provide an additional benefit to their employees, as well as to attract and retain talent. Here are some potential reasons why an employer might offer group life insurance: It’s important to note that group life insurance may not be appropriate for all employers or employees,

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Accidental Death and dismemberment

Why would a group offer accidental death and dismemberment to their employees?

An employer might offer group accidental death and dismemberment (AD&D) insurance to employees for several reasons: Overall, offering group AD&D insurance can be a valuable benefit for employees, while also being a cost-effective way for employers to provide this type of coverage. BenefitsDNA has decades of experience in stand-alone, business travel and voluntary Accidental Death

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What is health rosetta?

What is health Rosetta?

Health Rosetta is a framework and set of guiding principles for designing and implementing high-performance healthcare benefits plans. It was developed by Dave Chase, a health policy expert, to provide employers with a blueprint for creating more effective and affordable healthcare benefits for their employees. The Health Rosetta framework is based on a set of

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What is a Laser in stop-loss insurance?

What is a Laser in stop-loss insurance?

A laser in stop-loss insurance refers to an additional attachment that may be added to a stop-loss insurance policy. A laser is a form of underwriting that targets a specific high-risk individual or group within the policy’s coverage. The attachment is used to limit the insurer’s liability for claims made by the high-risk individual or

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What are PCORI fees and what employers who sponsor a health plan need to pay them?

What are PCORI fees and what employers who sponsor a health plan need to pay them?

PCORI (Patient-Centered Outcomes Research Institute) fees are annual fees that employers who sponsor certain self-insured health plans or fully-insured health plans are required to pay. The fees are used to fund the Patient-Centered Outcomes Research Trust Fund, which supports research to improve the quality and effectiveness of medical treatments and patient outcomes. Employers who sponsor

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Fiduciary duty

What are my requirements as a health plan fiduciary?

As a health plan fiduciary, you have a legal obligation to act in the best interests of the plan participants and beneficiaries. Here are some of your key requirements: Failure to meet these requirements could result in legal liability and financial penalties. It is important for health plan fiduciaries to understand their obligations and take

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What are medical balance bills

What are medical balance bills?

Medical balance billing, also known as surprise billing, occurs when a patient receives a bill for the difference between what their health insurance company pays for a medical service and what the healthcare provider charges for that service. Balance billing usually occurs when a patient receives care from an out-of-network healthcare provider, or when an

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business travel accident policy

Should my company purchase a business travel accident policy?

An employer may consider purchasing business travel accident insurance to provide financial protection to their employees who are required to travel for work. Here are some reasons why an employer may choose to buy business travel accident insurance: Overall, business travel accident insurance can be a valuable investment for employers who want to protect their

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Form 5500

Is My Health Plan Responsible for filing a 5500 form?

Employers who offer certain types of employee benefit plans, including health plans, are generally required to file Form 5500 with the Department of Labor (DOL) and the Internal Revenue Service (IRS) annually. The filing requirement applies to employers who sponsor welfare benefit plans that cover more than 100 participants, including both employees and their dependents.

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Executive Total Rewards and Compensation Plan

How To Design an Executive Total Rewards and Compensation Plan

Designing an executive compensation package with additional fringe benefits, insurance, and financial incentives can be an effective way to attract and retain key people. Here are some steps to consider: Overall, designing an executive compensation package that includes fringe benefits, insurance, and financial incentives can be an effective way to attract and retain key people.

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No Surprises Medical Billing Act

How does the no surprises act prevent balance billing for a patient?

The No Surprises Act is a federal law that was passed in December 2020 as part of the Consolidated Appropriations Act. The law is designed to protect patients from surprise medical bills, including balance billing, in certain situations. Here are some ways that the No Surprises Act protects patients from balance billing: Overall, the No

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Disability Insurance

Combining Group and individual disability insurance

How can you combine individual and group disability insurance, to maximize disability income for higher earners? Combining individual and group disability insurance is a strategy that can help maximize disability income for higher earners. Here are some ways this can be accomplished: Overall, combining individual and group disability insurance can be an effective strategy for

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Why should you consider self-funding your dental plan?

Why should you consider self-funding your dental plan?

As an employer why should I consider a self-funded dental plan? Self-funding your dental plan can offer several benefits for employers, including: It is important to note that self-funding a dental plan also involves financial risks, as the employer is responsible for paying for all claims made by employees. However, with careful planning and management,

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PBM Audit & Procurement

Why Consider a PBM Audit and Procurement Strategy?

PBM Audit & Procurement is a process used in the healthcare benefits industry to ensure that the pharmacy benefit management (PBM) services provided to employers that sponsor a health plan are accurately priced. PBM’s are responsible for managing the purchasing, dispensing, and reimbursement of prescription drugs for their clients. These companies often have contracts with

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