Posts by Brandy Clark

Many sponsors of fully insured health plans either already have or will soon receive checks from their insurance carriers, along with a notice informing them that the review is a medical loss ratio (MLR) rebate. Plan sponsors should have received these checks by September 30, 2024. The MLR rules implemented as part of health care reform are designed to ensure that insurance carriers spend no more than a specified percentage of premiums collected on overhead-type expenses. Carriers must issue a rebate check when this percentage is exceeded.

If a plan sponsor receives an MLR rebate, they typically have a fiduciary responsibility to manage the funds according to specific guidelines. The following section briefly overviews the administrative rules plan sponsors should follow when processing these carrier rebates.

  Join Q4intelligence and Marissa Rufo of MZQ Consulting for a compliance webinar. When: Wednesday, March 20th, 2024, 11:00 AM Pacific / 2:00 PM Eastern Where: Zoom | Register here   I’m a Health Plan Fiduciary . . . Now What? Learn how to answer that question so you don’t end up like the folks…

As we step into 2024, it’s crucial to stay informed about the latest trends and strategies shaping our workplaces. We understand the delicate balance you maintain between nurturing your employees’ wellbeing and managing the practicalities of budgets and benefits. So, we’ve combed through the Health & Benefit Strategies for 2024 survey report to break down…

As we look towards a future intertwined with technology, it’s clear that human capabilities, particularly soft skills, retain their relevance in the workplace. Amidst the surge of AI, inherently human attributes—understanding, empathy, and the capacity to negotiate and lead with emotional intelligence—remain crucial for a well-rounded, effective team dynamic. Creating an integration of AI and…

It’s a fact that employers cannot ignore: employee turnover is a fact of business, and the costs of replacing an employee are high. It’s estimated that replacing an employee costs 3 to 4 times that employee’s average annual salary. For example, if an employee’s average salary is $75,000, it will cost anywhere between $225,000 –…

Employers know employee benefits are important. 80% of employers think benefits increase productivity, and 78% think benefits increase loyalty. Employees want the total compensation package, which includes salary, company culture, and benefits. Since employee benefits are such a major investment, it’s crucial to have a plan in place that ensures employees are getting the most out…