Articles

Employer Reporting – 2016 Draft Forms and Instructions

The IRS has released the 2016 draft forms and instructions for the ACA employer reporting requirement.

Read more

OCR Phase 2 HIPAA Audits Underway

The Office for Civil Rights (OCR) of the Department of Health and Human Services (HHS) has begun Phase 2 of its HIPAA Audit Program.

Read more

Defending Against An Invisible Threat

Pragmatic Cybersecurity for the Interconnected Business THINK YOUR BUSINESS IS REASONABLY SAFE FROM A CYBER-ATTACK? Think again. The threat is so widespread that there is an entire black market built to arm hackers with the tools they need to breach your systems. Even worse, 50 percent of online traffic is automated. It does not sleep. It is ever-present, […]

Read more

​5 Things Washington State’s Best Employers Do

Washington State’s best employers know that offering meaningful and valuable benefits is key to attracting and retaining top talent, but that is easier said than done.

Read more

Equipment Exposures Often Overlooked

In a time where construction activity has exceeded prior high watermarks, contractors are increasingly utilizing owned and rented equipment for projects. From an insurance standpoint, there are key areas of coverage that need to be addressed when structuring a contractor’s equipment program. Continued rental expense and rental reimbursement are a few coverage areas that deserve consideration.

Read more

§4980H Affordability – Opt-Out Guidance

The Internal Revenue Service (IRS) has released proposed rules addressing the relationship between opt-out arrangements and affordability for purposes of subsidy eligibility through a public Exchange and potential §4980H(b) penalties. First addressed in Notice 2015-87 last December, the proposed rules confirm and further clarify that unconditional opt-out payments need to be added to the employee contribution for purposes of determining affordability, while conditional opt-outs generally do not.

Read more

HHS Releases Discrimination Rule Affecting Transgender Benefits

The Department of Health and Human Services (HHS) recently released the Final Rule implementing Section 1557 of the Affordable Care Act (ACA), which prohibits certain types of entities from discriminating in health programs on the basis of race, color, national origin, age, disability or sex (including gender identity-based discrimination). Most affected entities are not likely to have discrimination issues related to most of these categories; however, the new rules include significant requirements related to health coverage for transgender individuals that may force changes to current benefits.

Read more

Providence-Swedish Health & Services May Be Leaving Premera Blue Cross

We received notice late Wednesday that Providence-Swedish Health & Services has decided to terminate their contract with Premera Blue Cross, effective January 1, 2017.
At this time we do not know if this decision to terminate is a final position on the part of Providence or part of their negotiations with Premera.

Read more

Minimizing Healthcare Regulatory Risk

Regardless of your role within the healthcare space, everyone can have an impact on how an organization minimizes regulatory risks. Healthcare executives need to understand the trending regulatory claims, the best way to partner with insurance associates, and how varying policies interface with the associated liabilities.

Read more

Innovative Insurance Solutions For Today’s Mergers & Acquisitions

As mergers and acquisitions become more common, the risk of financial loss in these deals is increasing. A properly structured reps and warranties insurance policy can help protect both the buyer and seller. PS&F’s Cliff Rudolph explains further in the PSBJ.

Read more

Final SBC Template and Related Materials

The Departments of Labor, Treasury, and Health and Human Services (“the Departments”) have released final versions of the Uniform Summary of Benefits and Coverage (SBC) template, instructions, sample language, and Uniform Glossary (“glossary”), along with a Coverage Examples Calculator and related instructions.

Read more