Administrator Alert from Shargel & Co. Insurance Services
Timely Topics for Group Benefits Administrators Issue 16
December 2006

Happy Holidays! We know things are busy so we just have a few quick reminders for you and your employees. You work hard all year, so take a deep breath and relax! We appreciate what you do for your employees.

New Year, New Deductible & Out-of-Pocket Maximums
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January 1 marks the beginning of a new calendar year for health plan deductibles and out-of-pocket maximums. Both are reset to zero and accrual starts over again.

It's a great idea to send a reminder to employees.

COBRA vs. Cal-COBRA for 2007

Has your business grown over the past year? If you had 20 or more full- or part-time employees for at least half of 2006, you will be subject to federal COBRA laws. (Under 19 is subject to Cal-COBRA.)

Under federal COBRA the employer is responsible for ensuring that all notification requirements are met. If you don't have a third-party administrator to handle your COBRA administration for you, call us. It can make your life a lot easier, and in some cases, can be free!

Next month we'll cover some of the COBRA and Cal- COBRA rules again, as a refresher.

Employee Change of Address

Have any of your employees moved? If you receive notice that an employee has a change of address, (necessary for payroll) please make sure they also notify the insurance carrier.

This ensures that their ID cards, Explanation of Benefits statements and other claims related information get to them. For most carriers, they can login to their account online and change the information directly.

Some carriers also post subscriber change forms on their websites. If you don't have what you need, let us know!

Help us help you!


Help us serve you better! If you run into a challenging benefits issue, let us know! We'll work with you to find a solution-and help others.

Thanks for being our client! We appreciate your business.

We want to make your job easier. Call us at 800.733.8692 or...

Cecilia's Corner: Holiday Message, Office Closure
We hope this holiday season finds you, your employees, and your families healthy and prosperous.

We will be closing our office from Christmas to New Year's Day. If you have service needs during this time, please contact your insurance carrier directly.

We'll see you in 2007!

If you have a benefits topic you'd like to see covered, let us know! We appreciate your business. If there's any way we can be of service call us at 415.543.8949

or if you have a benefits question, email me at cpaul@shargel.com

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