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out of pocket maximums

Annual Out-of-Pocket Maximums for 2023

On December 28, 2021, the Department of Health and Human Services (“HHS”) published the “payment parameters” portion of its Annual Notice of Benefit and Payment Parameters for 2023 (“the Notice”). HHS historically publishes the

medicate part d

Medicare Part D – CMS Notification Reminder

Employers sponsoring a group health plan (whether insured or self-insured) need to report information on the creditable (or non-creditable) status of the plan’s prescription drug coverage to the Centers for Medicare and Medicaid Services

sick leave sticky note

New Paid Sick Leave Requirements for Pennsylvania

On September 14, 2021, the Allegheny County Council passed the Allegheny County Sick Leave Ordinance (“the Ordinance”). The new paid leave rules will require covered employers to allow up to 40 hours per year

preventative care

Are Your Employees Avoiding Preventive Care?

You offer health insurance to your workforce—that’s great. But health insurance alone doesn’t guarantee that people are actually getting health care. That’s particularly true when it comes to preventive services. In fact, less than

state health coverage

State Health Coverage Reporting Requirements 2021

The IRS has made permanent an automatic 30-day extension to March 2, 2022 for furnishing Affordable Care Act (“ACA”) Forms 1095-C (or 1095-B) to full-time employees and other individuals to demonstrate proof of health

new york paid sick leave

Guidance on New York Paid Sick Leave

On December 22, 2021, the New York Department of Labor (“NYDOL”) issued guidance in response to stakeholder comments about the New York Sick Leave Law (“NYSLL”). This guidance provides clarity on a variety of

amazon pharmacy

Amazon Pharmacy Home Delivery Option for Horizon Members

Horizon’s Commercial market members enrolled in health plans with Horizon Pharmacy now have a new prescription home delivery option: Amazon Pharmacy. With Amazon Pharmacy, eligible members can expect: Easy online sign-up with the option

health insurance options married

Health Insurance Options After Getting Married

Getting married is an exciting time with lots of changes, but don’t forget to look at your health insurance options! Did you know that getting married is considered a qualifying event? That means you

oral hygiene

What are the Benefits of Good Oral Hygiene?

Excellent oral hygiene not only protects your teeth, it’s an important factor in avoiding serious health issues and giving you overall positive health and confidence. There are an abundant amount of benefits of having

how much life insurance

How Much Life Insurance Do You Need?

How can you determine the amount of life insurance you need? You’ll want to ensure that you get adequate coverage without overpaying for coverage you don’t need. Time Left until Retirement – Many peoples’ biggest

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2024