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Helpful Resources

Breaking Barriers: Increasing Employee Utilization of Mental Health Benefits | WI Employee Benefits Group

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Over the past several years, mental health in the United States has steadily declined. Growing concerns about this issue have increased the pressure on employers to provide stronger mental health benefits. Although many organizations have expanded their mental health offerings, utilization among employees remains low. When these resources go unused, employees who could benefit miss … Continued

Empowering the Next Generation: Making Benefits “Easy” for Young Employees | WI Employee Benefits Agents

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Health Insurance today is significantly more complex for young workers than it was just a decade ago.  This complexity is driven in large part by healthcare costs that have outpaced inflation, pushing premiums, copays, and other out-of-pocket expenses to comprise substantial portions of their budgets.  For many younger employees, navigating this landscape is confusing – … Continued

Compliance Recap September 2025 | Wisconsin Benefits Firm

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UNDERSTANDING AND DISTRIBUTING MLR REBATES Insurance carriers must issue Medical Loss Ratio (MLR) rebates by September 30 when too much of the prior year’s premiums went to administrative costs or profit instead of claims and quality improvements. Employers who received MLR rebate checks will need to determine how much—if any—belongs to the plan and its … Continued

What Brokers Should Be Doing Now to Get Clients ACA-Ready | WI Benefits Agents

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How to position yourself as a trusted ACA compliance advisor For brokers and benefits advisors, Q4 planning doesn’t start in October. It starts now. September marks a critical moment in the annual ACA compliance cycle, when employers begin thinking about year-end strategies, benefits renewals, and how to avoid last-minute reporting panic. That makes now the perfect … Continued

Benefits 101: A Guide to PPO Plans | WI Employee Benefits Team

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When navigating the world of health insurance, you will likely encounter the term PPO (Preferred Provider Organization). A PPO plan – whether medical or dental – is about balancing the cost and convenience of care.  With a PPO plan, you get the flexibility to see a wide range of doctors. You’ll save money by staying … Continued

2026 Medical Cost Outlook | Wisconsin Benefits Group

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PwC’s latest annual analysis forecasts that group health insurance costs will increase by 8.5% in 2026—the third straight year at this elevated trend. This sustained rise means health care expenses are now similar to those seen 15 years ago, after a brief dip post-pandemic. Researchers gathered data from actuaries at 24 major U.S. health plans, … Continued

Compliance Recap August 2025 | WI Employee Benefits Group

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NORTH CAROLINA PASSES NEW PBM LAW On July 10, 2025, North Carolina Governor Josh Stein signed into law the Act Supporting Community Retail Pharmacies and Improving Transparency (“the SCRIPT Act”). The sweeping law regulating pharmacy benefit managers (PBMs) in North Carolina is designed to improve transparency, strengthen consumer protections, and support community pharmacies. While most … Continued

Mastering Open Enrollment: A Step-by-Step Guide | WI Employee Benefits Team

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Open enrollment doesn’t have to be a stressful administrative task. When planned well in advance, it becomes a valuable opportunity to review and enhance your benefits offerings, demonstrating your commitment to your team’s physical, mental, and financial well-being. A well-executed open enrollment can boost employee morale, improve retention, and ensure your workforce is supported. Use … Continued

Health Insurance Terms You Should Know | WI Benefits Team

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Health care terms, medical bills, and forms can be hard to understand. Here are some common health care terms, and what they mean.   Allowed Amount This is the maximum payment the plan will pay for a covered health care service.  May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” For example, if … Continued

Upcoming Changes for Employee Benefits | Wisconsin Benefits Firm

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Employers will see several changes to their health and welfare benefits due to comprehensive new tax and spending legislation. This includes notable improvements to Health Savings Accounts (HSAs), Dependent Care Flexible Spending Arrangements (DCFSAs), and employer-provided student loan payments, as well as the introduction of some new fringe benefit choices. These updates introduce significant changes … Continued

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