Not exact matches
The Healthcare Reform Law, including The Patient Protection and Affordable Care Act and The Healthcare and Education Reconciliation Act
of 2010, could have a material adverse effect on Humana's results
of operations, including restricting revenue,
enrollment and premium growth in certain products and market segments, restricting the company's ability to expand into new markets, increasing the company's medical and operating costs by, among other things, requiring a minimum
benefit ratio on insured products, lowering the company's Medicare payment rates and increasing the company's expenses associated with a non-deductible health
insurance industry fee and other assessments; the company's financial position, including the company's ability to maintain the value
of its goodwill; and the company's cash flows.
As we approach the end
of the year, many companies are holding their annual
benefit «open
enrollment» periods where employees must decide on various health care, dental, FSA, stock purchase plans, life
insurance, education reimbursement, and other employee
benefits for 2012.
Additionally, «we» or «us» shall mean any third party providing
benefits, services, or products in connection with the Account (including but not limited to credit reporting agencies, merchants that accept any credit device issued under the Account, rewards programs and
enrollment services, credit
insurance companies, debt collectors, and all
of their officers, directors, employees, agents and representatives) if, and only if, such a third party is named by you as a co-defendant in any Claim you assert against us.
Filed Under: Career Tagged With: College, Employer, Employment, Graduate, Health Care, Health
Insurance, Health Savings Account, healthcare,
Insurance, Job
Benefits, Open
Enrollment, Small Business, Work
Benefits Editorial Disclaimer: Opinions expressed here are author's alone, not those
of any bank, credit card issuer, airlines or hotel chain, or other advertiser and have not been reviewed, approved or otherwise endorsed by any
of these entities.
If a group health plan provides health
benefits solely through an
insurance contract with a health
insurance issuer or HMO, and the group health plan creates or receives protected health information in addition to summary information (as defined in § 164.504 (a)-RRB- and information about individuals»
enrollment in or disenrollment from a health
insurance issuer or HMO offered by the group health plan, the group health plan must maintain a notice that meets the requirements
of this section and must provide the notice upon request
of any person.
Benefits, features and coverages are subject to conditions, limitations and exclusions, including a pre-existing condition exclusion, that are fully described in the Certificate
of Insurance which is issued if accepted for
enrollment.
Aside from that, you can consider a short - term health plan, off - exchange plan (some private insurers sell policies outside
of open
enrollment), limited
benefits plans or another alternative to traditional
insurance.
The definition
of a «contributing entity» at § 153.20 provides that for the 2015 and 2016
benefit years, a contributing entity is (i) a health
insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health
insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management
of internal appeals, or plan
enrollment for services other than for pharmacy
benefits or excepted
benefits within the meaning
of section 2791 (c)
of the PHS Act.
If you miss your company's open
enrollment period for health
insurance benefits, you may be out
of luck.
My objective is to bring my skills as
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Typical duties
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enrollment and eligibility, developing coverage,
benefits and plan products including procedure and diagnosis codes, claims processing with rules definition, billing and premium, provider - physician and hospital contracting, credentialing, provider reimbursement methodologies, finance, revenue and payments, clinical care, medical management and authorizations and coverage guideline policies, broker / agent operations, EDI, IT Integration, IVR scripting, Microsoft SharePoint and C - Suite data management and reporting, and all Kentucky Dept
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I am Senior Human Resources Coordinator who has over 20 years
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