At Horvath Insurance Consulting, we specialize in guiding employers and employees evaluating the financial impact of healthcare legislations.
🏢 For Employers
We partner with employers and their existing employee benefits teams—not to replace brokers or advisors, but to work alongside them. Our goal is to optimize benefits, ensure employees age 65 and older have excellent benefits, and lower the average age of the group and lower the premium costs of the group plan.
This strategy benefits both employers and employees in several key ways:
Transition employees age 65+ and their Medicare-eligible spouses to Medicare.
Move younger spouses and dependents to the ACA Marketplace.Reduce the average age of the group covered under the employer plan, lowering experience rating, reduce morbidity risk which will lower premiums for younger employees and their families.
Reduce employer costs by insuring fewer individuals and paying less in premiums and high-cost claims, particularly for self-insured plans.
Move Medicare-eligible employees and spouses to substantially reduce morbidity risk—often resulting in lower premium costs and significantly lower maximum out-of-pocket amounts.
Prevent Part D late enrollment penalties for Medicare-eligible individuals.
Reduce the employer’s exposure of future compliance or legal issues related to “Creditable Coverage” reporting and Medicare Secondary payer rules.
We also provide:
Facilitate the Creditable Coverage requirements of the group health plan to determine whether it still meets Creditable Coverage requirements under the updated rules.
Guidance on how the Inflation Reduction Act of 2022 impacts your over-65 workforce.
Analysis of potential cost savings and liability reduction strategies.
Regulatory compliance support and guidance.
Communication tools and messaging to support a smooth transition for older employees.
Provide Medicare education trainings and access to licensed brokers in all applicable U.S. states for enrollment services.