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March 31,<sup> </sup>2014.<o:p></o:p></div>
<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:blogger='http://schemas.google.com/blogger/2008' xmlns:georss='http://www.georss.org/georss' xmlns:gd="http://schemas.google.com/g/2005" xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-7225966120626627709</id><updated>2024-02-19T16:24:39.410-08:00</updated><category term="Affordable Care Act."/><category term="Employer Sponsored Health Insurance"/><category term="Health Care Reform"/><category term="Health Insurance"/><title type='text'>AultCare </title><subtitle type='html'></subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://blog.aultcare.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>9</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-3652497956300231494</id><published>2013-12-31T10:44:00.001-08:00</published><updated>2013-12-31T10:44:16.630-08:00</updated><title type='text'>AultCare: A plan developed with the community in mind</title><content type='html'><div style="background-color: white; border: 0px; color: #333333; font-family: Raleway, Arial, sans-serif; font-size: 16px; line-height: 26px; outline: 0px; padding: 0px 0px 10px; vertical-align: baseline;">
<strong style="background-color: transparent; border: 0px; color: #1c1c1c; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Success is a Reflection of Dedicated, Hard-Working Staff</strong><br />
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In 1983, Aultman Hospital President Richard Pryce called in his young personnel director Rick Haines. “Rick, I have a project for you,” said Pryce. “We need to start our own health plan, our own insurance company.” The goal, said Pryce, was to develop a quality plan with low premiums. The premium savings to companies, both agreed, would benefit the community.</div>
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Haines, who joined Aultman in 1981, had been part of a team working to reduce costs in the hospital. Pryce foresaw Medicare reducing its payments to hospitals, Haines said, and he wanted Aultman to be ahead of Medicare’s cost- reduction curve. This was the first component to starting AultCare.</div>
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After a year of development, AultCare launched in 1985 with its first member – Aultman Hospital employees. From there, it expanded as an administrator of self-insurance plans for several local businesses. In 1989, AultCare added a fully insured product, mainly to serve small businesses.</div>
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By 1994, it grew to cover more than 60,000 people. Today, AultCare has more than 2,200 employer members and covers more than 420,000 people, including more than 20,000 PrimeTime Health Plan members who benefit from AultCare’s Medicare Advantage Plan.</div>
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Its structure remains the same, said Haines, who is President and CEO of AultCare. “Offer high-quality insurance coverage at an affordable price by capitalizing on Aultman’s low-cost structure and utilizing a local network of high-quality Primary Care and Specialist physicians who are dedicated to the health care of this community.”</div>
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That structure allowed the goal to be reached, said Haines. “If employers are paying less for health care, they can invest in their companies, they can hire more people,” he said, and that is good for this community. If it is good for this community, it is good for AultCare and Aultman and the local physicians.”</div>
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The key to reaching the goal was to operate on slim margins when compared to traditional for-profit insurance companies. Since 1989, AultCare’s profit margin has been less than 0.2%, purposely kept low, said Haines, so the savings could remain in the hands of local companies and residents and be used to benefit the local economy.</div>
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By many measurements, AultCare has been successful. One number in particular – retention rate of members – reflects how the community has embraced the company’s health insurance products. Annually, 95 percent of customers continue with AultCare. The retention rate for national insurance companies hovers around 75 percent. “We have a great insurance company, working with a great hospital and a great group of physicians,” said Haines, “and that is how you keep customers and benefit the community.”</div>
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Haines says the staff is Ault- Care’s best asset. “AultCare began with a group of dedicated employees and it continues with them,” said Haines. “Our success reflects their hard work. They handle more than $728 million in claims annually, with 99.9 percent accuracy. More than 7,500 calls per week flow into our service centers and that staff treats each one as if a neighbor is calling; after all, we are Stark County’s only local health insurance company, so the caller very well may be their neighbor.”</div>
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As the health insurance world changes, AultCare finds itself as the local resource for&nbsp;<span style="background-color: transparent;">companies and residents trying to understand health care reform. In 2013, for example, more than 4,000 area people have attended AultCare informational meetings about health care reform.</span></div>
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AultCare adapted to the ever-changing health care industry in the 20th century and into the 21st century. It began as a local business and stayed that way by being innovative. It is some- thing that makes all AultCare employees proud. “As the years go by, we will continue to make strategic changes to keep our local business viable,” said Haines, “because we know if we do that it will contribute to the viability of the community in which we all live.”</div>
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This article appeared in Stark 100 | The Canton Repository.&nbsp;</div>
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<a href="http://www.cantonrepstark100.com/aultcare-a-plan-developed-with-the-community-in-mind/">http://www.cantonrepstark100.com/aultcare-a-plan-developed-with-the-community-in-mind/</a></div>
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</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/3652497956300231494'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/3652497956300231494'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/12/aultcare-plan-developed-with-community.html' title='AultCare: A plan developed with the community in mind'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-1937100291351358726</id><published>2013-10-28T13:45:00.000-07:00</published><updated>2013-10-28T13:46:00.848-07:00</updated><title type='text'> Efforts to improve the performance of the Online Marketplace shopping experience will continue</title><content type='html'><div class="MsoNormal">
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The Online Marketplace continues to be the focus of President
Obama and his White House staff, as efforts ramp up to improve the performance of the
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insurance.&nbsp;</div>
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The Administration announced this week that it is appointing
Jeffrey Zients to spearhead the efforts to get the site operating at greater
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Zients previously held the position of <span class="mw-headline"><span lang="EN">Chief
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About 7 million Americans are expected to purchase insurance
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March 31,<sup> </sup>2014.<o:p></o:p></div>
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<span class="mw-headline"><span lang="EN">Read more about the administration’s efforts in the article below:&nbsp;<o:p></o:p></span></span></div>
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<a href="http://www.washingtonpost.com/politics/two-key-parts-of-online-health-insurance-exchange-will-take-longer-to-fix-than-expected/2013/10/22/bb635d64-3b40-11e3-b7ba-503fb5822c3e_story.html?hpid=z9"><span lang="EN">Two key parts
of online health insurance exchange will take longer to fix than expected</span></a><span class="mw-headline"><span lang="EN">.<o:p></o:p></span></span></div>
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<span class="mw-headline"><span lang="EN"><i style="background-color: white; font-family: 'Open Sans'; font-size: 13px; line-height: 18px;"><span style="color: #073763;"><b><span style="font-family: 'Arial Rounded MT Bold', sans-serif; font-size: 12pt;">Mike Novelli,</span><span style="font-family: 'Arial Rounded MT Bold', sans-serif; font-size: 12pt;">&nbsp;</span></b></span></i><span style="background-color: white; font-family: Calibri; font-size: 13px; line-height: 18px;"><span lang="EN" style="color: #073763;"><i><b>Vice President Reform Implementation at AultCare</b></i></span></span></span></span></div>
</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/1937100291351358726'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/1937100291351358726'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/10/efforts-to-improve-performance-of.html' title=' Efforts to improve the performance of the Online Marketplace shopping experience will continue'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEheG1WFgTRWTiCprcZk2o8W2FCUe8_hIaZwZCIroi-0XImHWO1dS2yNx-VVbviNIiepd17W5qrpBQxa6F_kgG1hgIR2lPJutSBlAg-LgTsbNE6T852V5V2WrPMwYzW6RZub3Q1Q9YWECT0/s72-c/computertyping.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-8732187757352714954</id><published>2013-09-26T14:04:00.001-07:00</published><updated>2013-11-14T12:39:43.640-08:00</updated><title type='text'>AultCare available on Insurance Marketplace</title><content type='html'><div class="separator" style="clear: both; text-align: center;">
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</span></span><span style="font-family: inherit;"><span style="font-weight: normal;">AultCare Insurance Company is a Qualified Health Plans issuer in the Federally Facilitated Marketplace (FFM).&nbsp;</span><span style="font-weight: normal;">AultCare will offer multiple</span><span style="color: red; font-weight: normal;">&nbsp;</span><span style="font-weight: normal;">health insurance choices for individuals when the federal government launches its Health Insurance Marketplace on October 1.The health care reform law expands access to insurance and broadens insurance benefits. Beginning on October 1, 2013, individuals will be able to visit&nbsp;<a href="http://www.healthcare.gov/"><span style="color: blue;">www.healthcare.gov</span></a>&nbsp;to view plans and pricing and choose their health insurance.</span><br />
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</span></span><span style="font-family: inherit;"> <span style="font-weight: normal;"> As expected, rates for the insurance are somewhat higher than in the past. Within that context, however, AultCare’s rates are very competitive. In addition, federal financial assistance will be available to help qualifying individuals and families pay for coverage. Nevertheless, even with assistance, some people will pay more for coverage than they do today.</span><span style="font-weight: normal;"> Costs will vary depending on the Marketplace plan they choose, plus where they live, their age and whether they qualify for federal assistance.</span><br />
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</span></span><span style="font-family: inherit;"><span style="font-weight: normal;"> While AultCare is doing everything it can to incorporate the new mandated requirements in the most affordable way possible, these changes could have some impact to a person’s health care coverage.</span><br />
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</span></span><span style="font-family: inherit; font-weight: normal;"> Policyholders will see changes from their current policies to meet the minimum standards required by the reform law. Minimum benefit requirements are broader than what many individuals and small businesses currently choose to purchase, meaning they will have to purchase coverage that is more comprehensive, but also more expensive than they have today.</span><span style="font-weight: normal;"><br /><span style="font-family: inherit;">
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<span style="font-weight: normal;">AultCare, Stark County’s only locally owned and operated health insurance company, will initially enter the marketplace with a three-county service area – Stark, Tuscarawas and Carroll counties. For more information on AultCare, visit<span style="background-color: white;">&nbsp;</span><a href="http://www.aultcas.com/Application/stumble/na/na/repository.aspx?loc=LiYMsTJcq8L0qKMLuB2---lANqbFLGOke45TVlVFAxKs4xxxxx253d"><span style="color: blue;">www.aultcare.com</span></a></span></span><br />
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</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8732187757352714954'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8732187757352714954'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/09/aultcare-available-on-insurance.html' title='AultCare available on Insurance Marketplace'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjp2Ote9i44qTC-EWvzfA87Ajp7gxCwofn9IpSDdwfwfVF1RmFj_KDjL0iArucCSvZ6K3f_Ry4DTuQg_PJgCPnnr7nZq8_PSSda8zMojpm20uNoALlUw_L39MlXb_xzg8peY89FXgifPwo/s72-c/11A_Checklist+Billboard+2.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-8571736848100245856</id><published>2013-08-20T11:00:00.001-07:00</published><updated>2013-08-20T11:00:18.796-07:00</updated><title type='text'>Out-of-pocket maximums delayed one year in health care law</title><content type='html'><div class="MsoNormal">
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</v:shape><span style='mso-element:field-end'></span><![endif]-->Much has been
written in the last few days about a delay in the out-of-pocket maximums for
individuals and families that are part of the health care law, beginning
January 1, 2014.&nbsp; The statutory limit for
all non-grandfathered health plans is governed by the limits of plans tied to
Health Savings Accounts (HSA).&nbsp; These HSA
limits are published annually by the Federal Government and the limits for 2014
will be $6,350 for individual in-network expenses and $12,700 for family
in-network expenses.<o:p></o:p></div>
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<o:p><br /></o:p></div>
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The delay that
the national press has been writing about this week actually emanates from a
Department of Labor (DOL) announcement on February 20, 2013.&nbsp; In that announcement, the DOL gave transition
relief to health plans that have separate vendors for medical coverage and
prescription drug coverage.&nbsp; The
transition relief is intended to provide Pharmacy Benefit Managers (PBM),
Insurers, and Employer Health plans time to integrate the data transfers
required to implement a single out-of-pocket maximum for individuals and
families across different technology platforms.&nbsp;
<i>Those plans affected by the transition relief must comply beginning
January 1, 2015.</i><o:p></o:p></div>
<div class="MsoNormal">
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<div class="MsoNormal">
<o:p><br /></o:p></div>
<br />
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<b>For those plans
health plans with a single vendor, such as <a href="http://aultcare.com/">AultCare’s</a> Insured Plans and most of
our self-insured plans, the out-of-pocket maximum will be integrated in 2014
for both the health plan and the pharmacy benefit to the limits of $6,350 for
Individuals and $12,700 for Families.</b><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<i><span style="color: #073763;"><b><span style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></span><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">&nbsp;</span></b></span></i><span style="font-family: Calibri;"><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i><b>Vice President Reform Implementation at AultCare</b></i></span></span></div>
</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8571736848100245856'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8571736848100245856'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/08/out-of-pocket-maximums-delayed-one-year.html' title='Out-of-pocket maximums delayed one year in health care law'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRQYMPoQZc2pcSdAboAYpZzXCAkTzYE-iL-oN0Bo2HLTUWOU9wurh8C3gj58a_-i2TIbwZGgzAeSkwIM0L4ls-rRnnhge8tXL0pNcuzbjGg1d8gF83JFNtG6fDy1iL9lhjWqhAgusGopY/s72-c/outofpocket.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-78937228305769134</id><published>2013-06-25T05:59:00.001-07:00</published><updated>2013-06-25T06:02:42.270-07:00</updated><title type='text'>Enroll America launches campaign to help millions enroll on the insurance Marketplace</title><content type='html'><div class="MsoNormal">
<br /></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7MGoCAEWDVJ6LBuSeuTmYOd6E76z7GTjTHPk9qhyphenhyphenl7fgFDdrgB388g40kWaWjC-tulLScl-UhPykfDPvFYF1QMzav7X5xwdHpFU5mFOCknRGv0Tp92dszbJqngfw1_4RvniovBsrGxOI/s1600/GetCoveredAmerica.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7MGoCAEWDVJ6LBuSeuTmYOd6E76z7GTjTHPk9qhyphenhyphenl7fgFDdrgB388g40kWaWjC-tulLScl-UhPykfDPvFYF1QMzav7X5xwdHpFU5mFOCknRGv0Tp92dszbJqngfw1_4RvniovBsrGxOI/s1600/GetCoveredAmerica.jpg" height="147" width="400" /></a></div>
<br />
<br />
<br />
<a href="http://www.enrollamerica.org/">Enroll America</a>, a
non-profit entity whose mission is to generate awareness and understanding of
how Americans can enroll in the Marketplace, began a media blitz last week in
concert with the Federal Government.&nbsp;&nbsp;</div>
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Enroll America’s website, <a href="http://www.getcoveredamerica.org/">Get Covered America</a>,
will provide information about the Marketplace, including helpful tips on what
information will be required to complete an application online as well as an
online chat feature and a toll free number for information about the
Marketplace.<o:p></o:p></div>
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Their marketing plans include outreach via <a href="https://www.facebook.com/GetCoveredAmerica">Facebook</a> and
<a href="https://twitter.com/Covered_America">Twitter</a> as well as traditional marketing venues such as television and print
media.&nbsp; Open enrollment begins October 1,
2013 and it is expected that seven million Americans will enroll on the
Marketplace with a coverage effective January 1, 2014.<o:p></o:p></div>
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For more information on the Marketplace and Health Care
Reform go to: <a href="http://www.aultcare.com/reform">www.aultcare.com/reform</a><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></b></i></span><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></b></i></span><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></b></i></span><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></b><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">&nbsp;</span></i></span><span style="font-family: Calibri;"><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i>Vice President Reform Implementation at AultCare</i></span></span><br />
<o:p></o:p><br /></div>
</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/78937228305769134'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/78937228305769134'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/06/enroll-america-launches-campaign-to.html' title='Enroll America launches campaign to help millions enroll on the insurance Marketplace'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7MGoCAEWDVJ6LBuSeuTmYOd6E76z7GTjTHPk9qhyphenhyphenl7fgFDdrgB388g40kWaWjC-tulLScl-UhPykfDPvFYF1QMzav7X5xwdHpFU5mFOCknRGv0Tp92dszbJqngfw1_4RvniovBsrGxOI/s72-c/GetCoveredAmerica.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-4252075136743301144</id><published>2013-06-13T13:25:00.001-07:00</published><updated>2013-06-25T06:01:35.702-07:00</updated><title type='text'>Health Insurance Marketplace in Ohio</title><content type='html'><div align="center" class="MsoNormal" style="text-align: center;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEha5zpj324xXdurqwGM6XFednDe6FrZaDYq7mJ4X5bJT5dB1d7w0pefFOxHSd4pn_-a98_cWHhGSZ3bOL9wWRes9oTYMss3fRJiS9IYOdley44v0XY9n0HAjLmfMMrwVABwHVkO_ooQcPg/s1600/agreement.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEha5zpj324xXdurqwGM6XFednDe6FrZaDYq7mJ4X5bJT5dB1d7w0pefFOxHSd4pn_-a98_cWHhGSZ3bOL9wWRes9oTYMss3fRJiS9IYOdley44v0XY9n0HAjLmfMMrwVABwHVkO_ooQcPg/s1600/agreement.jpg" height="400" width="290" /></a></div>
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Insurers intending to participate in the Health Insurance
Marketplace in 2014 were required to submit Rate and Form Filings to the State
of Ohio by May 31, 2013.&nbsp;On June 6,
2013, the Ohio Department of Insurance announced that 14 carriers, including
AultCare Insurance Company, have made application to offer coverage to Ohioans
in 2014 on the Federal Marketplace.</div>
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The 14 carriers have submitted 214 plans for approval.&nbsp; In a press release, Lieutenant Governor Mary
Taylor announced&nbsp;that the average rate
will rise 88% in the Individual Market.&nbsp;
An analysis of the rates in the Small Group Market has not been released
by the State.</div>
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A copy of the bulletin can be found <a href="http://www.insurance.ohio.gov/Newsroom/Pages/06062013ACAProposedRates.aspx">here</a>.</div>
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<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></b></i></span><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></b></i></span><br />
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></b><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">&nbsp;</span></i></span><span style="font-family: Calibri;"><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i>Vice President Reform Implementation at AultCare</i></span></span></div>
</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/4252075136743301144'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/4252075136743301144'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/06/health-insurance-marketplace-in-ohio.html' title='Health Insurance Marketplace in Ohio'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEha5zpj324xXdurqwGM6XFednDe6FrZaDYq7mJ4X5bJT5dB1d7w0pefFOxHSd4pn_-a98_cWHhGSZ3bOL9wWRes9oTYMss3fRJiS9IYOdley44v0XY9n0HAjLmfMMrwVABwHVkO_ooQcPg/s72-c/agreement.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-1292025809891352931</id><published>2013-06-07T14:02:00.000-07:00</published><updated>2013-10-01T13:02:06.305-07:00</updated><title type='text'>A temporary tax for employers operating self-funded health plans</title><content type='html'><div class="separator" style="clear: both; text-align: left;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV2oB9T6m96fgee7SCwa3krQe1O6vykMZv7O7EyEcX9QpdTs5G8Ujy48tdWqc1_2pPACh0SJzsiiz8Pe4YB56TThESsI6XoAR_aYsqT5xiGYpVM7OluzliAmZDR4tgcRH1n7_fnW0rMOg/s1600/tax.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV2oB9T6m96fgee7SCwa3krQe1O6vykMZv7O7EyEcX9QpdTs5G8Ujy48tdWqc1_2pPACh0SJzsiiz8Pe4YB56TThESsI6XoAR_aYsqT5xiGYpVM7OluzliAmZDR4tgcRH1n7_fnW0rMOg/s400/tax.jpg" height="300" width="400" /></a></div>
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<span style="font-family: Verdana, sans-serif;"><span style="line-height: 115%;">The Affordable Care Act contains a requirement that employers operating self-funded health plans must pay a Patient Centered Outcomes Research Institute (PCORI) tax of $1.00 per member per year for plan years ending on or after October 1, 2012.&nbsp;</span><span style="line-height: 115%;">Plan years ending October 1, 2013 and after must pay a tax of $2.00 per member per year.&nbsp;</span><span style="line-height: 115%;">This temporary tax expires on September 30, 2019.</span><span style="mso-spacerun: yes;">&nbsp; </span><span style="line-height: 115%;">The taxes are filed on IRS Form 720 and are due by July 31</span><span style="font-size: small;"><sup style="line-height: 115%;">st</sup><span style="line-height: 115%;"> of the year following a plan year end date.</span><span style="mso-spacerun: yes;">&nbsp; </span><span style="line-height: 115%;">IRS Form 720 and the instructions for filing Form 720 can be found below.</span><span style="mso-spacerun: yes;">&nbsp;</span></span></span></div>
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<span style="font-family: Verdana, sans-serif; line-height: 18px;">For more information on PCORI and the Affordable Care Act visit&nbsp;</span><a href="http://www.aultcare.com/reform" style="font-family: Times, &quot;Times New Roman&quot;, serif; line-height: 18px;"><span style="color: #990000; font-family: Verdana, sans-serif;">www.aultcare.com/reform</span></a></div>
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<span style="color: #990000; line-height: 18px;"><a href="http://www.irs.gov/pub/irs-pdf/f720.pdf" target="_blank"><span style="color: #990000; font-family: Verdana, sans-serif;">Form 720 - Quarterly Federal Excise Tax Return</span></a><span style="font-family: Verdana, sans-serif;">&nbsp;</span></span></div>
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<span style="line-height: 18px;"><a href="http://www.irs.gov/pub/irs-pdf/i720.pdf"><span style="color: #990000; font-family: Verdana, sans-serif;">Instructions for Form 720</span></a></span></div>
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<i><span style="color: #073763;"><b><span style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></span></b></span></i><br /></div>
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<i><span style="color: #073763;"><b><span style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"></span></span></b></span></i><br /></div>
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<i><span style="color: #073763;"><b><span style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></span><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"> </span></b></span></i><span style="font-family: Calibri;"><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i><b>Vice President Reform Implementation at AultCare</b></i></span></span></div>
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</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/1292025809891352931'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/1292025809891352931'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/06/revised-form-720-released-by-irs.html' title='A temporary tax for employers operating self-funded health plans'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV2oB9T6m96fgee7SCwa3krQe1O6vykMZv7O7EyEcX9QpdTs5G8Ujy48tdWqc1_2pPACh0SJzsiiz8Pe4YB56TThESsI6XoAR_aYsqT5xiGYpVM7OluzliAmZDR4tgcRH1n7_fnW0rMOg/s72-c/tax.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-8836573827138030612</id><published>2013-06-07T13:58:00.000-07:00</published><updated>2013-06-13T13:15:27.240-07:00</updated><title type='text'>Employer Notice Requirement under the Affordable Care Act</title><content type='html'><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzIdje_T1hrnfujVJzLDTNnheozAlyLpw328iW08EVzyesRZU14AD_q8DfE9VurPKQotJM80ECeaT1YsWBTcZyiZJLdtxmKDq-tNJ4YTC6__Jk1XAiAAKsUNn4gNNTv-u8B0wac9XWVoo/s1600/signhere.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzIdje_T1hrnfujVJzLDTNnheozAlyLpw328iW08EVzyesRZU14AD_q8DfE9VurPKQotJM80ECeaT1YsWBTcZyiZJLdtxmKDq-tNJ4YTC6__Jk1XAiAAKsUNn4gNNTv-u8B0wac9XWVoo/s400/signhere.jpg" height="300" width="400" /></a><br />
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<span style="font-family: Verdana, sans-serif; line-height: 115%;">Under the Affordable Care Act, employers are required to give notice about the availability of Health Insurance Marketplace plans. The Department of Labor, under the Fair Labor Standards Act (FLSA), issued guidance recently regarding the employers notice responsibilities. The Marketplace (known in statute as the Exchange) begins January 1, 2014.</span></div>
<span style="font-family: Verdana, sans-serif;"><br />
</span> <span style="font-family: Verdana, sans-serif;"><span style="line-height: 115%;">Under the FLSA standard, most employers that employ one or more employees are required to comply. </span><span style="line-height: 115%;">Compliance with the notice requirement is not mandatory until October 1, 2013.</span></span><br />
<span style="font-family: Verdana, sans-serif; line-height: 115%;"><br />
</span> <span style="font-family: Verdana, sans-serif; line-height: 115%;">Current employees, regardless of their status on a health plan, must be provided notice in writing no later than October 1, 2013.</span><span style="mso-spacerun: yes;">&nbsp; </span><span style="font-family: Verdana, sans-serif; line-height: 115%;">Notice must be provided in writing to new employees hired on or after October 1, 2013, within 14 days of hire.</span><br />
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<span style="font-family: Verdana, sans-serif;"> <span style="line-height: 18px;">Read a copy of the notice&nbsp;</span><span style="color: blue; mso-bidi-font-family: Tahoma; mso-fareast-font-family: &quot;Times New Roman&quot;;"><a href="http://www.dol.gov/ebsa/pdf/FLSAwithplans.pdf"><span style="color: #990000;">here</span></a>.&nbsp;</span><span style="line-height: 18px;">For more information, visit&nbsp;</span></span><br />
<span style="font-family: Verdana, sans-serif;"><span style="color: blue; line-height: 18px;"><a href="http://www.aultcare.com/reform"><span style="color: #990000;">www.aultcare.com/reform</span></a></span></span></div>
<span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"><br />
</span></b></i></span> <span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"><br />
</span></b></i></span> <span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"><br />
</span></b></i></span> <span style="color: #073763;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></b><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"> </span></i></span><span style="font-family: Calibri;"><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i>Vice President Reform Implementation at AultCare</i></span></span></content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8836573827138030612'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/8836573827138030612'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/06/marketplace-notice-guidelines-for.html' title='Employer Notice Requirement under the Affordable Care Act'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzIdje_T1hrnfujVJzLDTNnheozAlyLpw328iW08EVzyesRZU14AD_q8DfE9VurPKQotJM80ECeaT1YsWBTcZyiZJLdtxmKDq-tNJ4YTC6__Jk1XAiAAKsUNn4gNNTv-u8B0wac9XWVoo/s72-c/signhere.jpg" height="72" width="72"/></entry><entry><id>tag:blogger.com,1999:blog-7225966120626627709.post-6858497657349200806</id><published>2013-06-07T13:47:00.002-07:00</published><updated>2013-10-01T13:01:55.950-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Affordable Care Act."/><category scheme="http://www.blogger.com/atom/ns#" term="Employer Sponsored Health Insurance"/><category scheme="http://www.blogger.com/atom/ns#" term="Health Care Reform"/><category scheme="http://www.blogger.com/atom/ns#" term="Health Insurance"/><title type='text'>Will you make an offer or pay a penalty?</title><content type='html'><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9qrNnEU-f_D4El3QnIRyew0kaXYRSELL2AAdjHY7EzgGbQ88ND8MAZ2ehfrnnGPB4AXlsy2ViDOZrKQTakKaSTUeHUIkPGp-htEGo9UewMLnK2N6y1rXh5BZW3cip4xsRTnnBFajo-NU/s1600/time.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9qrNnEU-f_D4El3QnIRyew0kaXYRSELL2AAdjHY7EzgGbQ88ND8MAZ2ehfrnnGPB4AXlsy2ViDOZrKQTakKaSTUeHUIkPGp-htEGo9UewMLnK2N6y1rXh5BZW3cip4xsRTnnBFajo-NU/s400/time.jpg" height="266" width="400" /></a></div>
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</span><span style="font-family: Verdana, sans-serif;"><span style="line-height: 115%;">Beginning
in 2014, large employers must offer health insurance coverage to its employees
or pay a penalty to the Federal Government.</span><span style="mso-spacerun: yes;">&nbsp;
</span><span style="line-height: 115%;">A large employer is defined as an employer that employs an average of 50
full-time and full-time equivalent employees in the prior calendar year.</span></span><br />
<span style="line-height: 115%;"></span><br /><span style="font-family: Verdana, sans-serif;">
<span style="line-height: 115%;">While
large employers have traditionally defined the number of hours its employees
must work in order to be eligible for employer-sponsored health insurance,
under the Affordable Care, eligibility for employer-sponsored health insurance
is defined in a new and specific way beginning in 2014.</span></span><br />
<span style="line-height: 115%;"><br /></span><span style="font-family: Verdana, sans-serif;">
<span style="line-height: 115%;">Benefit
eligible employees are defined as those employees averaging 30 hours or more
across an employer-defined time frame.</span><span style="mso-spacerun: yes;">&nbsp;
</span><span style="line-height: 115%;">If an individual meets the threshold of 30 hours, then the employer must
make an offer of coverage for health insurance or be subject to a penalty.</span></span><br />
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<span style="line-height: 115%;"><br /><span style="font-family: Verdana, sans-serif;"></span></span></div>
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<span style="line-height: 115%;"><br /></span><span style="font-family: Verdana, sans-serif;">
<span style="line-height: 115%;">Finally,
you will also need to remember to amend your benefit plan on the plan anniversary
in 2014 to ensure compliance with these chang</span><span style="line-height: 115%;">es.</span></span><br />
<span style="color: #073763; font-family: 'Trebuchet MS', sans-serif;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"><br /></span></b></i></span>
<span style="color: #073763; font-family: 'Trebuchet MS', sans-serif;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"><br /></span></b></i></span>
<span style="color: #073763; font-family: 'Trebuchet MS', sans-serif;"><i><b style="mso-bidi-font-weight: normal;"><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;">Mike Novelli,</span></b><span style="font-family: &quot;Arial Rounded MT Bold&quot;,&quot;sans-serif&quot;; font-size: 12pt; line-height: 115%; mso-bidi-font-family: &quot;Times New Roman&quot;;"> </span></i></span><span lang="EN" style="color: #073763; mso-ansi-language: EN;"><i>Vice President
Reform Implementation at AultCare</i></span></div>
</content><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/6858497657349200806'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/7225966120626627709/posts/default/6858497657349200806'/><link rel='alternate' type='text/html' href='http://blog.aultcare.com/2013/06/full-time-employees-under-affordable.html' title='Will you make an offer or pay a penalty?'/><author><name>AultCare </name><uri>http://www.blogger.com/profile/03440801262451914566</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media="http://search.yahoo.com/mrss/" url="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9qrNnEU-f_D4El3QnIRyew0kaXYRSELL2AAdjHY7EzgGbQ88ND8MAZ2ehfrnnGPB4AXlsy2ViDOZrKQTakKaSTUeHUIkPGp-htEGo9UewMLnK2N6y1rXh5BZW3cip4xsRTnnBFajo-NU/s72-c/time.jpg" height="72" width="72"/><georss:featurename>Canton, OH, USA</georss:featurename><georss:point>40.798947299999988 -81.378447</georss:point><georss:box>40.606639799999989 -81.701170499999989 40.991254799999986 -81.0557235</georss:box></entry></feed>