Canopy Nation Blog

Insurance News
Christina Babu

What can a risk management firm do for you?

Risk management is the bread and butter of what we do at CanopyNation. We work with clients to determine the best solutions to minimize harm, manage legal disputes and lessen financial impact when confronted with unexpected events. Such events can range from medical needs to property protection to disability. Keep reading to find out if you need a risk management firm. But first… What is a risk management firm? CanopyNation works with organizations and individuals to assess potential risks. We holistically identify and measure risks people face every day and determine what protections to implement based on their lifestyle and personal situation. For example, protections could include insurance for someone faced with disability or prolonged illness or if they outlive their primary caretaker. Without risk management, one can experience financial hardship. A risk management firm can recommend what protections are best for you and your loved ones. What risks can CanopyNation protect? Our insurance experts are versed across a wide range of insurance plans that address the risks in your life and help mitigate unforeseen costs. Coverage plans we manage include but are not limited to: Medical Dental and vision Life Short and long-term disability Long-term care Property and casualty Transportation/fleet How do I know if I need risk management? No one is immune to countless risks that can cause physical and financial harm. We’re not trying to instill fear, but a precautionary mindset will reap benefits in the long run. Everyone’s personal situations differ from their family size to health history to net worth. We can customize a risk management strategy to protect you and your loved ones if and when the unexpected occurs. Peace of mind is what you get when you join CanopyNation. We can be the shelter you need on a rainy day. To schedule a risk assessment for your organization or family, contact us today at hello@joincanopynation.com or 901-805-2860.

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Insurance Tips
Christina Babu

Determining a health benefits strategy for a multi-generational workplace

Determining a health benefits strategy for a group is challenging as it is. When you add different generations in the mix, each with differing priorities, it can feel impossible to please everyone. Health benefits are a large factor in employee satisfaction, so getting your strategy right is vital to your organization. Here are a few ways that can help you determine a plan that’s right for your multi-generational employees. Determine your demographic. According to UnitedHealthcare, 19% of the workforce are baby boomers, 36% are Generation X, 39% are millennials and 6% are Generation Z. Each generation comes with their own unique preferences for care and health issues. Every organization is different, but a good first step is determining who makes up the most of your office’s population. If you have more baby boomers, know they will want quality care and cost, while if you have more Gen Z employees, they will want more cost-effective, digital options. Survey your office. Everyone wants to be heard and feel seen, so your human resources department can go directly to your employees and ask what is most important to them in a plan and what they could deal without. There are many facts and charts on the internet that show what employees by generation are looking for in a plan, but you won’t know until you ask. Around 80% of an organization’s health care spending goes toward medical and pharmacy benefits, so be sure to do your due diligence in asking your employees about those. Promote health. Being proactive in your employees’ health is a more cost effective and beneficial approach. Examples include providing yearly reminders for wellness checkups, investing in a wellness plan, giving employees mental health days or educating them about living a healthy lifestyle. A preventive approach is something each generation can benefit from! Go digital. Technology in the medical field is more prevalent than ever. Though Gen Zers prefer digital tools like telehealth services when it comes to their health, most generations are now familiar with digital services. Look for features that are easy to use and accessible for all and you can satisfy everyone’s needs. We know choosing the right plan can be a complicated process. Our experts at CanopyNation are equipped with the tools and knowledge to help you choose a plan that best suits your organization’s needs. Reach out today to get started!

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Insurance News
Christina Babu

What you need to know about Gag Clause Prohibition Compliance Attestation

Insurance companies now have to ensure patients have full access to their health care costs. Previously, insurance companies had gag clauses in place that prevented patients from seeing specific data regarding their treatment. With the new Gag Clause Prohibition Compliance Attestation in place, patients have easier access to their own data than ever before. The GCPCA prevents group insurance plans and health insurance issuers offering group health insurance from entering an agreement with a health care provider, network or association of providers, third-party administrator or other service provider that restricts a plan or issuer from the following: Providing provider-specific cost or quality of care information through a consumer engagement tool. This includes any other means to referring providers, the plan sponsor, participants, beneficiaries or enrollees, or individuals eligible to become participants, beneficiaries or enrollees. Electronically accessing de-identified claims and encounter information or data for each participant, beneficiary or enrollee in the plan or coverage upon request. It must be  consistent with the privacy regulations covered by section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Genetic Information Nondiscrimination Act of 2008 (GINA) and the Americans with Disabilities Act of 1990 (ADA), including, on a per claim basis: Financial information (the allowed amount or any other claim-related financial obligations in the contract) Provider information (including name and clinical designation) Service codes Any other data element included in transactions Sharing any information or data described in the previous two points, or directing such information to be shared with a business associate, consistent with the privacy regulations in section 264(c) of HIPAA, GINA and the ADA. On the flip side, PHS Act section 2799A-9(a)(2) prohibits health insurance issuers from offering individual health insurance from entering an agreement with a health care provider, network or association of providers, or other service providers that restrict a plan or issuer from the following: Providing provider-specific price or quality of care information through a consumer engagement tool. This includes any other means, referring to providers, enrollees or individuals eligible to become enrollees of the plan or coverage. Sharing, for plan design, plan administration, and plan, financial, legal and quality improvement activities, and data from the first point with a business associate, consistent with the privacy regulations in section 264(c) of HIPAA, GINA and the ADA. Plans and issuers are required to submit an attestation of compliance annually to the Departments of Labor, Health and Human Services and the Treasury. The Centers for Medicare & Medicaid Services collects GCPCAs on their behalf. Attestations are due on Dec. 31 of each year. If you have any questions or concerns about what GCPCAs mean for your organization, don’t hesitate to reach out to the CanopyNation team.

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Insurance Tips
Christina Babu

How to Spot Errors on Your Medical Bill

Health care advocates found that approximately 80% of medical bills in the U.S. contain at least one error. This alarming statistic means it’s crucial you carefully review your bill to make sure you aren’t overcharged for medical services. Checking your medical bill isn’t as complicated of a process as it may seem. We have a few tips to make sure you are being charged accurately. 1. Request and review an itemized bill. Bills received by mail are typically just a summary of the services you received. This means you can’t see every charge and what it was for. Itemized bills have specific medical codes that show exactly what the charges apply to. Once you receive the itemized bill from the billing office, carefully review it and look up any medical codes you don’t understand. 2. Verify dates of service. When you receive and look through your itemized bill, look closely at the small details. Double check the dates of your service, date of birth and insurance information. Although the date of service seems minuscule, it can impact how your insurance coverage assists your payments or how much of your bill counts toward your deductible. 3. Compare the Explanation of Benefits to the bill. Every bill should come with an EOB summary from your insurance provider. The EOB shows how much of each medical bill charge was covered by your insurer versus how much you owe. If you have questions about your EOB, reach out to your provider. 4. Check for upcoding. Upcoding is when there is a charge for a more expensive service than you received. If the charge seems too high or out of the ordinary, mark it as a potential error. Upcoding is difficult to check for but is one of the more costly mistakes that occurs. 5. Look for canceled services. It’s not uncommon to find inaccurate charges on your bill when a doctor cancels a particular lab or service. Doctors run many tests and labs and sometimes services that were canceled can still appear on your bill. If you aren’t sure if you received a particular service or not, reach out to your provider. 6. Call the billing office. Billing representatives are there to help answer any questions you may have about your bill. Once you’ve reviewed and marked up your bill with potential issues, it can be beneficial to talk it through with a billing representative. Medical bill errors are common, but you have the power to double check the bill and save your money. Take charge of your health care dollars by reviewing your medical bill thoroughly. If you have questions on your bill, be sure to reach out to your provider.

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Company Benefits
Christina Babu

What to know about offering life insurance as a benefit

Life insurance is one of the most common employer-provided benefits. Though life insurance is an important asset for future financial security, many employees don’t realize its significance. Teaching employees about the value of life insurance may increase loyalty to your company as they better appreciate this benefit. Employer-sponsored coverage can be offered in a variety of ways. Employers can choose between a term policy, permanent coverage or both. Term life insurance has a specified coverage period (term), but can usually be renewed or converted into a permanent policy at the end of a term. Premiums are generally affordable initially, but can increase substantially when renewed. Permanent life insurance is life-long coverage that generally also includes a cash value savings component. There are many types of permanent life insurance, including whole, universal and variable. This type of coverage has higher premiums, but offers more long-term value. Cost-sharing among employers and employees also varies between organizations. Some employers cover the full cost, some require employees to pay the full premium and others split the cost with employees. A common scenario among CanopyNation clients is a group-term policy, which is no cost to the employee and provides a coverage amount that is a multiple of their annual salary (usually one to five times their annual pay). Group-term policies often end when an employee leaves the organization (or passes away), but employees may be able to convert it to a permanent policy or renew it upon leaving. This is generally an affordable plan for employers to offer, though it does not offer as much long-term value to employees as a permanent plan. Many employers who offer such a group-term policy also offer additional voluntary coverage options, in which the employee pays the full cost but still receives the benefit of group rates and payroll deductions. Additional coverages offered may include: Spouse/dependent life insurance in which group-term policies only cover the employee. Supplemental term life insurance for the employee to elect a higher amount than the employer offers. Supplemental permanent coverage, which provides a whole, universal or variable life policy in addition to the term policy. Accidental death and dismemberment (AD&D) coverage. Premiums for life insurance offered by the employer are generally deductible as ordinary and necessary business expenses (unless the employer is the beneficiary of the policy). Additionally, the cost of employer-provided group-term life insurance is excludable from the employees’ gross income (up to $50,000 of coverage). However, the plan must meet special nondiscrimination rules or key employees may not be eligible to exclude the cost of their coverage from their gross income. Showing life insurance’s value to your employees Many employees do not realize the financial benefits of a life insurance policy until they think through life-altering issues. Ask employees to envision the debt and financial responsibilities that loved ones would face in the event of their death. If the employee is the primary household income, how will the family support themselves? If the employee dies and leaves behind a mortgage or substantial medical bills, who will have the burden of paying that debt? If you offer a permanent coverage option, explain the value of having the cash benefit component to the policy. Emphasize to employees that buying life insurance on their own is costly. Even if your group coverage is employee-paid, you are still offering significant advantages: Lower rates through a group policy than if buying individual coverage No medical review required for group policies, as opposed to individual policies where an unfavorable medical exam could disqualify the individual or trigger extremely high premiums Be sure to inform employees on restrictions regarding this issue, such as a requirement to enroll when first eligible to avoid a medical exam. Convenience of payroll deductions for premiums Educating employees on the benefits of life insurance in general and the advantages of purchasing through your group plan can help increase awareness and participation, boost loyalty, and support hiring and retention initiatives. What to consider before offering life insurance as an employee benefit When deciding to offer life insurance as an employee benefit, there are a number of factors to consider: What type of coverage will you offer? Will you offer term insurance, permanent or both? Who will be covered? Will you cover employees only or also retirees, spouses and dependents? Note: Only employees can be covered under a group-term policy. When is coverage effective? Will there be a waiting period? What amount of insurance will be available? How will that amount be determined, i.e., flat fee vs. multiple of salary? Will you, the employee or both of you pay the premiums? Will there be a minimum amount that employees are required to elect? What is the maximum coverage amount allowed? Once you have an idea about the type of coverage you’d like to offer, CanopyNation can help you find a plan that meets your needs. To get started or for more guidance, contact us at hello@joincanopynation.com or 901-805-2860.

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Legislation Updates
Christina Babu

IRS Releases 2024 Benefit Plan Limits

The Internal Revenue Service recently released the 2024 benefit plan limits in the Internal Revenue Code. These updates were based on the annual cost-of-living adjustments. The new limits take effect on Jan. 1, 2024. Employers should update their Summary Plan Descriptions and other materials highlighting the annual dollar limits. For assistance on updating your documents and communicating this new information with your employees, please contact the team at CanopyNation at hello@joincanopynation.com or 901-805-2860. Welfare plans and fringe benefits Health FSA: $3,200 limit proposed for 2024 (up from $3,050 in 2023) The proposed carryover amount from 2023 to 2024 is $640, up from $610 last year. Dependent care assistance plan: Married and filing together = $5,000 proposed for 2024 (same as last year) Married and filing separately = $2,500 proposed for 2024 (same as last year) HDHP minimum annual deductible: Self-only coverage = $1,600 for 2024 (up from $1,500 in 2023) Family coverage = $3,200 for 2024 (up from $3,000 in 2023) HDHP out-of-pocket maximum: Self-only coverage = $8,050 for 2024 (up from $7,500 in 2023) Family coverage = $16,100 for 2024 (up from $15,000 in 2023) HSA maximum contribution: Self-only coverage = $4,150 for 2024 (up from $3,850 in 2023) Family coverage = $8,300 for 2024 (up from $7,750 in 2023) Catch-up contribution for participants over age 55 = $1,000 (same as last year) “Key employees”: Officer group = $220,000 for 2024 (up from $210,000 in 2023) More-than-one-percent owner = $150,000 for 2024 (same as last year) Highly compensated employee: $155,000 for 2024 (up from $150,000 in 2023) Retirement benefits Social Security taxable wage base: $168,600 for 2024 (up from $160,200 in 2023) Basic limit on elective deferral amounts: $23,000 for 2024 (up from $22,500 in 2023) Limitation on catch-up contributions for participants over age 50 = $7,500 or 2024 (same as last year) Elective deferral limit for SIMPLE plans: $16,000 for 2024 (up from $15,500 in 2023) Limitation on catch-up contributions for participants over age 50 = $3,500 or 2024 (same as last year) IRA maximum contribution limit: $7,000 for 2024 (up from $6,500 in 2023) Limitation on catch-up contributions for participants over age 50 = $1,000 or 2024 (same as last year) 457 elective deferral limit: $23,000 for 2024 (up from $22,500 in 2023) Annual dollar limit on includible compensation: $345,000 for 2024 (up from $330,000 in 2023) Annual dollar limit on contributions: $69,000 for 2024 (up from $66,000 in 2023)

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