• Beware of Stop-Loss Coverage Gaps When Choosing a Self-Funded Major Medical Plan

    The Affordable Care Act created significant interest among many staffing and hospitality industry employers to consider self-funded major medical plans to meet the financial needs of the organization and the benefit requirements of their associates.  Authors Alden Bianchi (Mintz Levin) and Ed Lenz (ASA Senior Counsel) evaluate the strategy and identify critical shortcomings and risks that the strategy may create for unwary employers.

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  • Balancing ACA Compliance, Coverage & Cost – HR Insights Magazine

    For employers anxiously eyeing 2016 compliance with the Affordable Care Act for their organizations, IAG CEO J. Marshall Dye outlines the essential balance needed to ensure compliance, provide coverage options and control costs in the brave new ACA world. The following article appears in the July/August issue of HR Insights, courtesy of MAMU Media.

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  • ESC Customer Service Indicators Strong, Achieve Industry-Leading Levels

    Even with a dramatic surge of 2014 business from staffing firms urgently seeking ACA-compliant solutions to eliminate penalties, Essential StaffCARE customer support metrics for 2014 and Q1 2015 have achieved unprecedented, industry-leading levels.

    Despite adding more than 500 new staffing company clients in 2014, with most coming online in the last 8 weeks of the year, all  groups have been absorbed into ESC’s Staffing Specific Administrative Platform (SSAP) and service metrics have reached industry-leading levels in multiple categories.

    While few health plan providers in the staffing industry can monitor any customer service metrics, ESC and their administrative unit proactively monitor more than 15 performance categories on a 24/7 basis.  The performance metrics are audited and validated by Blue Cross Blue Shield of South Carolina.  Among key 6-month metrics reported: 

    • 80,000 newly enrolled members in December 2014 and January 2015 alone
    • 779,000 calls received — +34.3% vs. prior year
    • 97.3% first call resolution of employee needs — compared to 97.4% prior year
    • 24 seconds average speed of call answer — up from 21 seconds prior year
    • 95.8% of claims processed within 14 days — improved from 95.3% prior year

    Leaders in the staffing industry have taken notice:  

    “On behalf of the ASA board, membership and staff, thank you (ESC) again for working so vigilantly to ensure that our members have had ACA compliant insurance products to choose from to meet their current and future needs. I have heard from several board members about the exemplary service that your team has provided to their companies over the past several months.” — Richard Wahlquist, President & CEO, American Staffing Association

    We couldn’t have said it better ourselves. 

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