4 Key Health Insurance Regulatory Changes You Should Know About Navigating the evolving healthcare landscape can be challenging, but staying informed ensures compliance and better decision-making for your clients. Here are four key regulatory changes for 2025: 1. Network Adequacy Standards CMS is strengthening network adequacy requirements for state-based marketplaces. Starting in 2026, plans must meet federal standards for time and distance for services. This initiative aims to ensure that enrollees have reasonable and timely access to healthcare providers. (cms.gov) 2. Essential Health Benefits (EHB) Changes States now have greater flexibility to include adult dental coverage in EHBs, with the possibility of adding adult dental benefits beginning in 2027. 3. Telehealth Regulations Key updates to telehealth include the end of audio-only CPT codes and expanded access to behavioral health services. However, Medicare’s geographic restrictions will resume for non-rural areas in 2025. 4. Permanent Special Enrollment for Low-Income Applicants The special enrollment period for low-income applicants will now be permanent, allowing year-round health insurance enrollment for these individuals.
PES Benefits
保险业
Ridgefield Park，New Jersey 2,324 位关注者
Employee Benefits Technology, Administration, Education & Virtual Care Solutions
关于我们
PES is proud to offer industry-leading employee benefits technology, administration, education, and virtual care solutions. Our employee benefits experience provides employees with a simple, effective way to enroll, and access, their workplace benefit, and empowers employees to understand the value of their benefits and make informed decisions to protect themselves and their loved ones.
Benefits Technology – being platform agnostic, our in-house Data & Technology team can build on most benefits administration platforms. So whether you have an existing platform or need a new build, PES has the tools to deliver.
Benefits Education – We understand that benefits education is a critical piece of the employee benefits experience. From our expert team of benefit counselors, our in house benefits education center, to our self-service platforms and everything in-between, employees will get the guidance they need to make effective, informed benefits decisions.
AllyHealth – a division of PES, has allowed us to offer our broker and client partners with a unique, all-in-one virtual benefits experience. Through the proprietary AllyHealth benefits delivery app, employees have access to virtual care services including Telemedicine, Primary Care, Dermatology, Mental Health Support, Integrated EAP 2.0, Health & Wellness Coaching, Advocacy & Care Navigation, Prescription Savings Tools, and more!
Communication – Leave the communication up to us! Our in-house marketing team is able to create fully customized pre/post engagement communication including brochures, flyers, microsites, benefit guides, and email/text message communications.
At PES, we take pride in our ability to provide our broker partners, employer partners, and their employees with the best all-in-one employee benefits experience possible.
PES.
Simple. Flexible. Personal.
- 网站
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https://www.pesbenefits.com
PES Benefits的外部链接
- 所属行业
- 保险业
- 规模
- 51-200 人
- 总部
- Ridgefield Park，New Jersey
- 类型
- 私人持股
- 创立
- 2014
- 领域
- Employee Engagement、Health Care、Customer Service、Employee Benefits、Medical Insurance、Health Insurance、Voluntary Insurance、Dental Insurance、Enrollment、Vision Insurance、Employee Turnover、Human Resources、Employee Satisfaction、Face to Face Enrollments、Call Center、Self Enroll、Nationwide、Web Platforms和HIPAA Training
地点
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主要
获取路线
100 Challenger Rd
US，New Jersey，Ridgefield Park，07660
PES Benefits员工
动态
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? Brokers, what’s been your biggest challenge with ben admin vendors? ? We’ve heard it all— ? Platforms that crash during open enrollment ? HR teams buried in manual work ? Payroll integration nightmares One of the biggest issues we discussed in our recent webinar was how poor vendor choices lead to unnecessary stress. The best ben admin partners don’t just offer technology—they offer true support. What’s been your experience? Drop a comment below! ?? ?? Missed the webinar? Catch the replay here: https://lnkd.in/eaafZnFA #EmployeeBenefits #HRTech #Brokers #BenefitsSolutions
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Admin tasks can be overwhelming—but they don’t have to be. PES Benefits offers: ? COBRA Administration ? ACA Reporting & Compliance ? Dependent Verification Brokers, let us handle the details so you can focus on delivering results for your clients. #BenefitsAdministration #BrokerSupport #PESBenefits
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?? Missed Our Webinar? Here’s What You Need to Know! ?? Choosing the wrong benefits administration partner can mean open enrollment chaos, payroll nightmares, and frustrated HR teams. One of the biggest mistakes brokers make? Choosing a system just because it’s included with payroll or offered at a discount. That can lead to integration issues and a lack of proper support when it matters most. We covered all of this in our recent webinar—watch the replay now! https://lnkd.in/eaafZnFA #EmployeeBenefits #BenefitsAdmin #Brokers #HRTech
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With PES Benefits Navigator, brokers can offer a seamless, fully branded experience that connects employees to everything they need in one place. This customizable platform makes benefits more accessible, driving engagement and simplifying the experience for everyone. Ready to enhance how your clients navigate benefits? #BenefitsTechnology #BenefitsNavigator #PESBenefits
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Digital wellness is just as important as physical and mental health in today’s world. That’s why PES Benefits partners with Norton LifeLock to offer identity protection and cybersecurity tools. Help your clients empower their employees with peace of mind, knowing their digital lives are secure. Let’s talk about how Norton LifeLock can be integrated into your clients’ benefits package! #DigitalWellness #Cybersecurity #PESBenefits
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Brokers, are you ready to redefine employee benefits? At PES Benefits, we provide everything you need to deliver an exceptional experience to your clients. From benefits education to innovative tech solutions, virtual care services, and administration support, we’ve got you covered. Let’s simplify and personalize benefits—together. #PESBenefits #EmployeeBenefits #BrokerSupport
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Struggling with EDI feed management? ?? Errors, compliance issues, and integration challenges don’t have to slow you down. Check out our latest blog on the Top 4 Ways to Simplify EDI Feed Management and learn how to streamline the process for better efficiency and accuracy. ?? Read it here: https://lnkd.in/eJsD6HxR ?
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Wellness starts with access. AllyHealth, a division of PES Benefits, connects employees with doctors, therapists, coaches, and more—anytime, anywhere. Ready to prioritize health and wellness for your clients? Let’s talk! #HealthAndWellness #VirtualCare #AllyHealth