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Good Sam & Regional Ctr. SJ Contract Agreement

Last month we informed you that Anthem Blue Cross and Hospital Corporation of America’s (HCA) were unable to reach a contractual agreement regarding their California Hospitals. This resulted in a contract termination, effective March 3, 2012. Although the contract was terminated, discussions were on-going. These ongoing discussions resulted in the successful negotiation of new multi-year contracts, effective April 1, 2012. The new agreement covers services provided by HCA’s California hospitals.

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Determining Fair Healthcare Pricing

This recent article from the LA Times addresses an issue that we thought would be of interest to you. Please follow the link in order to read the entire article.

As a companion piece, we are also including a link to a website, Healthcare Blue Book. This is a free consumer guide to help you determine fair prices in your area for healthcare services. Feel free to pass on both to your employees. Let us know if you have any questions or if you need any additional information.

The DMIS Team

 

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Extended Coverage Rights for Pregnancy‐Related Disability

California Employers Must Now Provide Health Benefits for Four Months for Pregnancy Disability

On October 8th, 2011, Governor Jerry Brown signed into law Senate Bill 299, requiring California employers with 5 or more employees to continue group health coverage for up to 16 weeks for employees on pregnancy disability leave. Existing state and federal laws such as FMLA, CFRA, PDL, and others allowed various periods of leave for pregnancy disability, but for many workers, there is no right to continue healthcare coverage on the employee’s group health plan during the pregnancy disability leave.

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2012 HSA Updates

The IRS announced that the contribution limit for an individual would increase by $50 in 2012, from $3,050 to $3,100. The family contribution limit is increasing from $6,150 to $6,250 (+$100).

The annual catch up amount for individuals over the age of 55 and who are not enrolled in Medicare is $1,000 per person on the plan. However, if the person who is making the catch up contribution is not the primary subscriber on the plan he or she will need to open a separate HSA account to hold the funds. For more information on this please see U.S. Department of the Treasury HSA FAQ.

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Short Term Health Insurance – Filling the Gap Between Coverage

At some point most people will experience a change in their Health Insurance coverage. Whether it’s a result of changing jobs, being laid off, or simply changing Individual Health Insurance carriers the transition can be stressful. Often times there is potential for a gap in coverage while going through the transition. One way to easily and cheaply fill the gap between coverage periods is with a Short Term Health Insurance policy. The following three common scenarios are examples of when Short Term Health Insurance can be very beneficial.

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