Achieving Minimum Value Requirement Without Hospitalization Benefits?

September 18th, 2014

it is


It is what it is, nothing more, nothing less….”

Source: Mintz Levin

A recent Washington Post article (“Glitch in health care law allows employers to offer substandard insurance,” September 12, 2014) highlights an Affordable Care Act compliance strategy being marketed heavily (and adopted widely) in industries that traditionally did not previously offer coverage to large cohorts of variable hour and contingent workers. (We discussed these arrangements in a previous post. The strategy—which is referred to commercially as a “minimum value plan” or “MVP”— involves an offer of group health plan coverage that, while similar in most respects to traditional major medical coverage, carves out inpatient hospital services.

“Whether these plans were “intended,” or whether they are consistent with Obamacare, is irrelevant”.

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AIMS Private Exchange Opportunities For Brokers

September 17th, 2014

Attorney Offers Advice To Hospitals On How To Respond To Cost Plus Health Plans

September 17th, 2014

cost plus

A Cleveland, Ohio law firm, representing hospitals, offers advice to clients on how to respond to the “challenge” of Cost Plus Insurance plans


Interesting and another reason to hate sleazy lawyers – MD

-The strategy he is recommending is not about collecting/recovering the money from employees, it is about causing enough pain for employees that anger and dissatisfaction directed towards the employer creates enough pressure to cause   the company to pay and, ultimately, to abandon a “true cost” plan design. – RH


Is There A Doctor In The House?

September 17th, 2014


According to the new survey results, eight out of ten (81 percent) physicians describe themselves as either over-extended or at full capacity, while only 19 percent indicate they have time to see more patients. In fact, 13 percent of physicians no longer accept Medicare patients – this is up 49 percent in 2014 from 2012.

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Big Minnesota Insurer Leaves ObamaCare Site

September 16th, 2014

PreferredOne, the insurer that sold nearly 60 percent of all private health plans on Minnesota’s Obamacare exchange, on Tuesday said it would leave that marketplace

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Investment Broker Sells 457 Plans To School Districts – Competitive Fees

September 15th, 2014


A South Texas Insurance / Investment broker has gained new school district clients using competitive investment options through 457 plans. In the past several months three large South Texas school districts have expanded their retirement options to include a 457 plan along side their traditional 403b plan. Fees are a competitive 35 basis points. These districts include Brownsville ISD, Donna ISD and the San Benito ISD, totaling over 12,000 employee lives.

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Ternian Opines On Federal Minimum Value Calculator

September 15th, 2014


At Ternian Insurance Group, we always consult with our own ACA experts as well as those in the industry before recommending any particular solution. As the buzz around one approach has increased—the carve out of essential benefits using a “loophole” in the CMS essential value calculator—we have approached this idea with a healthy amount of skepticism.

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Flaw In Federal Software Lets Employers Offer Plans Without Hospital Benefits

September 15th, 2014


A flaw in the federal calculator for certifying that insurance meets the health law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits such as hospitalization coverage, according to brokers and consultants.

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Cat & Mouse Games

September 15th, 2014

catAllied National officials talk about their no-network, Provider Freedom plan:


Cost Plus Insurance Tops Google Search Ranking

September 6th, 2014


1. CostPlus Insurance
Once we rid ourselves of traditional thinking we can get on with creating the future” – James Bertrand

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