The Benefits Brief

In this episode of NABIP’s Healthcare Happy Hour, sponsored by Nationwide Insurance, our new host, David Saltzman, interviews Sarah Ann Flaherty and Adam Sheehan from AccuRisk about the differences between fully insured and self-insured health plans. They discuss the benefits and risks of each type of plan, as well as the role of stop-loss insurance in self-funded plans. They also explore the flex...

Welcome back, one and all, to NABIP’s Healthcare Happy Hour podcast. Earlier this week, the association submitted our response to a Request for Information, or RFI, from the House Education and Workforce Committee. The RFI focused on the Employee Retirement Income Security Act of 1974 (much more commonly referred to as ERISA). In light of the law’s 50th anniversary, the committee issued this RFI t...

In this special edition of the Healthcare Happy Hour, we take you inside the halls of the 34th Annual Capitol Conference, held in Washington D.C. from February 25th to 28th, 2024. This episode, recorded live amidst the buzz and excitement of Cap Con, offers an unparalleled glimpse into the heart of healthcare policy discussions and developments that are shaping the future. Join NABIP's very own Da...

As our listeners are aware, NABIP’s 34th Capitol Conference is just around the corner, from February 25-28, 2024, here in Washington D.C. If for some reason you haven’t registered yet, we’re positive you’ll be clamoring to be registered as soon as this episode ends! We have the privilege this week of welcoming a very special guest: Amy Walter - the keynote speaker at this year’s Capitol Conference...

Happy New Year! We hope you all enjoyed the holidays after a long fourth quarter and OEP. We’re going to kick the year off today by discussing the comments that NABIP submitted to CMS regarding the recent, alarming, proposed regulations relevant to FMOs and Medicare agent compensation. We also saw a hotly anticipated proposed rule come out on Association Health Plans over the holidays, so we will...

Welcome back to NABIP’s Healthcare Happy Hour podcast! Earlier this week, NABIP submitted a response to a request for information, or RFI, from the tri-agencies on coverage of over-the-counter preventive services. But in addition to that, NABIP Director of State Affairs Max Karlin is making his official podcast debut to discuss his experience at the National Association of Insurance Commissioners,...

We hope you had a fantastic Thanksgiving holiday with your family and friends. As our Medicare agents are aware through our communications over the last few weeks, CMS recently issued a new Medicare Advantage proposed rule for the contract year 2025. Included in the draft regulation are provisions related to broker compensation and “administrative fees,” as well as proposed regulations impacting f...

Did you know that November is Long-Term Care Insurance Awareness Month? NABIP was the driving force behind the 2001 proclamation that established LTCI Awareness Month. LTCI is an area that grows more important every day, with over 10,000 individuals turning 65 daily and about 70 percent seniors requiring some form of long-term care. On this week’s episode of the Healthcare Happy Hour, LTC Advisory...

As I’m sure all of our listeners are aware, the open enrollment period is underway! Running from November 1 through January 15 (although consumers will actually get one additional day to enroll this year as January 15 falls on a federal holiday), the OEP is an opportunity for millions to get covered, especially those who have lost coverage during the Medicaid unwinding. In addition to the OEP, we...

On September 1, the National Association of Benefits and Insurance Professionals welcomed new Chief Executive Officer Jessica Brooks-Woods. Prior to NABIP, Jessica served as president and CEO of the Pittsburgh Business Group on Health. On this week’s episode of the Healthcare Happy Hour, Dan Parker is joined by Jessica to discuss what led her to NABIP, what her goals are for the association, and e...

Last week, Kevin McCarthy became the first speaker of the House in United States history to be ousted from the position via vote. This week, the House has scrambled to replace McCarthy. While the chamber has a temporary speaker in place, his powers are limited and the GOP majority must choose a permanent leader before anything can be considered on the floor. On this week’s episode of the Healthcar...

Since its passage well over a decade ago, the Affordable Care Act has fundamentally transformed health insurance and employee benefits – and every year there seems to be more regulation and legislation building on the landmark law. To best serve your clients, you need to be up to speed on all things ACA and beyond. On this week’s episode of the Healthcare Happy Hour, NABIP’s Dan Parker is joined b...

NABIP submitted a comment letter in response to a proposed rule on mental health parity. Mental health parity and network adequacy in the mental health space has been a prime issue for employers across the country, and NABIP, for several years now. This new proposed rule was issued in early August. On this week’s episode of the Healthcare Happy Hour, Senior Vice President of Government Affairs Joh...

Over the course of the past decade, the industry has seen a tremendous increase in the sophistication and costs of medical treatment options, including enhanced care of newborns, groundbreaking cancer treatments and pharmaceutical advancements like gene and cell therapies. These have created potentially big wins for patients with challenging diagnoses, but also brought about a continued trend in r...

Health insurance professionals who in the employer market are acutely aware of health reimbursement arrangements, commonly shortened to HRAs, and how they work. However, the world of individual coverage HRAs, or ICHRAs, is a relatively new form coverage that employers and brokers alike are still learning how to utilize effectively. On this week’s episode of the Healthcare Happy Hour, sponsored by...

NABIP submitted a comment letter earlier this week in response to a proposed rule by the Treasury Department, DOL, and HHS on short-term plans, fixed indemnity plans and excepted benefits coverage. The proposed rule also included a request for information on level-funded plans, broadly. On this week’s episode of the Healthcare Happy Hour, your favorite NABIP staff members John Greene and Michael A...

It’s September 1, which means it’s officially fourth quarter – though we probably didn’t actually need to tell you that. September 1 also means that we are just a couple of days away from the end of August recess. If you met with your lawmakers over the summer, please log those appointments using a link on NABIP.org, under Advocacy, then Legislative Issues. With that said, we have plenty to discus...

Welcome back to the Healthcare Happy Hour! Even though we are in the midst of August recess, a new bill that would resolve one of our Medicare issues has been introduced in the House. NABIP is calling on all members to contact their federal legislators and urge them to co-sponsor bipartisan legislation that would address this important issue. In addition to that, our listeners who work in the indi...

August Recess is underway! Every year, the House and Senate adjourn for the annual Congressional summer recess. This year, the House will be on recess until September 12 and the Senate will reconvene on September 4. This is a prime time to meet with your federal legislators about NABIP’s talking points, which this year is focused on getting the Employer Reporting Improvement Act across the finish...

As of June 18, agents and brokers who operate in states with a federally facilitated marketplace must obtain documentation that consumers they are working with have reviewed their eligibility for applying for coverage. Agents and brokers must also obtain documentation that the consumer consents to work with them when enrolling in advance payments of the premium tax credit and cost-sharing reductio...

As you saw in last week’s Washington Update, the administration released a proposed regulation that touches on short-term limited duration plans, fixed indemnity plans and level-funded plans. On the Congressional side, NABIP is looking at the PATIENT Act of 2023, a transparency bill that includes many provisions we support. In addition to these items, NABIP submitted a comment letter to the NAIC e...

We hope you enjoyed our Annual Convention in New Orleans at the end of June, and we hope you had an excellent Fourth of July. We did not host an episode of the Healthcare Happy Hour podcast last week, but that’s because we’ve been busy with our brand-new State Legislative Tracking Tool, available now on NABIP.org. On this week’s episode of the Healthcare Happy Hour, Senior Director of Government A...

On Wednesday, the House passed the Employer Reporting Improvement Act (H.R. 3801), a bill that provides much-needed relief for employers by easing certain aspects of the reporting requirements under Section 6055 and 6056 of the ACA. This has been an issue that NABIP has been active in for several years now, and for employer-reporting legislation to make it this far is truly exciting. On this week’...

This week is Senior Vice President of Government Affairs Marcy M. Buckner’s last here at the National Association of Benefits and Insurance Professionals. For several years, Marcy has been one of the premier voices on the Healthcare Happy Hour podcast – but that has just been a small piece of her duties at NABIP. After over 11 years, Marcy has left a substantial legacy and everyone, from staff to...

Earlier this week, the House Ways and Means Committee advanced the Employer Reporting Improvement Act which will simplify employer reporting on health insurance coverage. This is a priority that NABIP has long advocated on behalf of. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discusses what this big win means, along with details of what’s included in the bill and future...