(303) 369-3200

Tuesday, 06 September 2016 20:08

Important Medicare Part D Deadline October 15th

The Medicare Modernization Act (MMA) requires Employers with prescription drug coverage to complete two items each year regarding Medicare Part D.  The first deadline is October 15th annually, and the other is 60 days from the beginning of each new plan year.  
The only employers exempt from this requirement are those that are small enough to be certain that their plan does not cover anyone eligible for Medicare such as employees or spouses over 65, anyone in end stage renal failure, or any disabled individuals. If you’re not positive – we recommend you comply to be safe.  

Published in Compliance
On July 11, 2016, the Department of Labor (DOL) and Internal Revenue Service (IRS) announced a proposal to implement significant changes to the forms and regulations that govern annual employee benefit plan reporting on Form 5500. 
 
Most notably, the revisions would require companies of any size or funding arrangement to file a Form 5500 as well as add a new Schedule J (Group Health Plan Information) to the Form 5500. 
 
The proposed changes, which were published in the Federal Register on July 21, 2016, would considerably increase the annual reporting obligations for nearly all health and welfare plans. The revised reporting requirements, if adopted, would apply for plan years beginning on and after January 1, 2019.  
Published in Healthcare Reform
On June 1, 2016, Colorado Governor John Hickenlooper signed the Colorado Pregnant Workers Fairness Act.  This new provision provides clear standards that employers should follow when employing pregnant workers, as well as a new notice requirement.
 
Effective August 10, 2016, Colorado employers of all sizes will commit an unfair employment practice if they fail to provide reasonable accommodations for an employee, or an applicant for employment, for health conditions related to pregnancy or physical recovery from childbirth, absent an undue hardship.  
Published in Compliance
By now many employers have received notices from CMS stating that they are subject to a penalty under the Employer Mandate (for groups over 50) created by the ACA.  If you are one of them, you may be wondering why you’re getting these and what your next steps are.
 
Remember that The Centers for Medicare and Medicaid Services (CMS) and the IRS are using your 1094 and 1095 forms submitted earlier this year to verify individual subsidy eligibility, and to enforce the Individual and Employer Mandates.  
Published in Healthcare Reform
Let’s face it, there’s much about the continued rising cost of health care that you don’t have much control over. You can’t change the medical needs of a premature baby on your health plan, or change the costly medical and prescription treatment needed for chronic conditions in your employee population. However, you may have access to data from your insurance carrier that may help you get a better grasp on items that might help you curb your overall healthcare costs.
Published in Best Practices
Wednesday, 13 July 2016 14:32

Fall River Inspiration Scholars Announced

We are so excited to share that we have chosen the winners of our annual Fall River Inspiration Scholarship. Each year, employees of Fall River clients, as well as their children/grandchildren, are eligible to apply. We had an outstanding pool of applicants this year (in both quantity and quality of applications) and have decided to increase the number of scholarships we gave. We are awarding two $1,000 scholarships as well as three $250 book stipends.
Published in Fall River News
Effective June 27, 2016, the Colorado Medicaid program is now called Health First Colorado. The new name reflects the significant changes that have been made to modernize Colorado’s Medicaid program to engage members and improve the quality and coordination of care. The name itself – Health First Colorado – aims to convey Colorado’s commitment to putting its residents’ health first, as well as encourage its 1.3 million members to put their own health first.
Published in Healthcare Reform
THE FACTS
What is Amendment 69?
Also known as ColoradoCare, Amendment 69 is a single-payer healthcare initiative that will create a government run, universal healthcare system in Colorado. Due to appear on the 2016 general election ballot, the passage of Amendment 69 would eliminate private health insurance and subsidies provided through Colorado’s insurance exchange and funding for Medicaid.
 
Who is responsible for assuring care?
Published in Healthcare Reform
Thursday, 19 May 2016 03:36

MENTAL HEALTH AWARENESS IN THE WORKPLACE

The Fall River Team recently attended the annual Colorado Culture of Health conference, and the theme of mental health in the workplace was prevalent.  It continues to be a taboo and uncomfortable topic that employers tend to avoid.  However it’s becoming clear that employers can’t afford to take a hands-off approach any longer, due to the enormous impact it has on companies.  The World Health Organization has stated that mental health illnesses in the U.S. are becoming more costly than physical conditions such as cancer, diabetes, and respiratory illnesses combined.
Published in Wellness
As consumers, we spend so much time focusing on medical benefits and sometimes forget the importance of disability coverage. Although many states do not require that employers offer any type of disability benefit to its employees, there are a handful of states that mandate employers to offer paid-Short-Term Disability (STD) benefits for employees. STD benefits are not available from Social Security or elsewhere in the federal government. If you are disabled less than a year, you can’t collect Social Security disability or State Disability Insurance (SDI).
Published in Compliance
Page 4 of 5