Coastal TPA, Inc. is pleased to provide a self service online tool, which is HIPAA compliant for patient privacy, and provides you with free online access to your benefit information. Take a minute and review the exciting online services available to you.

Member/Provider Log-in:

Username: Password:  

System features allow members to:

View paid claim information
Check eligibility status
Retrieve the summary plan description
Access to online customer service
Verify provider participation
And much, much more!


#1 Employer Mandate Transition Relief Extended for 2015
On Feb. 10, 2014, the U.S. Treasury Department released final regulations implementing the employer shared responsibility provisions of the ACA. Under the final regulations, a package of limited transition rules provided for 2014 in the proposed regulations is extended to 2015. The final regulations also include a number of new transition rules for employers.

#2 In Stundning Announcement, "Pay or Play Rule" Delayed One Year
On July 2, 2013, the Treasury Department and White House announced in separate blog posts that the Pay or Play Rule (also called the “Employer Shared Responsibility” or Code Section 4980H rules) will be delayed for one year. The surprise announcement is extremely welcome news for employers. Employers which had been working quickly to come into compliance with the Pay or Play Rule may delay further action for several months. Most other Affordable Care Act (“ACA”) requirements do not seem to be impacted by the announcement.

#3 Supreme Court Issues Decisions Affecting Health, Welfare, and Retirement Benefits for Same-Sex Couples
On June 26, 2013, the United States Supreme Court issued a decision in United States v. Windsor ("Windsor"), holding that benefits offered under federal law to opposite-sex spouses must also be offered to same-sex spouses in the states that recognize same-sex marriage. Employers should carefully review their health, welfare, and retirement plans and implement any changes that may be necessary to comply with the Court's ruling. Employers that operate in multiple states will also need to determine the best way to administer their plans under the inconsistent state laws regarding same-sex marriage.

#4 The Department of Labor's Employee Benefits Security Administration has updated its Affordable Care Act web page on the Summary of Benefits and Coverage. To correct a minor error, updated versions of the following are now available:

#5 Health Care Reform: Grandfathered Health Plans
This summary of the new Interim Final Regulations identifies considerations for employer-sponsored plans.

#6 Federal Report on Self-Insurance Dispels Myths, Uncovers Key Cost Advantage
Federal reports found no support for several typical criticisms raised against self-insured strategies.

#7 Beyond Medicare Exchanges: Keeping the Faith with Retiree Benefits
Many employers being pressured to stop providing care to retired workers are bristling at the idea of leaving loyal former employees to fend for themselves.

#8 Health Benefits Audits: The Right Prescription for a Benefit Professional's Tool Kit
A health benefits audit can position the benefit professional as a savvy consultant and provide an important competitive edge.

#9 Barriers to Self-Funding Eliminated with Cooperative Strategy
The benefits of self-funding can work for smaller employers when they adopt a three-part strategy to address the barriers.

#10 Selecting the Right Service, Strategy and Partner for Audits: A Brief Guide
Our client advisory presents three simple steps to help you evaluate your partnership with an experienced medical and pharmaceutical auditing firm.

#11 Enhancing Benefits with Executive Medical Reimbursement Plans
Executive medical reimbursement plans aren't going to be extinct yet. Here's an overview of why these plans are still viable options.

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