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TABLE OF CONTENTS
Windsor Strategy Solutions Announces Major Data Update for Actuarial Advisor
Rating Model and Health Benefits Consulting Suite
To arrange a demonstration of Actuarial Advisor, or the Health Benefits
Consulting Suite, please contact Neeru Sachdeva at
firstname.lastname@example.org or 609.275.6550.
Windsor Strategy Solutions develops cutting edge software for employee
benefits professionals who want powerful and easy to use tools that deepen
their understanding and consulting capabilities for their client's health
benefits plans. Our Health Benefits Consulting Suite and Actuarial Advisor
rating model are used by consultants, brokers, TPAs, MGUs, re-insurers,
stop-loss carriers and consulting actuaries.
Located in Princeton Junction, NJ. Windsor Strategy Solutions, is an actuarial software firm focused on innovation in health plan pricing and design. For more information, contact Todd Owen at email@example.com. and visit www.windsorstrategy.solutions.
IHP Partners with AmWINS Group Benefits to Centralize and Enhance Client Experience
MyHealthGuide Source: Innovative Health Plan (IHP), 12/2/2016, www.innovativehealthplan.com
New Haven, CT -- Innovative Health Plan (IHP) has partnered with AmWINS Group Benefits (AmWINS), a leading provider of employee benefits and administrative services, to create an unmatched client experience through expanded onsite services and broker offerings. This partnership was created to benefit both members and employers on a day-to-day basis, as well as the brokers that work to connect their clients with the best partners available.
This partnership takes IHP's client experience to the next level by providing onsite nurse management through AmWINS; both companies value member health above all else and understand that centralized care is key to client satisfaction and long-term healthcare savings.
In addition to onsite nursing care for clients, this partnership allows IHP to bring a unique line of ancillary products to market and offer services to clients with as few as 10 lives, as well as enhance their broker support through enhanced online services.
"We believe in creating a seamless client experience and this partnership elevates offerings for both AmWINS and IHP," said Henry Santos, Vice President of Sales at AmWINS. "We are eager to bring these changes to our current clients and move into new employer markets with such strong product offerings."
"Through this partnership with AmWINS, we are excited to be able to centralize all services and administration," said Allen Jackson, CEO of IHP. "Our hope is to continue to provide services that improve the health of our members while saving our clients money in the long run."
For more information about the partnership between IHP and AmWINS, please contact Cheryll Shubert at firstname.lastname@example.org.
About Innovative Health Plan, Inc.
As a leader in innovative pricing solutions and self-funded plan options, Innovative Health Plan (IHP) brings cost control and transparency to healthcare providers. Unlike traditional health plans, IHP provides its clients with custom benefits, evidence-based care management, performance measurements and online administration. They serve clients with 10-2000 lives across the country. Visit www.innovativehealthplan.com.
About AmWINS Group Benefits
AmWINS Group Benefits, a division of AmWINS Group, Inc., is a leading wholesale broker of comprehensive group insurance programs and administrative services. Working with benefit brokers and consultants, AmWINS Group Benefits designs, distributes and administers customized health benefit products and services for retired and active populations in private and public organizations.
Headquartered in Charlotte, North Carolina, AmWINS is a leader in the specialty insurance brokerage industry with offices in 105 locations across 15 countries, including 81 in the United States. The firm has expertise across a diversified mix of property, casualty, group benefits and specialty insurance products. AmWINS also offers value-added services to support its products, including product development, underwriting, premium/claims administration, and actuarial services. Visit www.amwins.com.
ECHO® Tops Crain's List of Fastest Growing Companies
MyHealthGuide Source: ECHO® , 12/2/2016, www.echohealthinc.com
WESTLAKE, OH -- Westlake-based ECHO Health Inc. was named fastest growing company in Northeast Ohio by Crain's Business Cleveland. With revenues of $65.8 million in 2015 and impressive five-year growth of 1,365 percent, ECHO significantly outperformed the other 51 companies making the annual list.
"Northeast Ohio is home to many innovative, successful companies and ECHO is proud to be leading the way, "said William Davis, ECHO's Chairman & CEO. "We are committed to seeing the local business economy thrive and are thrilled that ECHO can play such a significant role in that growth and prosperity."
The company's impressive growth is not just being recognized locally, as last month ECHO was named one of the fastest-growing private companies in the nation by Inc. Magazine. Plans to expand into other markets and diversify service offerings signal that this growth is just the beginning for ECHO as they look to process $100 billion in payments in the coming years.
"Our business is built for the sole purpose of making the payment process simpler for our clients and saving them time, money and headaches. As we continue to grow, our commitment to innovation, creating efficiencies and leveraging our 20+ years of expertise will grow with us," concluded Davis.
About ECHO Health Inc.
ECHO Health Inc. is a leading provider of electronic payment solutions. ECHO serves more than 75,000 companies, processes more than 50 million payment transactions and pays more than $12 billion annually. Founded in 1997, ECHO is a privately-held company located in Westlake, Ohio. Call 440.835.3511, ext. 118. and visit www.echohealthinc.com.
Crain's Fastest Growing Companies recognizes the entrepreneurial spirit, innovative business tactics and skyrocketing revenue growth of the 52 fastest growing companies in Northeast Ohio. Eligible companies must be privately held, at least five years old and located in Northeast Ohio, among other criteria.
ELAP Spurned by University of Utah Health Care
MyHealthGuide Source: Molly Mulebriar, 11/29/2016, RiskManager.us Blog Entry
Providers in Utah are experiencing the "Reference Based Pricing" (RPB) wave. The following letter is available at by emailing RiskManager@RiskManagers.us.
Reference Based Pricing (RBP) / Cost Plus method of health care reimbursement started in Texas in 2007. That was nine years ago. Providers initially fought hard to suppress the movement, even going to such lengths as threatening plan sponsors with legal action, or worse, refusal to treat plan members, or both.
Nine years later Texas hospitals are still treating RBP plan members and cashing reimbursement checks. The consensus is RBP is here to stay, and growing rapidly. Whereas hospitals did not reach out to plan sponsors directly before, now we see a movement between hospital systems and employer groups forming collaborative efforts on a local basis as equal partners. Texas was an early adopter of RBP plans.
BlueCross BlueShield of South Carolina's Judy Davis Passes
MyHealthGuide Source: Phil Gardham and Scott Hinton, BlueCross BlueShield of South Carolina, 12/1/2016
COLUMBIA – Judith Monastra Davis, 57, of Columbia, South Carolina passed away on November 24, 2016 at Palmetto Health Richland following an extended illness. She was born on January 13, 1959 in Mansfield, Ohio to Basil Herman Monastra and Carmella Greer Monastra of Lexington, Ohio, who survive. She also is survived by her husband of thirty years, Gerald L. (Jerry) Davis, Jr. of Columbia, South Carolina.
"I am deeply saddened by the loss of Judy Davis who passed away Thanksgiving night after a hard-fought battle with cancer," says David Pankau, CEO, BlueCross BlueShield of South Carolina.
Judy Davis started BlueCross BlueShield of South Carolina as chief legal counsel more than 22 years ago. One of the first accomplishments was the restructuring the corporate Law Department transforming the department into a viable business segment providing dedicated legal counsel and support.
Judy was promoted in 2007 to executive vice president and chief legal officer. In this position, she served as the senior officer responsible for five of corporation's subsidiaries: Companion Life, Companion Captive Insurance, Companion Property & Casualty Insurance Co., Companion Commercial Insurance Company and UCI Medical Affiliates. Senior management of three divisions also reported directly to her -- including the Law Department , government Affairs and Corporate Marketing Communications.
Under Judy's leadership, Companion Life flourished, excelling in niche and specialty markets. The company also realized a long-held goal of being licensed to sell its products in all 50 states. Judy successfully navigated our P&C subsidiary through extensive changes in this industry, and also oversaw the divesture of this particular company from our corporate portfolio.
Judy was a dedicated community champion. She served on the board of directors or in leadership positions for many nonprofit, civic and educational entities, lending her gracious and genuine leadership style and skills to each organization. In 2006, she chaired the United Way of the Midlands campaign, helping to raise $9.5 million. Some of the other organizations Judy worked tirelessly for include the Central Carolina Community Foundation, S.C. Campaign to Prevent Teen Pregnancy, Trinity Housing Corporation, EngenuitySC, SC Launch, the Palmetto Conservation Foundation, Columbia College and the S.C. Governor's School for Science and Mathematics -- to name just a few.
She was especially known and appreciated as a mentor, cheerleader and champion to countless people for whom she served as an inspiration and role model. Judy's motto in life was: "If you can put yourself out there and make a difference, you can change the world." I know that there are many people here at BlueCross and throughout the state who have benefited firsthand from her advice and encouragement to push themselves farther, set goals and then go for them. Judy was deeply committed to the success of individuals within our company. She took it as a personal responsibility and challenge to find ways to lift people up and help them realize their untapped potential. She did this because it was an important part of who she was, not as a job requirement.
To no one's surprise, Judy won numerous awards and accolades for her professional and philanthropic efforts. Insurance Networking News (INN) named Judy one of six 2011 Women in Insurance Leadership winners. In 2010, she was recognized with the Girl Scouts Women of Distinction Award. She has also been the recipient of the United Way of the Midlands' Alyce Kemp DeWitt Award, Palmetto Center for Women's Tribute to Women in Industry (TWIN) Award for Volunteerism and the Association of Fundraising Professionals' Outstanding Volunteer Fundraising award. In 2014, Judy received the highly prestigious Humanitarian of the Year award from the United Way of the Midlands. These are just a few of the many well-deserved acknowledgments of the wise, generous and wonderful person she was.
Judy also had a great sense of humor, and often joked about being listed on the agenda for BlueCross' Board of Directors meetings as "Other." Of course, the "technical" reason for this rather vague listing was because of the wide variety of divisions and corporate entities that fell under her leadership. But in reality, "other" was an apt description for Judy -- because she truly was in a class of her own.
"We will miss Judy dearly, and I know you join me in sending our deepest sympathies to her husband, Jerry, as well as her parents and brother -- and everyone who had the great fortune to know her," added Pankau.
About BlueCross BlueShield of South Carolina
Headquartered in Columbia and operating in South Carolina for nearly 70 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The company is leading provider of stop loss to self-funded employers and other services for the self-funded community. Visit www.southcarolinablues.com.
Brentwood Services Administrators Employs Stephanie Greene as Senior Claim Representative
MyHealthGuide Source: Brentwood Services Administrators Inc., 11/28/2016. www.BWood.com
BRENTWOOD, TN -- Brentwood Services Administrators Inc. has employed Stephanie Greene as a senior claim representative in the DeKalb County office in Stone Mountain, Ga., according to Jeff Pettus, president and chief executive officer of BSA.
As senior claim representative, Greene is responsible for reviewing, processing and handling medical workers' compensation claims as assigned by Lizzie Simmons, claims supervisor in the BSA DeKalb County office. Greene determines the compensability of the claim and extent of liability, as well as communicates directly with clients, employers, injured workers, physicians and attorneys, and manages claims in a timely and economic manner.
Previously, Greene was a senior claim examiner with Broadspire, in Atlanta, Ga. She holds adjusters licensing in many states. Greene attended Hartford Secretarial School in West Hartford, Conn., and received a certification from their medical assistant program.
About Brentwood Services Inc.
Brentwood Services Inc. is an independent employee-owned company headquartered in Brentwood, Tenn., specializing over the past 26 years in structuring and managing alternative market solutions for employers and insurance providers. Contact John Smitherman, vice president of sales for Brentwood Services Inc., at email@example.com, (800) 524-0604 or (615) 263-1300, and visit www.BWood.com.
About Brentwood Services Administrators Inc.
Brentwood Services Administrators Inc. provides claims management and loss control services to employers and employer associations with self-insured and large deductible programs for workers' compensation and other casualty lines throughout the contiguous 48 states. BSA's aggressive coordinated approach to claims administration and loss control has a proven track record of reducing the cost of claims for its clients. BSA also provides underwriting, policy management and accounting services to association-sponsored pools and mutual insurance companies.
About Brentwood Reinsurance Intermediaries Inc.
Brentwood Reinsurance Intermediaries Inc. (BRII) provides insurance brokerage services encompassing self-insurance, guaranteed cost and deductible insurance with a focus on workers' compensation. Reinsurance intermediary services include workers' compensation, accident and health, general and automobile liability casualty and specialty coverages. Clients include corporations, governmental entities, insurance companies and captive insurance companies. Visit www.brentre.com.
About CompPoint Managed Care Inc.
CompPoint Managed Care Inc., a managed care provider and wholly owned subsidiary of BSI, offers medical case management, utilization review, medical bill review, pharmacy benefits management and other ancillary services designed to control claim costs. Visit www.comppointmc.com.
AMPS Seeks Sales Executives
MyHealthGuide Source: Advanced Medical Pricing Solutions (AMPS), 12/2/2016, www.advancedpricing.com
To steal a quote from Steve Jobs, we are not looking for those who want to sell sugar water the rest of their lives. We are looking for people to join us to change the employer sponsored benefit world. Some may call it crazy but, we believe that helping employers provide affordable healthcare benefits to their employees can change the world.
Due to the success of our Reference Based Reimbursement solution, AMPS is looking to add three sales professionals to our team. We are seeking one sales professional in Texas, another in the pacific northwest and one who will work out of our headquarters in Atlanta, Georgia. Regardless of where you reside, AMPS will always find a spot on our team for a proven top performer.
This isn't your average help wanted ad. We are not your average company, and we are not seeking an average sales representative. At AMPS we absolutely love what we do, and our corporate culture is a direct reflection of that. To see if you have what it takes to shift paradigms and move mountains, contact John Powers at firstname.lastname@example.org.
Advanced Medical Pricing Solutions (AMPS) is a leading edge healthcare cost management company providing unique solutions to dramatically reduce Health Plan medical spend and employee out-of-pocket costs. Focusing on aggressive alternatives to traditional PPOs, this Physician Led – Technology Driven company offers industry leading savings through Reference Based Reimbursement, Medical Bill Review, direct contracting solutions. Visit www.advancedpricing.com.
HHC Group Seeks VP of Sales
Candidate must be reliable, have professional oral and written communication
skills and an excellent track record in Account Management and Customer
Service. Have a first-class work ethic and attention to detail and the
ability to manage multiple projects simultaneously.
About H.H.C. Group
H.H.C. Group's service offerings include, but are not limited to, Claim Editing, Claim Negotiations, Claim Repricing, Medical Bill Review (Audit), Medical Peer Review, Case Management, Utilization Review, Data Mining, Claim Scrubbing, Disease Management, DRG Validation, Medicare Claim Repricing, Pharmacy Consulting, Transplant Networks, and we provide case review, analysis and reporting as a URAC Accredited Independent Review Organization. Visit www.hhcgroup.com.
2016 Medical Stop-Loss Premium Survey
MyHealthGuide Source: Aegis Risk for the International Society of Certified Employee Benefit Specialists (ISCEBS), December 2016, Aegis 2016 Medical Stop-Loss Premium Survey (full text with graphs)
This year's survey, its tenth year, reflects the ongoing rise in stop-loss premiums and a continued commitment to employer-sponsored, self-funded health plans. The occurrence of truly catastrophic claimants--in excess of $1 million--is further verified with over 18% of respondents reporting such a claimant in the last two policy years.
Stop loss remains the primary focus of risk management, with interest in private exchanges nearly disappearing at 1% amongst respondents. Captive arrangements show increased interest, but still slight at 14%. Additional updates are provided on individual stop-loss deductible by employer size and other coverage provisions, including aggregate stop loss. The primary focus of the survey remains current premium rates, as shown in the following graphs and tables. Stop-loss premium reflecting over 560,000 covered employees is measured.
Average Stop-Loss Premium--It Varies
Stop-loss coverage among plan sponsors varies greatly--causing development of an average premium cost--a difficult, if not irrelevant, task. Each group has an individual stop-loss (ISL) deductible and contract type that varies from another--all with significant impact on premiums. Enrollment size and group demographics are other variables.
However, normalization of responses can be reasonably attained: Larger plans typically select higher Individual Stop-Loss (ISL) deductibles, and contract type can be accounted for by underwriting ratios. For this survey, all contracts are equated to a mature "paid" contract.
When plotted on a graph, a trend line can be drawn showing average premium cost by size of deductible for the continuum of coverage. Further variation may still exist due to PPO networks, pharmacy coverage, broker commissions and group demographics. However, as the survey's intent is to show plan sponsor total expense, a strong approximation of average premium cost is still made.
A Focus on Renewal Decisions
With the increased expense of stop-loss premium and the growing exposure to catastrophic risk, the stop-loss renewal decision often involves internal audiences beyond benefits and human resources. Finance and/or CFO continue to be predominantly involved at 69%, consistent with recent years. Reflective of the organizational risk of catastrophic self-funded health claimants, Risk Management is involved in 18%, up from 11% in 2015.
As to renewal change in ISL deductible, respondents are increasingly uncertain until they perform a review (50%), with fewer focused on a preference to keep it at the current level (37%).
Individual Annual and Lifetime Maximums
Reflecting the Affordable Care Act's removal of health plan annual and lifetime dollar limits (which governs the underlying medical plan but not stop loss), nearly all stop-loss programs had full, unlimited annual and lifetime limits by 2015. As such, it is no longer measured by the survey.
For 2015, its last measured year, only 6% had an annual reimbursement maximum, and only 2% reported a lifetime reimbursement maximum.
Aggregating Specific Deductibles (ASDs)
ASDs, which are separate deductibles requiring fulfillment before any ISL reimbursements, are often leveraged for their ability to ease renewal rate increases. However, they come with a direct transfer of risk back to the policyholder. Of respondents,
This additional coverage, against overutilization of the health plan, is most prevalent alongside ISL deductibles of $200,000 or less and enrollments around or below 1,000. It becomes less common at higher deductibles and/or enrollments--as those tend to be risk savvier or more stable plans.
Although it is a significantly lower expense than ISL, purchasers of aggregate are advised to remain diligent on this expense as well. Several respondents reported premium in excess of $15.00--often for coverage at 115% and 110%.
ISL Deductible by Employee Size
Selection of an ISL deductible is an important decision for any plan sponsor. An organization's own risk tolerance should be its strongest guide--those more risk savvy, if not larger, can manage with higher deductibles. A trend line reflecting the average response is provided in the full version with graphics. However, an estimate application of the trend line is provided below:
Fueled by health care reform and rising costs, alternative delivery and risk mechanisms are being offered or discussed with self-funded plan sponsors, including private exchanges and captive arrangements. However, maintaining the status quo seems most prevalent, with 77% responding "none of the above," consistent with recent years. For 2016,
Presence of Catastrophic Claimants
The rising level of truly catastrophic claimants (>$500,000) continues to alarm plan sponsors and underwriters alike. Various attributions include more aggressive hospital billing post-removal of health plan dollar limits as well as specialty pharmacy and participant morbidity. When inquired on the last two policy periods,
At the initial writing of coverage, or potentially at renewal, an underwriter may exclude--or laser--certain individuals from coverage. This may occur at a higher deductible or possibly to full exclusion. Of respondents,
2017 Renewal Premiums and Strategies
Stop loss typically renews at higher than underlying medical trend due to leveraging--whereby an unchanged deductible bears a larger percentage of future claims. Historically, this may produce requested increase of 20% or higher. However, actual stop-loss pricing, as measured by this survey over the past two years, generally reflects a net increase of 9-13%--with greater uptick in the past year.
Contributing dynamics may include the ongoing inflow of alternative capital into the reinsurance markets, helping to maintain competitive or "soft" pricing, offset by evolving claim threat from the highest claimants, often in excess of $5 million. Altogether, we illustrate (as opposed to forecast) a 12% leveraged trend for 2017 premiums. Actual plan results will vary, especially for those with significant and ongoing claim activity or, alternatively, stronger claim results.
Actions to reduce your stop-loss premium and ensure adequate coverage:
About Aegis Risk
Aegis Risk is a specialty consulting firm with a dedicated focus on stop loss--throughout the plan year. We help our employer clients and broker/consultant partners obtain:
• Aggressive proposals from leading underwriters
About the International Society of Certified Employee Benefit Specialists (ISCEBS)
The International Society of Certified Employee Benefit Specialists is a nonprofit educational association providing continuing education opportunities for those who hold or are pursuing the Certified Employee Benefit Specialist® (CEBS)®, Compensation Management Specialist (CMS), Group Benefits Associate (GBA) or Retirement Plans Associate (RPA) designation offered through the CEBS® program. Visit www.iscebs.org.
About The Survey
Sponsored jointly by Aegis Risk and the International
Society of Certified Employee Benefit Specialists.
The 2016 Aegis Risk Medical Stop-Loss Premium
Survey represents 252 plan sponsors covering over
560,000 employees with over $190 million in annual
stop-loss premium. Respondents range in size from
39 employees to over 48,000.
The 2017 survey opens late spring 2017, with release
in late summer. Visit www.aegisrisk.com to participate
or register for notification. All respondents receive
an immediate copy upon its release. Employers as
well as brokers and consultants are encouraged to
How Telemedicine and Onsite Clinics Mesh with HSAs
An individual who has made or received an ineligible contribution must take
a corrective taxable distribution for the ineligible contribution plus any
related earnings before their personal income tax return due date for that
year (generally April 15 of the following year) or pay a 6% excise tax on
the ineligible amount. The excise tax is not a one-shot penalty that
absolves the ineligible amount and continues each year until the corrective
distribution is taken. Admittedly, unless the individual self-reports, the
IRS needs to be aware of the ineligible contribution in order to penalize
It is reasonable to assume that many telemedicine and onsite health clinic
benefits will be considered other disqualifying coverage and cause an HSA
eligibility issue without some sort of solution to resolve the conflict.
Second, provide only post-deductible benefits. If the benefits are
restricted to an HDHP participant until after he or she has met their HDHP
deductible, there is no HSA conflict. This solution also falls into the
category of legally correct but not particularly useful and can be both
difficult and impractical to administer.
Flat rates are very common for telemedicine and clinic "visits" with additional charges for labs, tests, or prescriptions. An employer (particularly a healthcare system) may determine a discount is appropriate when determining the appropriate rates to take into account the lower cost of providing the services through an onsite clinic or via telemedicine compared to general medical facilities. It is also not unusual for third-party administrators to have developed standard rates for services using the methods described above that employers can implement.
If there is
a monthly cost for access to the telemedicine or onsite health clinic
benefit, that could be factored into the FMV fee calculation.
If point-of-service charges are limited to HDHP participants, it does raise
a potential nondiscrimination issue under the Tax Code. However, if there is
a reasonable mix of both highly and non-highly compensated participants in
the HDHP and other medical plan options, this should not present a problem.
PPIs May Increase Stroke Risk
MyHealthGuide Source: Bruce Jancin, 11/23/2016,
Internal Medical News by MDedge
In Denmark, most PPIs are prescription only and use is
easily trackable, it's estimated that, at any given time, 7% of the adult
population is taking a PPI, often not as directed in the labeling.
Medical Stop-Loss Providers Ranked by Annual Premium Survey (last updated 11/11/2016)
MyHealthGuide Source: MyHealthGuide Editor's Note: The following is a recurring article. This Newsletter is often asked by readers for a list of medical stop-loss providers and their respective premiums. Below the first of a recurring article that attempts to lists stop-loss providers and annual premiums. Sources includes press releases, AM Best reports, conference presentations and more.
Other stop-loss leaders include the following list. However, we await reader response providing stop-loss premium volume (and additional carriers) so that each could be added to the table above.
Stop-loss Premium Volume is not the Whole Story
Industry executives question the purpose of a chart reporting only stop-loss premium without additional information such as:
Reader response and correction is encouraged. Sources will be cited. Please send updates / changes to Info@MyHealthGuide.com.
The Value of Self-Funding
MyHealthGuide Source: The Self-Insurance Educational Foundation, Inc. (SIEF), 2014, www.SIEFOnline.org The Self-Insurance Educational Foundation, Inc. (SIEF has published The Value of Self-Funding.
Self-funding is an important contributor to the financial and physical health of America's wellness future. Self-funding is more than processing claims and receiving premiums, it provides quality coverage and proactive healthcare management for employers of all sizes and industries.
About the SIEF
The Self-Insurance Educational Foundation, Inc. (SIEF) is a 501(c)(3) non-profit organization affiliated with the Self-Insurance Institute of America, Inc. (SIIA). The foundation's mission is to raise the awareness and understanding of self-insurance among the business community, policy-makers, consumers, the media and other interested parties. Visit www.SIEFOnline.org.
Video Highlighting Captive Solutions for Mid-market Companies
MyHealthGuide Source: The Self-Insurance Educational Foundation (SIEF), 5/11/2016, www.siefonline.org
The Self-Insurance Educational Foundation (SIEF) announced that it has released a new video highlighting captive insurance solutions for mid-market companies, including stop-loss captive programs, enterprise risk captives, and property & casualty group captives. Please click here to access the video.
The video can be accessed through the Foundation's web site at www.siefonline.org or by clicking here. The video includes a separate video focused on self-insured group health plans. Both videos can be private labeled by individual companies interested in using them for their own purposes. Contact Justin Miller at email@example.com or 800-851-7789 for more information about private labeling.
The Self-Insurance Educational Foundation, Inc. (SIEF) is a 501 c 3 non-profit organization affiliated with the Self-Insurance Institute of America, Inc. (SIIA). Its mission is to raise the awareness and understanding of self-insurance among the business community, policy-makers, consumers, the media and other interested parties. Visit www.siefonline.org.
ICD-10 Stop Loss Trigger Diagnosis Tools
MyHealthGuide Source: Industry Study Group (ISG), 9/19/2015
In the early 2000s a group of industry professionals collectively known as the Industry Study Group ("ISG") created a Standard Disclosure Notification form and a standardized list of ICD-9 diagnosis codes, known as the Trigger list. On October 1, 2015, our industry transitions to the new ICD-10 coding system. The ISG has once again undertaken the development of a new Trigger list based on the ICD-10 diagnosis codes. The new ICD-10-CM Trigger list is endorsed by SIIA and HCAA and supported by SPBA.
Below are useful links for members of the self-funded community including TPAs, stop-loss carriers, MGUs, and others.
December 6, 2016 - Webinar
3:00 p.m. ET / 12:00 p.m. PT
December 13, 2016 - Webinar
1:00 PM (EST) to 2:00 PM
January 18, 2017 - Webinar 1-2:15 PM EST
January 25, 2016 - Webinar 1-2:15 PM EST
January 29-31, 2017
January 30-February 1, 2017
February 1, 2016
- Webinar 1-2:15 PM EST
February 8, 2017 - Webinar 1-2:15 PM EST
February 8-10, 2017
Schedule and registration: www.hcaa.org/?page=2017EFSchedule
February 15, 2017 - Webinar 1-2:15 PM EST
February 22, 2017 - Webinar 1-2:15 PM EST
March 15-17, 2017
March 27-29, 2017 - A Hybrid Conference and Internet Event
March 28-30, 2017
April 18-19, 2017
May 3-4, 2017
July 17-19, 2017
September 13-15, 2017