The Centers for Medicare & Medicaid Services (CMS) has just released new information regarding new Special Enrollment Period (SEP) rules. The Department of Health and Human Services (HHS) is tightening the rules for certain SEPs and clarifying that SEPs are only available in six defined and limited types of circumstances. Please read below for details […]Read more "Special Enrollment Periods"
The 2015 filing deadline is 11:59 PM on April 18, 2016. For information to help you understand how having health coverage affects how you file please visit this link for tax filing information provided by the Internal Revenue Service (IRS). The website describes the tax provisions contained in the Affordable Care Act that affect individuals, families, and small […]Read more "Last week to file 2015 federal income tax returns without an extension"
New Medicare payment rules that started April 1 could affect you as a patient. Medicare’s new bundled-payment initiative for hip and knee replacements and other lower-extremity-joint-replacement surgeries, proposed last July and finalized in November, affects close to 800 hospitals in 67 randomly chosen US cities. It’s called the Comprehensive Care for Joint Replacement (CJR) model, and its goal, […]Read more "Medicare’s New Payment Rules"
Beginning in 2015, the Affordable Care Act (ACA) requires certain organizations to report certain health care coverage information to the Internal Revenue Service (IRS) as well as to their own employees. Part of this new reporting requirement includes providing full-time employees with the new IRS Form 1095-C. You will need this form to complete your […]Read more "FREQUENTLY ASKED QUESTIONS ABOUT ACA and TAX INFO FOR IRS FORM 1095-C"
The countdown is on! The Open Enrollment Period (OEP) for 2016 coverage under the Affordable Care Act ends at midnight, Sunday, January 31, 2016. Any pending or incomplete applications will expire at that time. We will than transition from Open Enrollment eligibility to Special Enrollment eligibility. Beginning February 1, 2016, I will be able to quote and […]Read more "Open Enrollment Period (OEP) for 2016 Ending Soon"
Happy Thanksgiving from all of us here at JZA.Read more "Happy Thanksgiving!"
Option 1: Fully Insured Plan – ER contribution – minimum 50% of Employee Only Coverage – Standard Benefits – Standard Networks – Rx Card – No Health Questions – Guarantee Issue – Participation Requirements May Apply Option 2: Level Funding Plan – ER contribution – minimum 50% of Employee Only Coverage – Standard Benefits – Rx Card […]Read more "Group Health Offering Options for Employers"
You can now begin your preliminary shopping for a Blue Cross and Blue Shield of Texas (BCBSTX) under 65 product via the Retail Shopping Cart. You will not be able to receive an official premium tax credit amount until open enrollment begins on Nov. 1, 2015. However, you can use the premium credit estimator to […]Read more "BCBSTX – Window Shopping Now Available for Plan Year 2016 Products"
On October 1, Congress approved a bill repealing the Affordable Care Act (ACA) provision expanding the small group employer definition, which was scheduled to change from 1-50 to 1-100 employees on January 1, 2016. President Obama is expected to sign the bill into law next week. The repeal legislation, the Protecting Affordable Coverage for Employers […]Read more "Small Group Definition Will Not Change in 2016"
If you’re retired and have Medicare and group health plan (retiree) coverage from a former employer, generally, Medicare pays first for your health care bills and your group health plan coverage pays second. How your retiree group health plan works depends on the terms of your specific plan. Your employer or union, or your spouse’s employer or union, might not offer […]Read more "Retiree Coverage"