Cigna Agrees to Buy Express Scripts for More Than $50 Billion

March 8th, 2018

And the consolidation continues...

Cigna Agrees to Buy Express Scripts for More Than $50 Billion - WSJ

Health insurer Cigna Corp. CI -10.74% plans to buy Express Scripts Holding Co. ESRX +9.78% in a cash-and-stock deal worth $52 billion, excluding debt, that the companies say will expand their health care offerings and help them control costs.

Departing from the ACA in Idaho by Rick Murray

February 20th, 2018

Keep an eye on Idaho, a hot potato is about to be served!  Blue Cross of Idaho has submitted five plans (their Freedom Blue plans) that they plan on selling in Idaho, that would NOT comply with Obamacare.  What will HHS do?  What will the Trump administration do?  What are all the other ripple effects with ACA fines and filings?  No one knows yet, here’s what we do know;

With Freedom Blue Plans there could be a potential increase in premiums of up to 50% based on the applicant’s family medical history
Freedom Blue Plans will have a $1,000,000 annual benefit limit
With these new plans you could be denied for pre-existing conditions (unless continuous coverage was maintained)
Premiums for these plans are 25% - 50% lower than Obamacare plans
Blue Cross of Idaho will still continue to offer their suite of Obamacare compliant plans separately

We will keep you posted as this unfolds, our thoughts; Obamacare is still the law of the land – until we receive different guidance from HHS or the Trump Administration we recommend that all employers (but ALEs in particular) develop a strategy and implement policies that are compliant with The ACA as written currently.

Filco February 2018 Newsletter

February 18th, 2018

Group Benefits Industry News

February  2018

A Note from The FILCO Executive Team:

We are living in the Information Age and there has never been a better time for all people to have a virtual unlimited access to information on every possible topic.

With IRS Filing Deadlines Less Than 30 Days Away, First Capitol Consulting Asks, “Are You Ready?”

February 13th, 2018

With IRS Filing Deadlines Less Than 30 Days Away, First Capitol Consulting Asks, “Are You Ready?”

Information on Meeting ACA Filing Requirements for the 2017 Tax Year Without Triggering Employer Shared Responsibility Payments LOS ANGELES, CA — February 8, 2018 — The first deadlines for filing Affordable Care Act (ACA) information returns for the 2017 tax year are less than 30 days away.

DFS Guidance for NY Health Insurance Market Rules

February 13th, 2018

DFS 2018 market-rules-guide

Revised 11-20-2017

Guidance Regarding the Federal Health Insurance Market Rules and NYS Insurance Law in Relation to Guaranteed Availability and Renewability The U.S. Department of Health and Human Services (“HHS”)

promulgated regulations that implement provisions of the federal Affordable Care Act in relation to guaranteed availability and guaranteed renewability (45 CFR Part 147). The HHS regulations differ from state law requirements in some respects.

Aetna under fire after shocking testimony by former medical director

February 12th, 2018

Aetna has come under fire after a shocking revelation by a former medical director, who has admitted under oath he ignored patients’ records when deciding whether to grant care.

California’s Insurance Commissioner Dave Jones has launched an investigation into the insurer after CNN showed him a transcript of Dr. Jay Ken Iinuma’s testimony.

HSA’s, HRA’s and FSA’s – We have the answer to your questions?

February 1st, 2018

Here at Filco we've seen an expanded use of HRA's by employers as a strategy to lower overall cost of their Healthcare plans, while maintaining a reasonable risk profile for their employees out of pocket expenses for the year.

Come talk to us about using this technique with your group and why others are seeing success with it.

Is disaster brewing in New York’s small-group market?

February 1st, 2018

The United Hospital Fund recently issued a comprehensive study of patterns in the New York state small-group market and they don’t look good. From 2007 to 2016, enrollment shrank by 600,000 members — to 1.1 million. Rates were 35% higher than the national average.