United Benefit Advisors Insight and Analysis Blog

Proposed Benefit Payment and Parameters Rule Released

Posted by: Danielle Capilla    Dec 21, 2015 2:51:50 PM

Federal agencies have released the proposed rule for the 2017 Benefit Payment and Parameters. Among other items, it provides updates and annual provisions relating to:

  • Risk adjustments, reinsurance, and risk corridors programs
  • Cost-sharing parameters and cost-sharing reductions
  • User fees for Federally-Facilitated Exchanges (FFEs)
  • The standards for open enrollment for the individual market for the 2017 benefit year
  • Updates to the Small Business Health Options Program (SHOP)
  • Definitions of large and small employer
  • Guaranteed availability
  • Medical loss ratio (MLR) program
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Topics: ACA, small business health options program, small group insurance, Affordable Care Act, federally-facilitated exchange, risk adjustments, cost-sharing parameters, medical loss ratio

Buyer Beware: Federal and State Law Issues with the FF-SHOP

Posted by: Carol Taylor    Aug 5, 2014 9:00:00 AM

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Topics: health insurance exchanges, private insurance exchange, health marketplace, employee wellness, PPACA, small group employers, SHOP, small business health options program, benefit communication, benefit consultants, benefit management, compliance with health care reform, employee health, group health insurance, healthcare consumerism, health plan compliance, health reimbursement account, insurance solutions, medical plan, self funded health plans, Group health plans, small business

Top 5 Questions about SHOP (Small Business Health Options Program)

Posted by: Bill Olson    May 29, 2014 1:52:00 PM

Beginning in 2014, small employers may choose to provide health coverage to their employees through a Small Business Health Options Program (SHOP) Marketplace. Here are the top 5 questions we hear about SHOP:

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Topics: health insurance exchanges, private insurance exchange, health marketplace, employee wellness, PPACA, small group employers, SHOP, small business health options program, benefit communication, benefit consultants, benefit management, compliance with health care reform, employee health, group health insurance, healthcare consumerism, health plan compliance, health reimbursement account, insurance solutions, medical plan, self funded health plans, Group health plans, small business