Phia Group

Plans For The Future

On September 24, 2014
Join The Phia Group’s CEO, Adam V. Russo, Esq., as he and Senior Vice President and General Counsel (Ron E. Peck, Esq.), Vice President of Consulting (Jennifer McCormick, Esq.), and a team of expert plan drafting specialists discuss the Phia Document Management system, innovative plan design, and why it is especially relevant in light of changes we predict all plan documents will be required to undergo in the coming years.

NAIC White Paper

On September 22, 2014
One concern about the potential impact of the ACA is that if employers self-fund, it will leave the older, sicker population to the fully insured, small employer group market.

Texas C.P.R.C. c. 140: The New Standard for Subrogation Rights

On September 17, 2014
C.P.R.C. c. 140, governing subrogation, went into effect January 1, 2014; enacting H.B. 1869, which was passed months prior; but the finer points are still being explored.

SIIA State Legislative/Regulatory Update Report

On September 16, 2014
This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Read More.

Stop-Loss Market Expected to Grow to $14 Billion by 2018

On August 13, 2014
A new report published by the ratings agency A.M. Best finds that rising demand for stop-loss insurance will come from small and midsize employers as self-insured insurance plans are not subject to certain requirements of the Affordable Care Act

2nd Quarter Newsletter 2014

On July 23, 2014
What a spring we have had here at The Phia Group. From travelling across the country speaking at various venues, hosting our own Phia Forum a few weeks ago, to our new service offerings; we have been extremely busy here at the home office. Now that the summer is here, you would expect that things would slow down but that’s not the case at all. As the temperature rises, so does our work load, as the number of issues facing the self insured industry continues to grow. Who said that health insurance is boring!?!?!?

2nd Quarter 2014 Newsletter – Phia News

On July 8, 2014
Phia gives back, new faces at phia and all you need to know about Phia for quarter two of 2014. Read More.

Are Overpayments Over?

On June 6, 2014
we provide a brief summary of the case and its impact on our valued clients. Upon reviewing the facts, you’ll likely agree with us that a detailed approach to overpayment refunds is needed.

"Dude, Where's My Subro?" - Integrating Subrogation - Sought by Employers & Loved by Administrators

On May 15, 2014
As plan sponsors and administrators examine their benefit plans in light of recent legal upheaval, now is our chance to implement important cost containment mechanisms.

State/Legislative Regulatory News

On May 9, 2014
This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace.

1st Quarter Newsletter 2014

On May 8, 2014
Well… “ObamaCare” is here, and so are we. The sun continues to rise in the east, and set in the west; and business goes on. Some of you have reaped the benefits of change, while others have suffered; but the reality is that for most of the industry, not much has changed.

Taking It To The Limit - Accurately Identifying and Taking Advantage of Network Contractual Boundaries

On March 27, 2014
While it is true that some network contracts restrict a benefit plan’s ability to audit claims – or as is more often the case, simply prohibits the benefit plan from doing anything with the information so identified; some contracts apply unrealistic deadlines and still others contractually compel payment of claims otherwise excluded by the plan document… There are key provisions plan administrators can use to limit or eliminate the negative impact of such provisions.

To Pay or Not To Pay - Examining Exclusions, Definitions, and Other Things That Really Matter

On February 12, 2014
Whether you are a plan administrator or claims processor trying to determine eligibility of a claim, or a stop-loss carrier trying to determine whether a submission is reimbursable, how applicable provisions apply to specific facts make all the difference.

4th Quarter Newsletter 2013

On January 13, 2014
2014 is now upon us and I can’t imagine it being any crazier, both personally and professionally, than 2013; of course, I’ll probably say the same thing next year! Thanks to your concerns and needs, we have many exciting new opportunities coming your way this year. 2014 will be the year of self funding where we see the industry grow to heights never seen before. With growth comes many potential pit falls, as always, we are here to get you through them. It will be interesting to see how Obamacare fares in 2014 and what it does to the employer based healthcare system. I am optimistic that things will work out for us in the end and that we will be stronger for it. Just remember that through all the chaos, The Phia Group will be your one stop for all of your cost containment and consulting needs. 2013 was great – the prospects are even brighter for this year!!!! Happy reading!

A Look Behind, A Look Ahead, Lessons Learned in 2013, and Predictions for the Coming Year

On January 8, 2014
Join The Phia Group as we review the biggest issues dealt with in 2013, the lessons learned, and what we expect to be dealing with in the year to come.