Newsroom

ClaimLinx reaches Marketplace Elite Circle of Champions

For the 2018 open enrollment period, ClaimLinx joined the Marketplace Elite Circle of Champions. This designation is given to agencies that actively help between 100 to 499 people make plan selections and enroll in coverage.

The award was given for the open enrollment period spanning November 1, 2017 to December 15, 2017. The next open enrollment period is coming soon, and our insurance agents are already working to get ready for that time. They have completed the required training and registration to begin helping consumers make plan selections for 2019.

ClaimLinx offers two options for individuals looking for health insurance during open enrollment. Anyone can go to ClaimLinxMarketplace.com to start shopping for plans directly from carriers or through the exchange. We also offer a consulting service in which a ClaimLinx agent walks an individual through the application process and helps that person choose a plan.

Our consulting service includes explanations about health insurance plans in general and helping the individual understand his or her new benefits plan. We have found this to be a vital asset for many people when looking for a new plan.

The service can be paid by an individual, or we also recommend this as an option for a company that does not currently provide health insurance but wants to offer its employees help in choosing a health insurance plan. See pricing here.

We offer this service because there’s more to choosing a health plan than simply filling out an application and looking at the price. There are a number of factors to think about. How much do you plan on using the insurance? Do you see any specialists or have any provider network requirements? Do you need any expensive medications throughout the year? Do you qualify for federal subsidies? All of these are important factors in choosing a plan.

If enrolling individuals on an insurance plan through the marketplace is a part of a company’s savings plan, ClaimLinx includes its individual consulting services as a part of the overall Simple Option Solution. Contact our sales team to learn more about your company’s options for savings on health insurance.

See ClaimLinx’s certificate for joining the Elite Circle of Champions.

See ClaimLinx’s Complimentary Elite Services for clients

When it comes to offering a quality health plan, ClaimLinx doesn’t stop with simply writing insurance and administering benefits. Our service team provides more to each client and member because that is what is needed to get the most of a company’s benefits plan.

Now listed on our website are all included services as a part of setting up a Simple Option Solution health plan, the flagship product that allows businesses to offer a comprehensive health plan at a much lower cost.

See details on included services such as medical claim negotiation, medical claim reporting and analysis, member and administrator portals, online application, prescription rebates and coupons and so much more. All of these services are provided as a part of our role as consultant, agency and/or third party administrator.

We know that the work of administering a benefit plan doesn’t stop at the effective date. In fact, that can be just the beginning. That’s why we have added all of these services for clients to take advantage of our team’s expertise. We offer education meetings and materials for all members and administrators because we know how challenging navigating the health insurance industry can be.

It’s our highest priority that our clients are able to get full use of their health insurance. It’s not enough simply to buy great benefits at an affordable cost; members have to be able to use the benefits too.

Some of our clients already know how useful these additional services are. They request reporting to make sure they’re staying on top of any opportunities for additional savings in the future. They refer members with expensive drugs to our service team to search for drug programs that offer coupons or pharmacy locations with cheaper rates. They schedule educations meetings for members to help with the transition to a new benefits plan. If you’re not taking advantage of these services, you’re not receiving all that ClaimLinx has to offer.

Contact the ClaimLinx service team at service@claimlinx.com if you’re an existing client and want to take advantage of some of these services.

Or contact our sales team at sales@claimlinx.com if you’re not currently a client and would like to make the switch to quality benefits at a lower cost.

Client hosts fundraiser to provide access to healthcare services

The Cole Foundation, a client of ClaimLinx, is hosting its first Casino Night fundraiser in hopes of raising $10,000 towards its goal of providing healthcare services to underserved communities in its hometown of Houston and abroad.

The event will be held on September 21 in Spring, TX and will include raffle prizes and classic casino games like Roulette, Poker, Black Jack and Craps as well as drinks and hors d’oeuvres. ClaimLinx is sponsoring a game table for the event to show its support for the foundation.

The Cole Foundation is a Christian humanitarian organization dedicated to providing physical, occupational and speech therapy as well as nursing care to children, adults and seniors that are not able to receive that care through traditional healthcare means. It also acquires tools for mobility, such as braces, crutches or others, for those that could not otherwise afford them.

Anyone can give to the foundation or learn more about its mission in Houston and abroad on its website cole-foundation.org.

In 2017, the foundation committed hundreds of labor hours and thousands of dollars to assist victims of Hurricane Harvey, including acquiring custom leg braces for a woman who had not walked without assistance or pain in more than 20 years. In years past, it has provided aid to help children or elderly people walk and installed an access ramp for a man to safely enter and exit his home.

And their “mission does not stop locally.” Over the past nine years, the organization has been able to send teams of therapists on nine different missions to places like Ecuador, India, China, Guatemala and Haiti to provide the same important therapies, education for caregivers and tools for mobility that it provides in Houston.

“We are making a difference here, and abroad,” Brandi Taff, Event Chairperson, wrote in an introduction letter. “We are transforming lives.  We are bringing hope.  We would like you to be a part of our journey.”

The Cole Foundation Casino Night will be held from 7-10 p.m. on Friday, September 21 at the Northampton Community Center in Spring, Texas. Click here to buy tickets or become a sponsor of the event. 

Another lawsuit aims to take down the Affordable Care Act

A federal judge in Texas heard arguments Wednesday in a case aimed at doing what the Republican Congress has not yet been able to do — dismantle the Affordable Care Act.

The suit hinges on the change to the individual mandate as a part of the tax overhaul President Trump signed into law in December, which zeroed out the requirement that most Americans have health insurance or pay a fine.

The GOP plaintiffs also sought a “preliminary injunction” of the law, which would mean the law would be suspended while the case is decided. The judge has not made a decision on the injunction yet.

Judge Reed O’Connor, a conservative jurist appointed by George W. Bush, heard arguments from GOP plaintiffs, the Justice Department and 17 Democratic attorneys general, with the bulk of his questions going to the defendants of the law.

The lead Democrat arguing the case, California attorney general Xavier Becerra, cautioned against ending the law, even temporarily, as it “would wreak havoc in our health care system.”

The case was filed in February by 18 GOP attorneys general and two GOP governors. They argue the Supreme Court upheld the individual mandate in 2012 as a part of Congress’s authority to tax. Now that the mandate carries no penalty, it can no longer be justified as a tax and should be struck down. And without the mandate, the rest of the law crumbles, including the law’s arguably most popular requirement, that insurers must cover people with pre-existing conditions at no extra cost.

Legal scholars across the political divide believe this is a weak argument, but the case could be the first to go before the more conservative Supreme Court.

Although the Trump administration is technically the defendant in the case, the administration announced in June it would not defend the law. The Justice Department wrote in its filing with the case that it did not think the entire law needed to be eliminated, but it did agree the protections for preexisting conditions should be eliminated January 1, 2019, when the tax penalty goes away.

Filing a case that could put protections for those with pre-existing conditions at risk has already had some political fallout for Republicans, as Democratic candidates have started using it in their campaigns for Congress.

In response, a group of 10 Republican senators introduced legislations last month that prohibits insurance companies from denying coverage or charging more for a pre-existing condition. Democrats point out that the new legislation would not require insurer’s plans to cover treatment for those illnesses, as the Affordable Care Act currently does.

What all of this means is that this is once again a wait-and-see moment for the Affordable Care Act, a daunting concept with open enrollment and an election quickly approaching.

ClaimLinx office closed for Labor Day

The ClaimLinx office will be closed on Monday, September 4 to celebrate Labor Day with friends and family. All inquiries via phone or email with be returned as soon as possible when the office reopens with regular business hours on Tuesday.

We hope all our clients and members are able to enjoy the holiday safely with loved ones. Our staff will be attending cookouts, traveling to beaches and trying to enjoy the last gasps of Summer. How will you be spending your Labor Day weekend? Let us know on FacebookTwitter or Instagram by tagging @ClaimLinx.

Ever wonder where the Labor Day holiday comes from? The first Labor Day took place in New York City on September 5, 1882 when the Central Labor Union organized a march from City Hall to a picnic in an uptown park. Workers of all kinds, including cigarmakers, dressmakers, printers, shoemakers, bricklayers and other factory workers, carried signs advocating an eight-hour work day and higher wages.

At the time, men, women and children were known to work 12-hour work days up to seven days per week. It’s reported as many as 10,000 people came together to march that day.

The first Labor Day parade was a risk to the workers, because their one-day strike could have turned into a dismissal. As the labor movement grew across the country, more industrial centers followed New York City’s lead in celebrating the first Monday of September as a “workingmen’s holiday.” Parades across cities were made up of workers and labor unions holding signs about more rights and more pay to exhibit the strength of their organizations.

Amid a series of strikes and protests, President Grover Cleveland signed a bill into law on June 28, 1894 declaring Labor Day a national holiday. Recognizing the day nationally was seen as a way of maintaining support from labor organizations when they were becoming increasingly powerful.

Now, most people celebrate Labor Day with backyard barbecues or last gasps of summer celebration rather than parades with signs about labor rights. But maybe this year, with this little bit of history in hand, we can all take a minute to remember the organizations that gave workers this often much-needed day to unwind with friends and family.