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Perspectives on healthcare administration, benefit program trends, regulatory updates, and what they mean for members, agents, and partners.
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Direct Primary Care Explained (And Why It’s Not Insurance)
Direct primary care (DPC) is a membership for primary care: you pay your doctor a flat monthly fee for unlimited access to…
What Are Excepted Benefits? (Fixed Indemnity, Accident, Critical Illness & More)
Excepted benefits are types of health-related coverage that federal law (HIPAA and the ACA) “excepts” from most major-medical rules, because they’re meant…
What Is Minimum Essential Coverage (MEC)?
Minimum essential coverage (MEC) is any health plan that meets the Affordable Care Act’s standard for having health coverage. Comprehensive plans qualify:…
Short-Term Medical vs. Fixed Indemnity: Which to Recommend
Short-term medical (STM) is temporary, major-medical-style coverage that pays providers for covered care. Fixed indemnity pays your client a fixed cash amount…
What is Premium Remittance? How Premiums Flow from Member to Carrier
Premium remittance is the process of collecting an insurance premium from the policyholder and passing it along to the carrier that underwrites…
What Is Limited Benefit Insurance? (And What It Isn’t)
Limited benefit insurance is health coverage that pays a fixed, pre-set dollar amount for specific services or events, such as a set…
How to Evaluate and Select a TPA for Your Association’s Benefits Program: A 2026 RFP Guide
I’ve run a third-party administrator for years, so I’ve seen up close what makes a member benefits program work and what makes…
Fixed Indemnity vs. Hospital Indemnity vs. Critical Illness: A 2026 Side-by-Side Decision Guide
Fixed indemnity, hospital indemnity, and critical illness insurance all do the same basic thing. Each pays a cash benefit directly to the…
After the 2026 ACA Subsidy Cliff: A Mid-Year Coverage Playbook for the Uninsured and Underinsured
The enhanced premium tax credits that quietly underwrote affordable Marketplace coverage for the better part of five years expired on December 31,…
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