Employee Benefit Guidance & Compliance Solutions

Human Resources

Healthcare Renewal is a Great Time for a 360 Degree Review

Posted by on September 30, 2021 in Human Resources

January is a big month for healthcare renewal and a good time to start reviewing your broker relationship. A strong broker / client relationship should be collaborative, a true partnership. Before you meet with your current broker it is wise to do a full 360 degree review your current relationship. Asking your key stakeholder for feedback can be a very valuable tool in showing you care and place employee wellbeing high on your priority list. Here are some key questions for the three main stakeholders to consider or give feedback on: Employers Is our broker earning the fees we are paying them? Do I have unnecessary “add on” costs? How often do I hear from them? How creative are they in providing options and alternatives to control cost without unnecessary disruption for our employees? How responsive are they to our issues and concerns? Do they protect us with compliance...

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Changing Furloughs into Layoffs? Do it properly!

Posted by on December 18, 2020 in COBRA, Human Resources

Employers that are looking to change furloughs into permanent layoffs need to be sure that they are doing so in accordance with regulations set by COBRA and the Worker Adjustment and Retraining Notification (WARN) act. It is important to stay in compliance with the WARN Act and COBRA to ensure your security from fees! When the WARN Act Applies: The WARN Act requires covered employers to provide at least 60 calendar days’ advance written notice of a worksite closing affecting 50 or more employees, or a mass layoff affecting at least 50 employees and one-third of the worksite’s total workforce or 500 or more employees at a single employment site during any 90-day period. An employment loss is defined as a situation where an employee: Is terminated, other than a discharge for cause, voluntary departure, or retirement. Has been laid off for more than six months. Suffers a reduction in...

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Medicare Eligibility: Who pays first?

Posted by on December 2, 2020 in Human Resources, Notices

Message to Employers with employees for whom Medicare is the primary payer PF Compass wants you to know some important rules for your Medicare-eligible employees. Eligible members are encouraged to enroll in Medicare in order to maximize their health plan benefits and minimize expenses. If your employer has an employee headcount of twenty or more employees, a commercial health plan is the primary payer. If your employer has an employee headcount of under twenty employees, Medicare is the primary payer. It’s important for eligible members to enroll in Medicare Once a member is eligible for Medicare as their primary payor, and if they are not enrolled in Medicare, health plans will coordinate benefits with their group coverage and pay benefits as though they were enrolled in Medicare Part B. This means that benefits will be paid by subtracting the amount that Medicare would have paid (usually 80 percent of...

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COVID-19 and COBRA: What does it mean?

Posted by on November 19, 2020 in COBRA, Human Resources

Confused? Many employers are becoming confused amidst the COVID-19 extensions and COBRA deadlines. We are seeing a changing workforce, along with a spike in retirement, layoffs, and furloughs. These events are causing employers to be met with COBRA rules more than ever. If you are confused, don’t worry! We outlined the rules in the following posting and we are always just a click away. COVID-19 and COBRA: The Rules The Federal government has extended certain COBRA deadlines for both group health plans and their plan members due to the current pandemic. These extensions were in response to the national emergency with respect to the coronavirus (COVID19) outbreak (“National Emergency”). The government has provided that the period starting March 1, 2020, and ending 60 days after the announced end of the National Emergency is the “Outbreak Period”. The government has not yet identified the end date of the National Emergency,...

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Guidance on the COVID-19 Vaccination

Posted by on November 13, 2020 in Human Resources, Notices

Important notice concerning guidance on the COVID-19 vaccination has been released by the Departments of Labor (DOL).  This is extremely important to your business, as new advances are being made on the vaccination daily. PF Compass will continue to update on any new information found to keep you and your business updated and informed! The Scoop   On Nov. 6, 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (Departments) published an interim final rule requiring Medicare, Medicaid, and private insurers to cover a COVID-19 vaccine without any cost-sharing, once the Food and Drug Administration (FDA) authorizes and approves a vaccine. COVID-19 Vaccine Coverage for Private Health Plans.  The interim final rule implements the requirement in the Coronavirus Aid, Relief and Economic Security (CARES) Act that non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage provide coverage,...

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Save Time on Enrollment

Posted by on November 11, 2020 in Human Resources

The future of enrollment is here. No longer are the days of chasing down your co-workers for paper forms and trying to read illegible handwriting. With Ease, you can save time on enrollment and much more!

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