Author Archives: Donna Luby

SFPI is Hiring: Group Medical Claims Examiner / Claims Assistant

SFPI is Hiring for a Group Medical Claims Examiner/Claims Assistant position.  Immediate opening for experienced examiner or examiner trainee.  Must be available full time M-F,8:30 am – 5:00 pm. Responsibilities include processing medical claims via a Windows based, auto adjudication system, as well as working with clients, members and providers to solve difficult claims issues.Continue Reading

IRS Draft Forms Released

The IRS has released draft forms that employers will use to report the health coverage they offer their employees.  The IRS says it provided the draft forms to help employers, tax professionals and software providers prepare for these new reporting provisions and to invite comments from them. The IRS says that it anticipates draft instructionsContinue Reading

SFPI is Hiring – Sales Assistant/Support Downtown Cleveland

Sales Assistant/Support: Opportunity for recent college graduate with superior PC skills. We are located in Downtown Cleveland in the heart of all the Downtown action & events. Ideal candidate must be an energetic and personable go-getter who is also a team player. Responsibilities include assisting sales staff in preparation of proposals and presentations, following upContinue Reading

Notice of Marketplace Coverage

Under the requirements of ACA, employers of all sizes who are subject to the FLSA must provide a notice to all employees regarding the availability of coverage on the insurance exchange, or marketplace.  The notice must be sent to all active employees, including part-time employees.  It must be distributed no later than October 1, 2013.  New employees hired onContinue Reading

PPACA Pay or Play Penalties in 2014

Click here to download a pdf of the SPBA Pay or Play penalties for 2014 February 2013 Version Caution: These rules are complex. For a more detailed explanation, see IRS proposed regulations on shared responsibility for employers regarding health coverage (Federal Register, January 2, 2013). Endnote A – Generally, employers count full-time employees and full-time equivalentsContinue Reading

Transitional Reinsurance Fee — HHS Issues Final Regulation

Transitional Reinsurance Fee — HHS Issues Final Regulation The U.S. Department of Health and Human Services has published final regulations that will enable plan sponsors and insurers to calculate their liability under the transitional reinsurance fee (TRF) provisions of the Patient Protection and Affordable Care Act.  The fee is $63 per year, per covered life ($5.25 perContinue Reading

Pay or Play Calculator Now Available

The Centers for Medicare and Medicaid Services have recently released a free “pay or play” calculator for employers. Click here to download the calculator. See below for more information about the “pay or play” provisions. And, as always, contact us if you need help navigating these regulations. 1.  What are the Employer Shared Responsibility (alsoContinue Reading

Welcome to the new SFPI website!

As you can see, our website has a new look.  We needed a refresh as we continue to make upgrades to offer to our clients and potential clients.    The first improvement you will notice is our News page – a quick reference area to check for the important memoranda which are sent to you periodicallyContinue Reading