Proposed Regulations to Make Health Insurance Shopping Easier for Consumers
PUTTING PEOPLE FIRST
As part of the Patient Protection and Affordable Care Act (PPACA) the Department of Labor and the Department of Health and Human Services has proposed some new regulations centered around clarifying health plan benefits and coverage for consumers.
Many consumers feel overwhelmed when trying to decide which plan to take because the information is somewhat sophisticated. In an effort to simplify the information, a “uniform summary of coverage” represented by: 1) a Summary of Benefits and Coverage form, as well as; 2) a glossary of universal health insurance terms, has been proposed. These two documents will provide consumers with clear-cut information that is easily used for comparison purposes, thus allowing them to better understand and evaluate their health insurance options.
The Summary of Benefits and Coverage will be available to the consumer within seven days of their request, while shopping for coverage, or during the open enrollment period at each new plan year. This document will encompass the key features of the plan including benefits covered, limitations and exceptions as well as cost-sharing provisions. The Center for Consumer Information and Insurance Oversight (CCIIO) will include standardized information for circumstances like having a baby, treating breast cancer and managing diabetes so that consumers can see an illustration of what the plan would look like under each scenario. This summary will allow consumers to better understand what they are getting in return for the premium payments they are making.
The second document proposed is a glossary of terms frequently used within the universal health insurance industry. This glossary will be available to consumers upon request and will also be found at www.healthcare.gov and www.dol.gov/ebsa/healthreform .
The Innovative team is well respected at AFS. My staff and I feel they are an extension of our HR team! Since implementation, they have always remained committed to assisting AFS with all of its healthcare needs; in fact, it doesn’t matter what time of day, they always respond in a timely manner.
Each year they come up with fresh material so our employee’s interest is always peaked. A few years ago, Innovative provided us with documentation to show that moving from a fully insured program to self-insured would be more cost effective for AFS, and it has been! Innovative has truly made our jobs easier so we can focus on other tasks.
As an HR professional, Innovative makes my job easier and benefits administration much less overwhelming than it would otherwise be.
They are truly a partner with me to make sure our team members have the best benefits and service around their benefits that we can offer. Innovative’s team is responsive, professional and resourceful. (They are at the forefront of knowledge in many areas, including ACA reporting and compliance, which can get highly complicated.)
As a client for the last 4 years, we love working with our Innovative Benefit Planning team because of their service model, scope , depth and quality of expertise in handling our benefits and renewals.
Their level of commitment just keeps getting better each year. They have more than met our expectations on renewal negotiations, response time, assistance with ongoing plans, open enrollment material, meetings, support, bill auditing, and wellness programs.
Since our partnership with Innovative Benefit Planning in 2017, it has been a seamless one. Innovative always provide options, suggestions and recommendations when it comes to our benefits renewal.
Innovative is always present even when open enrollment ends, their year round communication reminds me that I can always reach out for help at any time. Their professionalism is the utmost one can expect. My account representative Jenni is wonderful, courteous, knowledgeable and very helpful.
We have been dealing with Innovative Benefit Planning for many, many years. They have given us nothing but exceptional service.
We can pick up the phone or email them and they always resolve our questions and take care of our employees insurance issues in a very timely manner. They negotiate our insurance rates every year and have managed to reduce the increase every year. Every account manager we’ve had throughout the years have been great to work with.
I have been working with Innovative Benefit Planning for over six years. Previous to Innovative, I had used the same broker for about 25 years. I was used to doing everything myself during open enrollment with my previous broker.
When Innovative came on board, I was pleasantly surprised how “on top” of things they were. I never have to call them and bother them about getting rates to me for open enrollment, as they are in touch with our carriers on a regular basis, and they get me my information for open enrollment as soon as they receive it from the carriers.