Posts in category Self Funding

Federal Court Certifies Provider Clas...

Federal Court Certifies Provider Class “Without Condition” Against UnitedHealth For Violating ERISA
  On Dec 15, 2014 a federal judge certified a class of healthcare providers suing UnitedHealth for alleged improper over-payment recoupments.  This case is another in a series of cases involving insurance carriers and alleged over-payment recoupment tactics. The crux of the cases is the notion that healthcare providers must be allowed [...]

Why should a Company do a HealthPlan ...

Why should a Company do a HealthPlan ERISA Audit through ARC?
Background: Companies regularly conduct, or bring in outside audits, of their healthplan benefits. If they have done this for years, and always reported a “clean bill of health”, why should they now expend effort and cost to have an external audit by ARC ERISA experts?   Top-3 Reasons: If an insurance intermediary has intentionally ma [...]

Is Self-Funding right for you?

Is Self-Funding right for you?
Is Self-Funding right for you? Self-funding is an effective method for taking control of health care expenditures and creating financial & operational efficiencies that inure to the benefit of both the employer and its employees. These benefits require a long-term commitment, which, like any long-term fiscal decision, requires a sound u [...]

4-year high premium increase projecte...

4-year high premium increase projected
BY KATHRYN MAYER November 13, 2014 • Photo: Getty Images   Employer-paid premiums are increasing yet again with a 5.5 percent rise forecast for 2015, the biggest such increase in the last few years, according to new analysis. Meanwhile, employees’ share of the cost is growing at a much higher rate. Aon Hewitt’s analysis showed [...]

Is Self-Funding right for you?

Is Self-Funding right for you?
Is Self-Funding right for you? Self-funding is an effective method for taking control of health care expenditures and creating financial & operational efficiencies that inure to the benefit of both the employer and its employees. These benefits require a long-term commitment, which, like any long-term fiscal decision, requires a sound u [...]