Fourth Quarter Health Renewals

What to Expect from the Carriers Each carrier is treating the new Grandmothering legislation differently. If your business is up for renewal in the fourth quarter of this year (October, November, or December), then this guide will outline how your current California carrier is handling Grandmothered plans. For those who do not know, Grandmothering allows businesses with fourth quarter renewals the option to continue with their pre-2014 plans for one more year as long as they meet the Minimum Essential Coverage Guidelines from the Affordable Care Act. Carriers: Aetna – Will not be offering the Grandmothering options. Businesses wishing to renew with Aetna will have to enroll in a 2014 plan. Anthem – Will be allowing fourth quarter groups to Grandmother. To do so, groups must notify the carrier by the 10th of the month before the date of renewal. Blue Shield – Grandmothering will be allowed with Blue Shield groups. These groups must notify the carrier that they would like a Grandmothered plan by the end of their renewal month. Husband and wife groups will be eligible for a Grandmother renewal. Health Net – Will be offering the Grandmothering plan options. Just as Blue Shield, these groups have until the end of the month of renewal to notify the carrier to opt-in to a Grandmother plan. Kaiser – Will be allowing Grandmothering options. October renewal groups were required to opt-in by 8/15. November and December renewal groups are required to opt-out by 30 days prior to their renewal effective date. Sharp – Not participating in Grandmothering plans at this time. United Health Care – Will be Grandmothing plans...

Why to Transition Away From a PEO and How to Do It

Professional Employer Organizations (PEOs) have attracted many small to mid sized employers in California as an affordable solution to HR, liability, and managing the cost of health and workers’ compensation insurance. However, are PEOs as beneficial to businesses as they once were? Some companies are a great fit for PEOs, but it takes a specific type of company to mesh with the PEO niche. For many businesses in California, providing the benefits of a PEO outside of the PEO structure results in a higher quality of service at a lower cost to the company. If you are an employer considering a transition out of your current PEO relationship, the following questions will be important in your analysis. Sometimes calculating the cost/benefit analysis of a PEO can be difficult, and it can be very beneficial to reach out to a company that understands the nuances of PEOs and the alternatives. New City Insurance is well suited to help California businesses determine whether or not their PEO is the best option for them.  What to consider when evaluating your PEO 1. Is similar or better health coverage at a comparable or reduced rate available to my business outside my PEO? 2. Am I able to obtain workers’ compensation and employers practice liability insurance at comparable coverage levels and cost outside of my PEO? 3. Is the HR service from my PEO so valuable that I would have to hire my own HR personnel to replace it? 4. Will my State Unemployment Income (SUI) rate increase or decrease by leaving my PEO?   If you are uncertain about any of these questions,...
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