Articles

5 months 3 weeks ago

Apex Management Group is committed delivering the most competitive products at the most competitive prices.  We could not do this without selecting the right partner organizations that consistently provide "best in class" services to our Apex customer base.  The following is letter from our network provider Multiplan.  The letter addresses how they effectively handled lab claims with their providers during the COVID-19 pandemic.  The bottom line, when MultiPlan saves money on claims, Apex clients save money.

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6 months 1 week ago

The Rise of State Individual Mandates

The following is an article addressing individual States reaction to the reduction if the Mandate penalty to $0 as a result of the Tax Cut and Jobs Act of 2017.  Several States have enacted their own ACA-style individual mandate requiring taxpayers to provide proof of coverage to avoid penalties.  The Article focuses on the obligations for employers sponsoring group medical coverage affected States.

8 months 1 week ago

The Families First Coronavirus Response Act is passed.

This bill responds to the coronavirus outbreak by providing paid sick leave and free coronavirus testing, expanding food assistance and unemployment benefits, and requiring employers to provide additional protections for health care workers.

8 months 1 week ago

In this article, a Physician hopes that if one positive thing comes out of the Coronavirus crisis, it will be an an increased reliance on telemedicine, something that he believes should have happened long ago.  Apex Management Group believes in the positive benefits that telemedicine  can bring to individuals, employers, and employer groups.  Telemedicine is a sponsored benefit in plans offered by Apex Management Group. 

8 months 1 week ago

The following is valuable information regarding the Novel Coronavirus called COVID-19.  This information and advice was provided in a letter to clients of Hawaii Mainland Administrators, a very valued partner of Apex Management Group.  Great information regarding prevention and testing for the virus.

 

Dear Valued Client,

8 months 1 week ago

The following is a March 14th, 2020 letter from Sedera Health to their plan members.  The letter addresses the Sedera medical cost sharing model and their ability to respond their Member concerns.  Also discussed are the resources Sedera has in place to provide COVID-10 (Coronavirus) information or help for those seeking direct care.  

Read More:  https://sedera.com/covid19letterfromceo/

 

9 months 2 weeks ago

The following document outlines the 2020 Employer Mandate Penalties for the Affordable Care ACT.

Read On: https://ca.wordandbrown.com/forms/Lists/WABCarrierFormsBucket1/ACA-REF-ERMAN4980H-SJ.pdf

Document Credit:  Word&Brown 

9 months 2 weeks ago

On January 1, 2020, Californians are now subject to a state-imposed mandate to obtain and maintain minimum essential coverage under a health insurance plan.  This mandate is similar to the one that used to be in force under the Affordable Care Act (ACA).  The FAQ addresses some of the questions being raised by individuals regarding this new State of California mandate.

10 months 4 weeks ago

With the calendar new year soon beginning, employers have to address annual compliance responsibilities regarding their health plans.  Missing a deadline, overlooking a compliance item, or miscalculating an item can result in significant non-compliance penalties. The following article provides valuable information regarding what employers need to know as the close out 2019 and begin 2020

Apex Management Group wishes you a prosperous New Year!

10 months 4 weeks ago

The following is an interesting article regarding Federal Government Transparency Rules for Hospitals and Group Health Plans.

The Final Rule for Hospitals will be effective January 1, 2021.  The Proposed Rule to bring greater transparency across the health care industry was issued by the Department of Health and Human Services, Labor and Treasury on November 15, 2019.

1 year ago

The United States has a strong economy and the Restaurant Industry needs si constantly competing to retain and attract good employees.  Offering employees an affordable and thorough benefits package is far wiser decision than absorbing the time, effort, and money needed to replace them, especially ones with experience.  Health care coverage is a key benefit needed for employee retention and Apex Management Group products can help make it affordable.

1 year ago

The Individual Health Care mandate at the Federal level was eliminated in January 2019.  However, many States have implemented their own mandates and penalties at both the employer and Employee level.  The following article focuses on how certain States are implementing their own rules and penalties for failing to comply with the ACA’s Employer Mandate.

1 year 1 month ago

Starting in 2020, a new California individual health insurance mandate will require state residents to maintain Minimum Essential Coverage (MEC) - or pay a tax penalty. 

1 year 1 month ago

While the individual mandate penalty is no longer applies at the federal level, California lawmakers have chosen to enact legislation to restore the individual mandate penalty in 2020. In order to avoid the tax penalty in California, you must have the minimum essential coverage.  Apex products are a great solution for meeting minimum essential coverage and more.

1 year 2 months ago

This Wall Street Journal Article from September 25th, 2019 validates our observations that Health Care coverage continues to climb higher.  The total cost of employer-provided health coverage passed $20,000 for a family plan in 2019.  Premiums rose 5% to hit $20,576 for a family plan.

Read On:  https://www.wsj.com/articles/cost-of-employer-provided-health-coverage-passes-20-000-a-year-11569429000?mod=djemalertNEWS