Health and Life

• Health Insurance
  The Departments of the Treasury, Labor, and Health and Human Services (the Departments) have issued the Transparency in Coverage final rules (85 FR 72158) on November 12, 2020. The final rules require non-grandfathered group health plans and health insurance issuers in the individual and group markets (plans and issuers) to disclose certain pricing information. Under the final rules a plan or issuer must disclose in-network negotiated rates and billed and out-of-network allowed through machine-readable files. Plans and issuers are required to make these files public starting in 2022.
• Disability Insurance
  The State of Ohio defines "Third party administrator" as: "any person that adjusts or settles claims in connection with life, dental, vision, health or disability insurance plans, self-insurance programs or other benefit plans for a sponsor of a plan if either the sponsor or the plan is domiciled in this state or has its principal headquarters or principal administrative offices in this state."
• Long Term Care
  Effective for 2012 W-2s issued to employees beginning in January 2013, employers are required to report the cost of coverage under an employer-sponsored group health plan on the W-2 form. All employers providing employer-sponsored coverage under a group health plan are subject to the reporting requirement; however, there is a temporary exception for employers that file fewer than 250 W-2s – these employers are not required to report the cost of health coverage until the IRS issues further guidance. Excluded from the new reporting requirement are contributions to HSAs, employee contributions to FSAs and the costs for items like long-term care insurance and stand-alone dental and vision coverages. The amount that must be reported includes both employer and employee contributions. The IRS states that this information is for information purposes only and will not cause employer-provided health coverage to become taxable. Employers may choose to consider a special communication to employees explaining the new number that will appear on their Form W-2 for the year 2012 and emphasizing that this is mandated by the healthcare reform law for informational purposes only and does not affect their tax withholding in any way. The reportable cost of employee health coverage is generally determined by referring to the premium charged. Alternatively, employers may determine the reportable cost by calculating the COBRA applicable premium. Reportable cost of coverage must be determined on a calendar year basis, even if the plan has a different plan year. Compiling this data involves computing each employee’s premium by analyzing the type of coverage each month (single, family) times the applicable premium for each month of the calendar year.
• Dental Insurance
  We provide dental insurance plans on a fully insured or self-funded basis, depending on your needs. We work with you to understand what your cost containment needs are and provide network solutions based on what would work best for you.
• Vision Insurance

Business

• Workers Compensation Insurance
  Any person who administers or operates exclusively the workers' compensation program of an employer who has been granted self-insurance status pursuant to section 4123.35 of the Revised Code;