Employers: call us for help cutting costs to get through “stay at home” orders

As of Monday, March 23, 2020, the Ohio Governor issued a mandatory “stay at home” order. It comes on the heels of previous business closures because of social distancing guidelines. Like in many states, the order will continue until the beginning of April. It’s all in hopes of stopping the spread of the novel Coronavirus.

But for many businesses it’s already causing severe financial pain.

Remember, ClaimLinx’s primary concern is savings clients money on health insurance. We know how important health coverage is, especially at a time like this. Our consultants are ready to talk you through how to cut employers’ health insurance costs. We know it’s more important now than ever.

Please contact service@claimlinx.com or call (513) 985-4465 to set up a meeting if you are considering laying off employees or cutting their hours.

Changes to Claimlinx’s Service

The mandatory “stay at home” order in Ohio, where Claimlinx’s main office is located, began on Monday, March 23 and will continue until April 6. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our mailing services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

We expect this primarily to impact mailing explanations of benefits (EOBs) and member ID cards. Temporarily, we will be sending all member ID cards digitally first and sending a hard copy later. Members can always contact help@claimlinx.com if they need a copy of an EOB.

Related post: Changes for members during Coronavirus “stay at home” order

Contact us before cutting employees’ hours

Already we have had clients who are considering placing employees on furlough or moving them to part time. Our consultants already have strategies for how to use this time to cut costs while still providing benefits.

We are here to help companies get through this trying time. Many employers are worried about how long the pause in the economy will last and what affect it will have on their bottom line. We know, too, they are worried about their workers.

Contact service@claimlinx.com or call (513) 985-4465 to set up a meeting. Our consultants will go over your immediate options and any other long-term planning that may be needed.

Some employers may be able to take advantage of already existing rules on coverage to save on insurance premiums in the coming months. Some employers may need to stop providing insurance for any employees who are laid off. We would like to be there to offer our services to help these people navigate the marketplace so they don’t experience any lapses in coverage.

ClaimLinx is here for all of its clients, especially when trying to cut costs because of financial strains.


Changes for members during Coronavirus “stay at home” order

As of Monday, March 23, 2020 a mandatory “stay at home” order was issued for the state of Ohio, where ClaimLinx’s main office is located. To help prevent the spread of the novel Coronavirus, Governor Mike Dewine has mandated all nonessential businesses close their offices until Monday, April 6, 2020. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

Mailing is Changing

It’s a priority for us that our clients and members can access their health coverage services, especially during this time. But it’s also a priority for us to protect our employees. So at this time, we expect delays when it comes to mailing out member ID cards and explanations of benefits (EOBs).

When it comes to member ID cards, we will be sending first a digital copy for the member to use. Then we will send a printed version later. If any member would like a copy of his or her member ID, please contact help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Because we do not want too many people in our offices at once, we do expect to have some delays when it comes to mailing documents to members. If you have any questions about a claim or would like to receive a copy of your EOB, you can email help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Contact and Processing Will Continue

As employees are able to work remotely and take turns going to our office, we are not anticipating any delays in claims processing at this time. We have worked hard in the last two years to make this process mostly digital. So our claims processors are expected to be able to continue without much interruption.

Related post: Claims processing continues during Coronavirus outbreak precautions

There will continue to be service team members available if you have questions about coverage, a prior claim or if you need a copy of your member ID. As is always the case, if you are sick or in need of medical attention, please contact your provider first.

We would also like to remind our members that local cases of the virus may be putting a strain on the healthcare system in your area. This may have an affect on your regular care. Please be proactive about checking with your provider about changes to any necessary upcoming appointments.

Your local pharmacy may also be experiencing limited hours or delays in filling regular prescriptions. Please check your stock of any regular prescriptions. Be sure to have them filled as early as possible to avoid any interruptions.

Please also remember that members still have access to the member portal for the remainder of March. That means you can still check on claims or print any important EOBs. Starting April 1, 2020, all members will need to reach out to our team directly to get these documents.

Related post: Member portal will be unavailable temporarily

ClaimLinx will continue to communicate with members via email and through our website. Please look for any updates there. Stay healthy and we hope these interruptions in service for all of us are as short as possible.

Man Next to Doctor

You Missed Open Enrollment, Now What?

It’s a sinking feeling many people have had — the open enrollment period for health insurance has ended, and they forgot insurance to purchase a plan for the year. If you missed open enrollment and are now in need of a health insurance plan, ClaimLinx is here for you. There are still options out there for employees, and especially employers.  


The 2020 Open Enrollment period for the individual marketplace through Healthcare.gov was November 1st, 2019 to December 15, 2020. Some states, especially those that do not use Helathcare.gov have extended enrollment periods, but most finish by the beginning of February. For future reference, Open Enrollment is on the same dates each year, unless specific extensions are made.

If you did not enroll during this time, individuals can still qualify for a Special Enrollment Period with a Qualifying Life Event. Aside from this option, short-term plans are available throughout the year. They are not perfect, but they are a great alternative to having no coverage at all. 


Special Enrollment, or a Qualifying Life Event 

Some people may quаlіfу for a ѕресіаl enrollment реriod to ѕіgn uр fоr hеаlth іnѕurаnсе. Certain lіfе еvеntѕ, lіkе lоѕіng hеаlth соvеrаgе, moving, getting married or a change in income can trіggеr a special enrollment period, which lasts up tо 60 dауѕ. Lіfе changes thаt quаlіfу fоr a special еnrоllmеnt реrіоd gеnеrаllу fаll into three саtеgоrіеѕ: сhаngеѕ in thе household, сhаngеѕ in residence оr losing hеаlth іnѕurаnсе.


Qualifying сhаngеѕ іn hоuѕеhоld саn іnсludе:

  • Getting mаrrіеd
  • Hаvіng a bаbу оr adopting a child
  • Getting divorced оr legally ѕераrаtеd аnd losing health іnѕurаnсе
  • Hаvіng ѕоmеоnе in your hоuѕеhоld dіе


Qualifying changes in residence саn іnсludе:

  • Moving to a new home in a new ZIP соdе оr county
  • Moving tо thе U.S. from a fоrеіgn country
  • If уоu’rе a student, moving to or from the рlасе you attend school
  • If уоu’rе a ѕеаѕоnаl wоrkеr, mоvіng to or frоm thе рlасе уоu lіvе аnd work
  • Moving to or from a ѕhеltеr or trаnѕіtіоnаl hоuѕіng


Qualifying lоѕѕеѕ of health аvеrаgе іnсludе:

  • Lоѕіng jоb-bаѕеd соvеrаgе
  • Losing individual hеаlth coverage
  • Lоѕіng eligibility for Mеdісаіd or CHIP
  • Lоѕіng eligibility fоr Medicare
  • Lоѕіng соvеrаgе thrоugh a family mеmbеr


Short-Term Health Insurance Plans

These are a special type of plan that can be purchased when a person is between health plans, outside of open enrollment. Short-Term Health Insurance plans provide temporary coverage for certain situations and can be a chance for some coverage in case of emergency. 

Short-term plans come with a wide range of coverages because they are not required to comply with Affordable Care Act (ACA) guidelines. That means they typically include some coverage for preventative care, doctors visits, urgent care and emergency care. It may also have some discounts on prescription drugs. But because it is not an ACA plan, be sure to read the plan limitations before enrolling on a plan. That will tell you what is covered and can help you decide if it’s the right coverage for you. 

You can shop for a short-term plan now by going to the ClaimLinx marketplace. On the site, you can request a quote and someone will reach out to you to talk about your options. 


What Happens Without Health Insurance

As of January 1, 2019, there is no tax penalty for not having a health insurance plan. Technically the individual mandate is still in effect but there is no penalty to enforce it. So it may seem to some like going without health insurance is not a big deal. After all, health insurance plans are expensive and if you don’t use many medical services through the year, it can feel like a waste. 

Health insurance is still important to have, for all those unforeseen moments. No one expects to need their insurance plan. People buy it every year because there’s always a chance that an accident, or even a small medical issue, could cause huge financial damage. 

Shop for a health insurance plan at any time at ClaimLinxMarketplace.com. You can purchase short-term plans or, if you qualify for a special enrollment period, you can also take a look at plans through a regular carrier. 

ClaimLinx Health Insurance Rates

Why Insurance Rates Are So High and How to Start Cutting Them

ClaimLinx understands that health insurance rates are high, and they keep going up every year. Our experienced benefits consultants work with business owners to keep insurance costs low for you and your employees. In today’s blog, ClaimLinx explains why insurance rates are so high and how to start cutting them.

Why Health Insurance Rates Are So High

Health insurance rates are high for several reasons. Investopedia states that administrative costs are the number one reason why health insurance costs skyrocket. Healthcare companies need billing clerks to determine what is or is not covered by health insurance. Around one-fourth of healthcare costs are due to administrative costs. Considering overall healthcare costs were a whopping $3.65 trillion in 2018, administrative costs were around $912.5 billion. 

Related Post: ClaimLinx saves small businesses $4.5M on health care in 2018 

Defensive medicine is another reason for high health insurance rates. Doctors err on the side of caution when it comes to trying to diagnose patients. Someone might get an MRI, bloodwork, and a biopsy just for one visit to the doctor’s office. When more people get more tests, health insurance costs increase. Defensive medicine adds nearly $50 billion to the costs of healthcare in the United States. 

How to Cut Health Insurance Rates at Your Company

Health care and insurance costs are increasing at an unprecedented rate, and that’s why you need a creative solution. ClaimLinx devised a method for savings that works. It’s called the Simple Option Solution. It combines a high deductible health plan with a self-funded plan, and it saves small businesses 20 to 40 percent on their health plan. There’s no reason to keep giving your company’s hard-earned money away to the insurance company. You can take back control with a new method of buying employee benefits that is less expensive and more flexible.   

Related Post: We are the full service insurance benefit solution

Be Flexible

Flexibility is a way to save money on health insurance rates. While group health insurance might work well for some small businesses, individual benefits consulting and shopping for plans in a marketplace might make more sense for others. Implementing the ClaimLinx Solution is about looking at all aspects of the plan, from the plan with a carrier to the prescription coverage, from the copays for office visits to the overall plan deductible. ClaimLinx can help you find the right options for the best possible costs.

Educate Your Employees

Educate your employees on how to seek healthcare options and take better care of their health. Consider anti-smoking or anti-tobacco campaigns if your company has smokers on staff. Where employees seek medical care can also affect their health insurance rates. ClaimLinx can explain how someone’s choices to seek medical care can make health insurance rates go up. We go over urgent care versus an emergency room visit, out-of-network versus in-network care, pre-tax payroll deductions, and wellness initiatives for workers. 

Hire ClaimLinx to Lower Health Insurance Rates

ClaimLinx offers the ClaimLinx Solution to help lower your health insurance rates. Our experienced health benefits consultants can find you the best possible rates on employer-paid benefits while also educating your workers on how to save money on healthcare costs. Contact ClaimLinx or call toll-free 1-800-858-1772 to see what we can do.

How Employer-Paid Benefits Affect Your Bottom Line

ClaimLinx helps business owners save money on employer-paid benefits for health insurance provided for workers. Our ClaimLinx Solution develops a holistic strategy designed to save companies the most money possible while giving employees quality health insurance. In today’s blog, ClaimLinx explains how employer-paid benefits affect your bottom line as a business owner.

Bottom Line Savings

Employee benefits are one of the top five expenses of any business. Saving money on employer-paid benefits can open up huge opportunities for your firm for hiring new workers, purchasing new equipment, increasing wages, or investing in tools to help your employees work more effectively. By cutting costs on this big ticket item, there is a huge opportunity to reinvest in your employees and your business. You may even have the opportunity to improve benefits by adding a supplemental insurance benefit.

Related Post: Start a path to savings on insurance

Retaining Employees

Employee retention is a huge deal, especially in a robust economy with plenty of high-paying jobs. Having employer-paid benefits is a way to retain employees for the long-term. Long-tenured employees have more expertise and can be cross-trained to help more of the business. As they improve their efficiency and expertise, retained employees may accomplish more work over time compared to a new hire. The cost of hiring a replacement for a highly trained employee may exceed a whopping 200 percent of their annual salary. That’s not a small thing when you think about an annual salary versus providing a health insurance benefit.

Cost Analysis

Nationally, the average cost to onboard a new employee is $4,129, according to the Society for Human Resource Management. Consider the average cost of onboarding a new employee. You have the staff hours needed to post a job description, narrow the search, interview candidates, train a new person, and then get the new hire up to speed. The right benefits plan can help you avoid all this. Perform a cost analysis of onboarding versus employer-paid benefits. You may realize that keeping people at your firm with great benefits saves you money on recruitment and retention, even if you’re a small business.

Employee Wellness

Employer-paid benefits, including health insurance, improve overall employee wellness. Improved wellness leads to workers who stay on the job, work more productively, and have fewer sick days. One national survey states 66 percent of companies see a return on investment from their health initiatives, with 35 percent of firms seeing improved productivity and morale. Health insurance for workers helps them to stay engaged and happier at their jobs, which is a huge factor when it comes to employee retention and well-being.

Related Post: Have a happy healthy summer with these tips

ClaimLinx Saves You Money

ClaimLinx, with the ClaimLinx Simple Option Solution, looks at your business holistically. Our experienced benefits consultants take into account your costs, the number of employees, and your current situation. We find the best health insurance fit for you, the business owner, and your employees. Contact ClaimLinx or call toll-free 1-800-858-1772 to see how we can save your company 20 to 40 percent on employer-paid benefits.