When navigating the world of health insurance, you will likely encounter the term PPO (Preferred Provider Organization). A PPO plan - whether medical or dental - is about balancing the cost and convenience of care. With a PPO plan, you get the flexibility to see a wide range of doctors. You'll save money by staying [...]
PwC’s latest annual analysis forecasts that group health insurance costs will increase by 8.5% in 2026—the third straight year at this elevated trend. This sustained rise means health care expenses are now similar to those seen 15 years ago, after a brief dip post-pandemic. Researchers gathered data from actuaries at 24 major U.S. health plans, [...]
Change management is a necessity in today's workplace. Digital transformation, hybrid work and automation are forcing people to adapt, learn new things and evolve. HR professionals are uniquely positioned as both architects and ambassadors of change. Discover guidance for navigating these transformations: 1. Assess the preparedness of the workforce Whenever big change is coming, organizations must determine how ready their people are [...]
Open enrollment doesn't have to be a stressful administrative task. When planned well in advance, it becomes a valuable opportunity to review and enhance your benefits offerings, demonstrating your commitment to your team's physical, mental, and financial well-being. A well-executed open enrollment can boost employee morale, improve retention, and ensure your workforce is supported. Use [...]
Health care terms, medical bills, and forms can be hard to understand. Here are some common health care terms, and what they mean. Allowed Amount This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” For example, if you [...]
Employers will see several changes to their health and welfare benefits due to comprehensive new tax and spending legislation. This includes notable improvements to Health Savings Accounts (HSAs), Dependent Care Flexible Spending Arrangements (DCFSAs), and employer-provided student loan payments, as well as the introduction of some new fringe benefit choices. These updates introduce significant changes [...]
Big changes are coming to women's preventive care coverage! Starting with plan years on or after December 31, 2025, group health plans and health insurance issuers must expand their no-cost coverage for women's preventive care. This expansion includes additional breast cancer imaging or testing needed to complete an initial mammogram, as well as patient navigation [...]
Change management is a necessity in today's workplace. Digital transformation, hybrid work and automation are forcing people to adapt, learn new things and evolve. HR professionals are uniquely positioned as both architects and ambassadors of change. Discover guidance for navigating these transformations: 1. Assess the preparedness of the workforce Whenever big change is coming, organizations must determine how ready their people are [...]
Ever found a confusing document in your mailbox after a doctor's visit, wondering if it's a bill, especially with an "amount you owe" at the bottom? You're not alone! That document is most likely an Explanation of Benefits (EOB) from your health insurance company. It's crucial to remember: an EOB is NOT a bill. Think [...]
Flexible Spending Accounts (FSAs) offer unique advantages for managing health and dependent care expenses, but they operate differently from standard savings or spending accounts. Below are five essential facts about FSAs, along with common myths and clarifications to help you make the most of this benefit. Key FSA Facts: Tax Advantages: A major perk of [...]
