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CGS Health Blog

Stay up to date on the latest healthcare news and content, gain insight from thought leaders and experts.

Blog Feature

Insurance Legislature  |  Self-funded

Recent Settlement Illustrates How NOT to Reduce Group Health Plan Costs

In an example of what NOT to do to as a tactic to manage group health costs, Dave & Busters was recently ordered to pay $7.4 million to workers in the proposed settlement of a class action lawsuit alleging the company reduced employees’ hours to render them ineligible for company health coverage.

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Blog Feature

Insurance Legislature

2019 Affordable Care Act (ACA) Law Alert

As we kick off 2019, it probably comes as no surprise that the debate over healthcare continues to rage on, but there have been recent developments that might affect both individual and employer-sponsored health coverage in the coming year.

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Group Health Plans  |  Insurance Legislature  |  Self-funded

New York Changes Small Group Definition Again

Under New York law and the Patient Protection and Affordable Care Act (ACA), the definition of "small group," as it relates to health plan eligibility, was established to be 1-100 employees, as of January 1, 2016.

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Insider

Self-Insurance 101

How Does it Work? Self-insured may sound like a contradiction in terms—after all, isn’t the point of insurance to have the financial backing of a major carrier to cover medical expenses? But in reality, self-insured plans can provide all the protection of a fully insured plan while delivering cost efficiencies to employers that those plans cannot.

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Blog Feature

Insider

Healthcare Policy Shakeup

Last summer, several versions of a healthcare bill were attempted in Congress, but none were successful and the debate still carries on. Regardless of your political affiliation, healthcare is a hot button issue for every American and the policy outlook remains complex.

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Blog Feature

NJ Individual Mandate

How Self-Insured Health Plans Can Help You Avoid State Mandate Penalties New Jersey is the second state to re-impose an individual mandate following the Congressional repeal under the passage of the Tax Cuts and Jobs Act. The individual mandate has been a key pillar of the Affordable Care Act (ACA) since its inception. The mandate requires individuals to maintain health benefits that meet the definition of minimum essential coverage (MEC) or pay a tax penalty of either 2.5 percent of adjusted household income or $695 per adult and $347.50 per child under 18 (capped at $2,085), whichever is greater.

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