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Fully Insured vs Self-Insured vs Level-Funded: What Does It All Mean To The Small Employer?

Fringe Benefit Analysts

What Is a Fully Insured Health Plan? Fully insured” is what most people mean by “ insurance ” or group health insurance. These individuals or employers are then free to accept the new premium rates or shop around with other insurance carriers. What Is Pooling?

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Best practices to avoid receipt requests

Benefit Resource Inc.

Confirm enrollment in a health plan To receive automatic approval for co-pays, certain co-insurance, and deductible expenses, make sure your employer has reported you as enrolled in the company health plan. An Explanation of Benefits (EOB) from your insurance carrier or healthcare provider gets it resolved in no time.

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Are Level Funded Health Plans Your New Benefits Alternative?

PeopleStrategy

HR departments are charged not only with finding employees comprehensive and affordable benefits including health insurance coverage, but also watching their part of the overall company bottom line. With rising healthcare costs, it can be challenging to find a solution that meets the needs of your business and your employees.

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Benefits Advocate: The Secret to Healthcare Literacy and Cost Control

Corporate Synergies

A benefits advocate who delivers the how and why of plan use when employees are asking for assistance helps the employer control health insurance costs. Elevating employee healthcare literacy can ward off potential issues, but the process should begin at the point when plan participants need help: when they call a benefits advocate for help.

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Texas Court Stresses Comp Carrier is Entitled to Full “First Money” in Worker’s Third-Party Tort Settlement

The Workcomp Writer

Stevenson countered that the trial court should limit Texas Mutual’s recovery to $27,519, before deductions for attorney’s fees and expenses to Stephenson’s counsel. Insurance Co. Texas Mutual filed a petition in intervention to recover its subrogation lien. Subrogation Hearing. Appellate Court’s Opinion. 3d 650, 651 (Tex.

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Why Transparency Has Become a Trending Topic for Benefit Agencies

GRA Benefits Group

Healthcare is one of the only services where the costs are vague and confusing. Though deductibles and out-of-pocket limits are more defined, what is covered, and how much is often impossible to predict. Advocates have arrived in the form of third-party vendors, apps, and even insurance carriers. Transparency.

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Creating the “Urgent Care First” Mindset for Employee Benefits

Corporate Synergies

Adopting an urgent care first mentality can help employees and employers control healthcare costs. Urgent care centers are popping up everywhere, which means getting quick healthcare is easier and more convenient for patients. 4 Healthcare Dive , “Study shows impact of urgent care centers on nonemergent ED usage”. As Seen In.