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Category: "Plan language"

01/11/19

Spousal Coverage Limitations a Smart Strategy

The latest Employee Benefits Survey by the International Foundation of Employee Benefit Plans (IFEBP) revealed that just one in five employers (20.1%) use spousal surcharges or carve-outs for health care coverage when other employer-provided health… more »

06/17/18

  07:54:00 pm, by MedBen5   , 221 words,  
Categories: Cost savings, Third party administration, Claims management, Plan language

Carving Out a Costly Provider

Plan language carve-outs don’t have to be limited to medical procedures or drug classes. If a provider charges above reasonable and customary prices, then an employer can amend their plan to direct that the provider’s claims should be processed using… more »