Kaiser
Level Funding
NFP Resources
Compliance
Mixed Bag
100

This health care provider coordinates pre-authorizations for pharmacy fulfillment prescribed by a provider not within the Kaiser Permanente network for HMO PLUS, Added Choice, or Flexible Choice plans.

Who is Kaiser Permanente

100

Level-funding provides this type of rating structure.

What are composite rates.

100

This NFP resource contains questions and answers to compliance questions.

What is SPARQ

100

This notice is to be sent out by October 15th each year that offer group health insurance.

What is the Medicare Part D notice

100

This is how many hours of sleep you lose having a baby.

What is all of the hours.
200

At this age, Kaiser Permanente automatically mails out colon cancer screening tests via to every member.

What is 50

200

This is the result of clients having actual claims lower than their maximum claims liability. 

What is a surplus

200

This NFP resource can be used to help explain benefits offered by companies such as ADP, Insperity, TrinNet, Justworks, and more.

What is the PEO Center of Excellence.

200

These components of the RxDC reporting are what our CareFirst clients have to submit to the CMS.

What are P2 & D1

200

These two vendors offer zero participation for their voluntary products.

Who are UNUM and Equitable.

300

This is where a client finds their deductible amount and the cost of services provided by Kaiser Permanente.

What is KP Mobile or KP Member Site

300

This carrier does not support state continuation for their level-funded product.

What is UHC.

300

This NFP resource contains helpful white papers developed and maintained by our compliance team. 

What is the Marketing Exchange

300
An employer that hires an employee in this state will need to offer health insurance specifically written out of the state the employee is working in.

What is Hawaii.

300

This type of plan/product is not allowable in DC.

What is Level-Funding

400

This is the maximum number of different Kaiser Permanente network plans that a small group employer can offer in the Mid- Atlantic states.

What is six

400

This is how many plans UHC allows to be offered on their level-funded product

Unlimited/All plans

400

This NFP resource can assist in providing human resource capital to our clients.

What is HeliosHR.

400

This state allows for sole proprietors to have a group health insurance policy. 

What is Virginia

400

This type of HRA has no dollar limits and can be offered by clients of any size.

What is an Individual Coverage HRA.

500

This is the maximum percentage of the employer’s population on the census living outside of the Mid Atlantic area that Kaiser Permanente small group can quote a flexible choice or Added choice plan.

What is 49%

500

These components of level-funded products protect the company from catastrophic claims

What are Individual & Aggerate Stop Loss Insurance

500

This person within NFP can assist our clients with retirement needs.

Who is Sarah Hodian.

500

For clients with more than 20 employees, offering a financial incentive to this type of individual to not enroll in group health coverage is prohibited.

What is Medicare eligible. 

500

This new UHC benefit offers up to $200 for individuals and $500 for families.

What is CareCash.

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