New Private Health Exchange Solution for Health Benefit Cancellations

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New Private Health Exchange Solution for Health Benefit Cancellations

 

Defined Contribution and Private Health Exchanges Enable Client Retention

Small employers are increasingly canceling group health benefits for 2012.Private Health Exchange  Zane Benefits, Inc. (http://www.ZaneBenefits.com) is partnering with local brokers to offer these clients defined contribution solutions with new private health exchange technology.-Health Insurance Premium Reimbursement

Overview of the Private Health Exchange Market

Approximately 50% of U.S. small businesses with less than 50 employees do not offer group health insurance to their employees. This figure is expected to greatly increase in 2012 due to:

1. Employer Contribution Requirements – Insurance companies require a minimum percentage of the premium for each employee that must be paid by the employer, or the entire plan is cancelled;

2. Employee Participation Requirements – Insurance companies require a minimum percentage of employees join the group plan, or the entire plan is cancelled; and

3. Cost per Participant – Group health plans for 2012 are facing the greatest increase in the history of U.S. health benefits, due to increasing health care costs and new coverage requirements imposed by ACA (Health Care Reform).

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Zane’s Private Health Exchange technology platform directly addresses each of these issues.

With the Zane defined contribution platform, there is:

 

1. No Employer Contribution Requirement – The company sets a fixed dollar amount that it wishes to contribute to each class of employee.

2. No Employee Participation Requirement – The company sets its own eligibility and participation requirements. The plan can be active even if only 1 employee participates.

3. Much Lower Cost Per Participant with No Employer Minimum Premium Contribution – Individual health policies typically cost less than half the cost of equivalent group coverage for healthy employees, and new options, such as PCIP, are now available for employees who don’t qualify due to pre-existing medical conditions.

A defined contribution program must include all legal documentation to ensure compliance with applicable regulations.  Zane Benefits provides an IRS, ERISA, and HIPAA-compliant platform that includes electronic plan document creation and employee election processes.

“What makes the Zane program unique is that once an employer determines the defined contributions, the employees work with the broker to select an individual health plan,” says Sam Clarke of Zane Benefits.  “The employer’s role is limited to reimbursing employees using their existing payroll system, which typically takes less than 3-5 minutes per month.

“One of the more exciting features of the Zane platform is its seamless integration and compliance with up-and-coming health reform ideas.  There will be massive financial incentives in the upcoming years for employers to switch to defined contribution platforms, and Zane Benefits is at the forefront of providing this solution.”

About Zane Benefits, Inc. Private Health Exchange

Zane Benefits is a national leader helping solve one of our nation’s major problems—getting employees better health benefits at lower cost. Zane Benefits accomplishes this by providing employers an online SaaS platform that allows employees to make all their own spending decisions. The company is particularly poised to benefit from Health Care Reform and was recently featured on the front page of The Wall Street Journal.

Employers - Click here to learn more.

The Zane Benefits affiliate program provides a unique solution to the biggest challenge facing most insurance agents – policy cancellations. The Zane Affiliate Program gives agents the ability to retain clients who are cancelling group health insurance policies due to high cost or low participation.

Insurance Professionals - Click here to learn more. 

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Comments

I heard on the news that because of a drafting error with ObamaCare that ONLY people who choose the Private Exchange will recieve the subsidity. Is this correct?
Posted @ Friday, July 27, 2012 4:09 AM by John Lochner
John - It's actually the opposite. 
 
That is, only people who choose the Public Exchange will receive the subsidy. 
 
There is debate as to whether the subsidy will be available to people in States that elect to have the Federal government run the State's Public Exchange.
Posted @ Friday, July 27, 2012 6:13 AM by Rick Lindquist
Can 1099 ( employees ) participate in in employer sponsored health plan? 
 
Can the premium for individual health premiums be deducted 100% under individuals personal taxes
Posted @ Friday, November 09, 2012 4:19 AM by John Lochner
Hi John - See http://www.zanebenefits.com/blog/bid/97239/Offering-Defined-Contribution-Health-Plans-to-1099-Contractors
Posted @ Thursday, November 15, 2012 4:27 PM by Rick Lindquist
Can funds in an NRA be transferred to an hsa
Posted @ Monday, November 26, 2012 8:22 PM by Chip trefry
Hi Chip, By NRA, do you mean HRA? If so, the answer is no.
Posted @ Tuesday, November 27, 2012 7:24 AM by Rick Lindquist
Do you know if a small employer <50) designs a Defined Contribution HRA will his/her employees be able to still use the Public Exchange and get a subsidy?
Posted @ Tuesday, January 08, 2013 9:20 AM by John
Yes, assuming the employer does not offer an eligible employer sponsored plan that is affordable.
Posted @ Wednesday, January 09, 2013 11:24 AM by Rick Lindquist
How will the public exchange review the HRA contribution. Will it reduce the subsidy?
Posted @ Wednesday, January 09, 2013 11:28 AM by John Zawadski
As the regulations and laws are currently written, the HRA contribution (assuming it is not offered within an eligible employer sponsored plan), is irrelevant to the public exchange for purposes of determining eligibility for the individual premium tax subsidy.
Posted @ Wednesday, January 09, 2013 11:33 AM by Rick Lindquist
The regulation clarification that came out last week indicates an HRA or DC plan that reimburses premium for employees to go to the exchange, or any other individual plan, will not comply with section 2711 regarding the essential benefit limitation. It goes on to indicate that the HRA must be tied to a Group Health Insurance Plan that does meet the section 2711 regs. This seems to indicate that HRAs that are stand alone and offer any sort of health care reimbursement other than dental/vision will not comply with 2711 and so cannot be sponsored by groups as of 1/1/2014. Do you agree?
Posted @ Tuesday, February 05, 2013 10:42 AM by Karen Powell
Hi Karen,  
 
Yes - see http://www.zanebenefits.com/blog/bid/262620/New-Guidance-on-Integrated-Health-Reimbursement-Arrangements for the discussion on this topic.
Posted @ Tuesday, February 05, 2013 2:01 PM by Rick Lindquist
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Disclaimer: The information provided on this website is general in nature and does not apply to any specific U.S. state except where noted. Health insurance regulations differ in each state. See a licensed agent for detailed information on your state. Zane Benefits, Inc. does not sell health insurance.