News & Events

2020 HRA Rules — What you need to know

Beginning January 1, 2020, there will be two new Health Reimbursement Arrangements: an Individual Coverage HRA and an Excepted Benefit HRA. While both are sensible options for employers to offer, there are a few distinctions to note for the IC-HRA and the EB-HRA. IC-HRA For employees of all sizes Employees may be eligible if enrolled […]

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The SisCo Approach to Subrogation

Subrogation is the term used to describe the right of an insurance plan to recoup settlement payments when other non-group medical expenses may be paid by other available insurance, such as auto or property policies. Subrogation payments may be recovered from the other party, an insurance company, a settlement or a court order. SisCo understands […]

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Your Plan & Drug Testing During the Opioid Epidemic

Chronic pain is a medical condition that often requires opioid prescriptions for symptom relief. However, the addictive nature of opioid medications have led to a nationwide Opioid Epidemic. Nearly 2.1 million Americans reported an opioid disorder in 2016 and 64,000 deaths from overdose were recorded the same year.1 Aberrant behaviors associated with opioid usage — […]

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Compliance Reminder for Cafeteria Plans

As benefits administration becomes more and more complicated, compliance is on everyone’s to-do list. In the compliance world of never-ending change, the following is a refresher course for employers on just two compliance requirements for Internal Revenue Code Section 125 cafeteria plans that haven’t changed — nondiscrimination testing and Form 5500 filing obligations. What are […]

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Final Notice of Benefit and Payment Parameters for 2020

Overview On April 19, 2019, the Department of Health and Human Services (HHS) released its final Notice of Benefit and Payment Parameters for 2020. This rule describes benefit and payment parameters under the Affordable Care Act (ACA) that apply for the 2020 benefit year. Standards included in the rule relate to: Annual limitations on cost […]

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The SISCO Difference

While SISCO is an acronym for Self Insured Services Company, the past few years have seen SISCO evolve into a vast array of diversified services. Serving over 300,000 client employees, SISCO offers a full menu of services and has demonstrated success in the delivery of integrated enrollment and cost-control services. THE SISCO DIFFERENCE At SISCO, […]

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Self Funding: Is It Right For You?

Self funding has become a common term, but often not well understood. A self funded, or self-insured, health plan is when an employer funds the health care benefits for its employees by paying claims as they are incurred, rather than paying a pre-determined premium to an insurance carrier. Self funding is an attractive option for […]

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SISCO: Simplifying Benefits

The world of benefits has grown complicated, requiring brokers to vet several vendors, carriers, and payers in order to offer their clients competitive and reasonably priced health insurance options. SISCO understands the time intensive and laborious process this can be, which is why we have enlisted the help of our partners to offer brokers competitive, […]

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SISCO Adjudication Protocol

Healthcare costs have continued to increase with little to no relief for members or health plans. Furthermore, many payers and carriers are linked to PPO networks, thus incentivizing them to pay as billed. Adding insult to injury, 1 in 11 claims contains billing errors! At SISCO, we think it is important that you do not […]

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SISCO Service Model

Healthcare and health insurance can be confusing. Understanding how you are being billed and how to navigate networks and EOBs can be a daunting task. At SISCO, we know the impact of healthcare and claims cost to our clients and members. That is why we employ a team of licensed, professionally trained service representatives to […]

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