One of the most important financial and personnel-related decisions you can make for your startup is deciding on which health insurance plans to offer your employees. Throughout the Bay Area and Silicon Valley, COVID-19 has made many startups reevaluate their choice of health plans. Not to mention that investors may be looking for ways to […]

By Dillon Castro The New Normal During the time of consistent economic growth and low unemployment that we’ve experienced for most of the last decade, businesses have experienced unprecedented success. Unfortunately, rapid growth and prosperity in business can often cause inefficiencies to go unchecked. When times are good these issues may seem trivial or benign… […]

Since the Affordable Care Act (ACA) began to truly take affect (and in some cases well before) small to mid-size employers here throughout the San Francisco Bay Area and California at large have had challenges trying to control one of their biggest expenses outside of payroll: their health plan costs. Seemingly every year costs increase […]

Next time you receive a bill from a physician or a hospital, you may want to compare it with an Explanation of Benefits (EOB). As the insurer Cigna states, an EOB is “a statement from your health insurance plan describing what costs it will cover for medical care or products you’ve received.” While they may […]

The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans: The 2020 maximum annual limitation on cost sharing is $8,150 for […]

Question: Our company offers group medical and dental plans for all employees. We also have an executive-only medical plan that covers out-of-pocket expenses that the regular group plan does not pay. Does COBRA apply to the executive-only plan? Do we have to include it in our summary plan description (SPD)? Answer: The coverage continuation requirements of the […]

On May 28, 2019, the Internal Revenue Service (IRS) released Revenue Procedure 2019-25 announcing the annual inflation-adjusted limits for health savings accounts (HSAs) for calendar year 2020. An HSA is a tax-exempt savings account that employees can use to pay for qualified health expenses. To be eligible for an HSA, an employee: Must be covered […]

Question: Can an employee change a pretax plan election after the employer’s open enrollment window has closed but before the plan year has begun? Are there any potential downsides for allowing this? Answer: Yes, an employee may make a change to his or her benefit election after open enrollment has ended but before the plan year […]

Trying to decide which of the many employer-sponsored benefits out there to offer employees can leave an employer feeling lost in a confusing bowl of alphabet soup—HSA? FSA? DCAP? HRA? What does it mean if a benefit is “limited” or “post-deductible”? Which one is use-it-or-lose-it? Which one has a rollover? What are the limits on […]

As you look through enrollment options for 2019, remember to look back on 2018. Check out your spending on procedures and prescriptions, and which providers are in your network.