Author Archives: CorpStrat News

Helping Employees During Los Angeles Wildfires

firefighter

The following is intended to help employers support their employees impacted by the Los Angeles fires. Please consult with your tax advisor for further guidance.

The wildfires ravaging various parts of Los Angeles County are truly tragic and expected to cost more than $50 billion in damages, making it the most expensive natural disaster ever in the United States. For employers with employees in the impacted areas, there are several ways to help.

First, an employer may provide disaster assistance payments under IRC section 139 on a tax-free basis:

  1. to reimburse or pay reasonable and necessary personal, family, living, or funeral expenses incurred as a result of a qualified disaster.
  2. to reimburse or pay reasonable and necessary expenses incurred for the repair or rehabilitation of a personal residence or repair or replacement of its contents to the extent that the need for such repair, rehabilitation, or replacement is attributable to a qualified disaster.

Thus, employers can pay for hotel stays, money for food and clothing, or even to help repair homes damaged or destroyed by the fires. There is no limit on such payments, meaning employers can determine how much assistance to provide those affected.

Second, employers can create a leave-sharing program for employees impacted by disasters. Under a leave-sharing program, employees donate accrued but unused leave to employees who have exhausted their leave. For the donation to be tax exempt to the donor, an employer-sponsored leave-sharing program must comport with the following requirements:

  1. The plan must allow a leave donor to deposit unused, accrued leave in an employer-sponsored leave bank for the benefit of other employees who have been adversely affected by a major disaster. An employee is considered adversely affected if the disaster has caused severe hardship to the employee or family member that requires the employee to be absent from work.
  2. The plan does not allow a donor to specify a particular recipient of their donated leave.
  3. The amount of leave donated in a year may not exceed the maximum amount of leave that an employee normally accrues during that year.
  4. A leave recipient may receive paid leave from the leave bank at the recipient’s normal compensation rate.
  5. The plan must provide a reasonable limit on the period of time after the disaster has occurred, during which leave may be donated and received from the leave bank, based on the severity of the disaster.
  6. A recipient may not receive cash in lieu of using the paid leave received.
  7. The employer must make a reasonable determination of the amount of leave a recipient may receive.
  8. Leave deposited on account of a particular disaster may be used only by those employees affected by that particular disaster. In addition, any donated leave that has not been used by recipients by the end of the specified time must be returned to the donor within a reasonable time so that the donor may use the leave, except in the event the amount is so small as to make accounting for it unreasonable or impractical. The amount of leave returned must be in the same proportion to the leave donated.

The IRS does not allow special tax treatment for major disaster leave-sharing plans that do not comply with the above requirements. For example, the IRS rejected special tax treatment for an employer-sponsored leave-sharing program that allowed employees to draw from its leave bank in the event of a “catastrophic casualty loss.” Under the program rejected by the IRS, employees were allowed to donate hours of paid leave for the benefit of an employee who experienced severe damage to or destruction of their primary residence that required immediate action by the employee to secure the residence or to those who were affected by a terrorist attack, natural disaster, or public health crisis. The IRS determined that a “catastrophic casualty loss” was too broad to be permitted as an eligible medical emergency plan since the plan may or may not involve a personal or family medical emergency. The IRS also found that the plan was outside the scope of an eligible major disaster leave-sharing plan because the plan was not “designed to be limited specifically to aid the victims of a ‘major disaster’ as declared by the President of the United States.”

Other resources may also be available. For example, employers might consider reminding employees about EAP programs or other benefits that are available to them should they be struggling with mental health issues relating to the stress of the wildfires. And of course, simply checking up on employees to ensure they are safe is always a good idea.

Health Insurance Resources for Those Affected by the California Fires 2025

patient getting eye exam

Affected by the SoCal Fires? Here is how CorpStrat can help:

CorpStrat is working with employers and employees to share how health insurance companies are helping those affected by the fires.

Reach us if we can help you in any way. Insurance carriers have staffed hotlines to help.

  • Prescription Refills: Members in mandatory evacuation zones may receive immediate refills of their prescriptions, even if they are not yet due for a refill.
  • Mental Health Support: Carriers’ mental health service administrators provide free access to resources, materials, and counseling services.
  • Vision Plan Assistance: Vision plan members in affected areas who have lost or broken eyewear may be eligible for replacement lenses and/or frames – bypassing any annual limits.
  • Member Identification (ID) Card Replacement: If members have lost their ID cards they can be replaced immediately online or by calling client services.
  • Virtual Care Options: Members can access various telehealth services offered by carriers.

Additionally, if you or someone you know has been affected by the fires, and is covered by Anthem Blue Cross, please read the below from Anthem:

We hope this message finds you and your loved ones safe and well. Our thoughts are with all those affected by the devastating fires in Southern California.

In these challenging times, the health and safety of our community is our utmost priority. We want to assure you that we are committed to providing the necessary support and resources to help navigate this state of emergency.

Our team is working diligently to ensure that our members receive the assistance they need, and we stand ready to support you in any way we can.

We’re making temporary changes to health plan benefits to provide relief and ensure healthcare access for our members who live in Los Angeles and Ventura counties in California and are impacted by the Palisades wildfire and windstorm conditions.

The changes are in effect January 7th through February 5th, 2025.

The changes also apply to emergency responders who have been activated to the impacted area by their state or local agency, but who do not live in the impacted area.

For assistance during this emergency, please call us at 833-285-4030

We are here to help make sure you have access to the healthcare you need. We can help with finding available doctors, refilling prescription drugs, and other health plan questions.

We’re available by phone Monday through Friday, 8 a.m. to 6 p.m. PT.

Receiving care during the emergency

  • You can receive care from any doctor or hospital, even if they are not in your plan’s network. We will cover the claims as if they are in your plan’s network.
  • If your doctor’s office or healthcare facility is closed because of the emergency, or if you are unable to travel there, call us at 833-285-4030. We can help you find another doctor.
  • If you’re in a care management program and need to reach them, the contact number is 833-285-4030.

Prescription drug refills

  • If your Anthem plan covers your prescription medicines, you can receive up to a 30-day emergency refill at any pharmacy now, even if it’s not in your plan’s network.
  • If you use Anthem’s home delivery pharmacy and your address changed, call us at 833-285-4030 so we can make sure to send your medicine to the right place.

Medical equipment that is lost or damaged

  • We can help you replace your equipment (also called durable medical equipment or DME). Call us at 833-285-4030.

Eyeglasses or contact lenses that are lost or damaged

  • We can help you replace your eyeglasses or contact lenses.

Call us at 833-285-4030.

Preapprovals or referrals

  • You have more time to request them. There won’t be any late fees.

Call 833-285-4030 if you need an extension.

Filing a claim

  • You and your doctors have more time to file claims. Call us at 833-285-4030 if you need an extension.

Health plan premiums

  • If you receive a bill directly from Anthem for your monthly insurance premium and are experiencing financial difficulties because of the emergency, you have more time to pay your bill. Please call us at 833-285-4030 to discuss options.

Mental health support 

  • Anthem’s Employee Assistance Program (EAP) offers mental health support and resources to help with legal and financial concerns, dependent-care needs, and other life challenges. Call the 24/7 EAP crisis line at 877-208-8240.
  • Our Anthem website also offers resources for mental health support.
  • Crisis support is available if you or someone you know is having suicidal thoughts or behavior, is experiencing emotional distress, or is behaving in a way that could harm others. Call 988 or go to 988lifeline.org to reach the confidential Suicide & Crisis Lifeline. Help is available 24/7.

In addition to the above, we are taking the following steps on behalf of our members:

  • Activating business continuity procedures to ensure continued access to care for impacted members.  Please refer to https://www.anthem.com/ca for more information on how we’re working to help our members.
  • Identifying members who may be medically impacted by smoke and fire.
  • Coordinating with providers (e.g., hospitals and nursing homes) to assist in the event of site closures.

Finally, Anthem is also offering free access to its online health option, LiveHealth Online to anyone living in the impacted area. LiveHealth Online offers video visits with U.S.-based board-certified doctors on a mobile device or computer from anywhere for non-emergency health conditions. The free visit offer will be available through the end of the state of emergency.

Important Notes:

  • The timing and locations for these relaxed guidelines may change based on conditions. Please check https://www.anthem.com/ca for updates.
  • These changes are for impacted members who reside in Los Angeles and Ventura counties in California and who have Anthem group health plans through their employers, or Anthem individual and family plans. They do not apply to Medicaid, Medicare, Medicare Part D, Medicare Advantage, Federal Employee Health Benefit Plans, or fully insured trust funds. These plans have their own guidelines.

The team at CorpStrat is available to help be your resource – reach out to us.

Out of Tragedy Comes Change: How Public Backlash May Be Reshaping the Health Insurance Industry

Old general practitioner taking notes at consultation with patient

In the wake of the tragic death of UnitedHealthcare CEO Brian Thompson, a seismic shift is taking place in the healthcare and insurance industries. While the circumstances are deeply regrettable, the event has acted as a catalyst, sparking widespread public discourse and demand for change. This backlash, fueled by years of frustration over denied claims and rising costs, is now opening the door for positive reforms that could reshape the future of healthcare.

Transparency and Accountability: A New Era for Insurers

The intense criticism that followed this tragedy has forced health insurers to face a long-overdue reckoning. Public outcry has highlighted opaque practices around claim denials and coverage decisions, pushing insurers to be more transparent in their operations. In response, many companies are re-evaluating their policies, promising to prioritize patient needs and rebuild trust.

Competitors like Anthem Blue Cross / Blue Shield have already felt the heat, reversing controversial policies, such as limiting anesthesia coverage during surgeries. This swift response underscores the power of consumer advocacy and the importance of accountability in an industry that impacts millions. Plus, it underscores the real complexities involved in managing fraud and abuse, and the consumers expectations of near perfection in a “amazon instant response” expectant world..

Policy Reforms on the Horizon

This public backlash has caught the attention of lawmakers and regulators, many of whom are now prioritizing healthcare reforms aimed at protecting consumers. Proposed changes include tighter regulations on claim denials, improved transparency requirements, and initiatives to curb rising premiums. These reforms, if enacted, could mark a significant step toward creating a more equitable healthcare system.

Elevating Public Awareness

For years, healthcare inequities and challenges have persisted in the shadows, experienced by individuals but rarely discussed on a national scale. Now, personal stories of denied claims and financial struggles are coming to light, creating a collective call for action. This elevated public awareness has empowered consumers to advocate for their rights, putting unprecedented pressure on insurers to improve.

A Spark for Industry Innovation

The backlash is also fueling innovation in the healthcare space. Alternative models, such as Individual Coverage Health Reimbursement Arrangements (ICHRAs), are gaining traction in some states, while MEWA’s (Multiple Employer Welfare Trusts) are breaking the traditional fully insured model and creating non-ACA compliant alternatives for small and medium sized employer. Insurtech startups continue trying to be disruptive, creating consumer-friendly solutions designed to challenge traditional insurance practices.

These trends signal that the industry is ripe for transformation. By focusing on patient-centric care, ethical decision-making, and technological advancements, the healthcare landscape could emerge stronger and more efficient than ever.

Internally, insurance companies are being forced to rethink their culture and leadership priorities. As public trust erodes, the spotlight is on executives to lead with empathy and integrity. This moment could mark the beginning of a new chapter for corporate responsibility in healthcare and across all insurance plans and companies and products.

Conclusion: Turning Crisis into Opportunity

While the events surrounding this backlash are tragic, they have ignited a movement for possible change. By addressing long-standing issues and embracing innovation, the health insurance industry has an opportunity to rebuild trust and create a system that prioritizes fairness, transparency, and patient care. This is not just a moment of reckoning—it’s a chance for transformation. The team at CorpStrat stands ready to guide and lead your team.

What do you think? Could this be the tipping point for real change in the healthcare industry? Share your thoughts in the comments.

What We Can Learn from the Murder of UHC CEO

medical desk

The tragic killing of United Healthcare’s CEO, Brian Thompson, has reignited discussions about consumer dissatisfaction with the insurance industry. While health insurance often dominates these conversations, many consumers are surprised by how functional the health insurance industry is as compared to other types of insurance. Commercial, homeowners, and auto insurance, in particular, are often riddled with inefficiencies and leave policyholders feeling unsupported and frustrated.

A Broken System Across the Board

Insurance as a safety net has turned from a product that truly protected and reimbursed the policyholder, to a system fraught with complexities, call centers, lack of transparency in nearly every turn, and a real sense that the industry is far from the “love like and follow” culture desired and breaded by consumer-centric companies like Google Apple and Amazon. From individuals to businesses, the entire insurance experience is consistently marred by red tape, opaque policies, and a lack of accountability. For many, the process of filing a claim—whether for a personal auto accident or a business interruption—feels more like an uphill battle than the safety net they were promised.

For homeowners’ policies, there has been a record number of fires floods and natural disasters causing widespread destruction. Navigating insurance after disasters is fraught with delays and denials. Consider a family in California whose home was destroyed by a wildfire. Despite holding a comprehensive policy, insurers traditionally negotiate settlements for over a year, leaving them to juggle temporary housing costs and rebuilding expenses. Stories like this are common and erode trust in the industry.

Commercial business of all types face equally daunting challenges. Commercial insurance policies, which are vital for small and large businesses alike, often come with unclear terms and inadequate coverage. A manufacturing business can significant losses after a storm causes structural damage to their facilities, despite having a business interruption policy negotiating and adjudicating claims can lead to months of delays and force companies to scale back operations. No product delivered to business owners has escaped the challenging and tedious process of securing, renewing or managing business insurance.

Auto insurance is another frequent source of frustration. Drivers often face higher premiums after filing claims, even when they were not at fault. Cancellation after use is likely. Rates are near prohibitive for young drivers. The promulgation of  marketing billboards and “call to action” injury hotlines have fueled an “accident turned lawsuit mentality”. The system is challenged

The Business Impact

For business owners, these insurance inefficiencies can be catastrophic. Small businesses, in particular, struggle to recover when insurance is poorly written or ambiguous. Whether it’s a denied claim for property damage or delays in liability settlements, these roadblocks can disrupt operations and jeopardize livelihoods.

Meanwhile, the insurance companies themselves continue to thrive. Stock prices for major insurers, including those offering commercial products, climb quarter after quarter. This financial success highlights a stark disconnect between corporate profitability and the real-world experiences of their customers.

A Call for Industry Reform

Can insurance companies move the needle – even slightly???

The insurance industry must evolve to meet the needs of its consumers. Businesses and individuals alike deserve products that work when they are most needed. To rebuild trust and ensure long-term success, insurers should:

  1. Increase Transparency: Clearer policies and communication will empower consumers and reduce misunderstandings.
  2. Streamline Claims Processes: Investing in technology and customer service can significantly reduce delays and frustrations.
  3. Focus on Fairness: Insurers must commit to honoring legitimate claims promptly and equitably, regardless of the size of the payout.
  4. Adopt a Proactive Approach for Businesses: Commercial clients require tailored solutions that adapt to the unique risks and challenges of their industries. Insurers must work collaboratively with business owners to create coverage that supports long-term resilience.

The Path Forward

Reforming the insurance industry isn’t just a matter of improving customer satisfaction; it’s essential for maintaining the industry’s credibility. By shifting focus from shareholder returns to consumer needs, insurers can restore faith in their role as protectors. This shift is critical not just for individuals but for the businesses that drive our economy. It’s time for insurers to recognize that their success depends on the satisfaction and security of their policyholders. By embracing transparency, efficiency, and fairness, the industry can finally begin to repair its fractured relationship with consumers. The general public has no way of moving the needle on the consumer experience – its entirely on the shoulders of every officer manager, executive and employee at every insurance company to start the process.

Top 10 Employee Benefits Priorities for Employers as the Year Ends

Business woman planning work

As the year winds down, employers have a crucial opportunity to fine-tune their employee benefits strategy. Open enrollment is wrapping up, and now is the time to ensure your benefits package is ready to meet employee needs and support your 2025 business goals. A strong, competitive benefits program doesn’t just attract top talent—it also drives employee satisfaction and retention.

At Corpstrat, we specialize in helping businesses navigate these challenges. Here are the top 10 employee benefits priorities to focus on before the year ends.

1. Finalize Open Enrollment Communications

A successful open enrollment hinges on clear communication. Ensure your employees understand their options, any changes for 2025, and the enrollment deadlines. Use multiple channels—emails, webinars, printed guides, or one-on-one meetings—to make sure everyone feels informed and confident in their choices.

2. Review 2025 Plan Design Changes

Have you updated your plans for 2025? Whether it’s adjusting premium contributions, coverage options, or introducing new benefits, now is the time to finalize your offerings and communicate the value to your team. A clear, competitive plan goes a long way toward boosting employee satisfaction.

3. Proactively Address Premium Increases

If your organization is facing premium increases, consider offering creative solutions. Pairing high-deductible health plans (HDHPs) with Health Savings Accounts (HSAs) or adding wellness programs can help employees offset costs while staying engaged in their health.

4. Assess Participation Rates

Look at this year’s enrollment data. Are some benefits underutilized? Targeted communication campaigns can help increase awareness of valuable programs like telemedicine, financial wellness tools, or mental health resources. Better utilization can lead to better outcomes for your employees.

5. Confirm Compliance with Regulations

Don’t let compliance issues derail your progress. Ensure you’re meeting requirements for ACA reporting, COBRA administration, and HIPAA. With state and federal laws constantly changing, a compliance review is essential to avoid penalties and keep your team protected.

6. Invest in Mental Health and Well-being

In today’s workplace, mental health is non-negotiable. Expanding your offerings to include Employee Assistance Programs (EAPs), access to licensed therapists, or digital well-being tools can make a world of difference to your employees—and show that you truly care.

7. Consider Long-Term Care Insurance

As caregiving demands increase, long-term care insurance is becoming a must-have benefit. Adding this option to your benefits package positions your organization as forward-thinking and family-focused, helping employees plan for their future with peace of mind.

8. Audit and Optimize Your Current Benefits

Year-end is the perfect time for a benefits audit. Are your programs delivering value? Are you paying for benefits employees don’t use? Adjust your offerings to maximize employee satisfaction and your return on investment.

9. Promote Ancillary Benefits

Ancillary benefits like dental, vision, disability insurance, and voluntary offerings such as pet insurance or legal support can significantly enhance your package. These are low-cost options for employers that provide high perceived value to employees.

10. Plan a 2025 Benefits Communication Strategy

Open enrollment is just the start. Develop a year-long communication strategy that educates employees about their benefits, keeps them engaged, and ensures they make the most of your offerings. A proactive approach to education can lead to higher satisfaction and better utilization.

How We Can Help

At CorpStrat, we specialize in helping businesses like yours navigate the complexities of employee benefits. From designing competitive plans to creating effective communication strategies, we ensure your offerings deliver maximum value—for both your employees and your bottom line.

Let’s talk! Whether you need a compliance check, assistance with open enrollment, or ideas for new benefit offerings in 2025, we’re here to help. Schedule a free consultation today to see how we can support your business.

Your benefits strategy is one of your most powerful tools for attracting, retaining, and rewarding your team. Let’s make it work for you.