The goal of the Anthem National Drug List is to provide access to drugs and therapies with clinical evidence to improve the health of our members, while keeping health care affordable. Our drug lists include brand-name and generic prescription medications that have been reviewed through our Pharmacy and Therapeutics (P&T) process. Through the P&T process,…
A new law allows certain small employers–those with fewer than 50 full-time equivalent employees who do not offer a group health plan–to offer new “qualified small employer health reimbursement arrangements” to reimburse employees for qualified medical expenses, including individual health insurance premiums, for years after December 31, 2016. The law also includes a notice requirement…
In July 2016, the IRS released a proposed rule addressing how opt-out arrangements — arrangements whereby an employer offers its employees a cash payment in exchange for declining coverage under an employer-sponsored plan– are to be taken into account for purposes of determining whether the coverage is affordable under certain provisions of the Affordable Care…
When looking to manage benefits costs, employers have many ideas to consider. One in particular is whether and how to offer health care insurance to their employees’ spouses. The Affordable Care Act doesn’t require spousal coverage. It only requires coverage for dependent children. But many employees may frown on seeing spousal coverage suddenly become expensive…
Health Savings Accounts (HSAs) were created as a tax-favored framework to provide health care benefits mainly for small to midsize businesses and the self-employed. So, assuming your company falls into one of these categories, have you considered the strategy of using these accounts with a high-deductible health plan (HDHP)? Tax benefits The tax benefits of…
