What is a Medical Expense Reimbursement Plan (MERP)? Zane Benefits Publishes New Information

What is a MERP? MERP stands for medical expense reimbursement plan. This information from Zane Benefits can help companies to decide whether a MERP is good for them.
(PRWEB) June 19, 2012
MERP stands for medical expense reimbursement plan and any plan or scheme whereby a company pays an employee for the out-of-pocket medical expenses of employees or their dependents. When properly administered, all fees paid to the employee 100% tax free. Article 125 is not a MERP Plan, Cafeteria Plan, or flexible spending account. Rather, it is an Article 105 Plan.
How does a MERP WORK?MERPs are essentially a business account for health care - employees need to be converted into revenue reimbursed. These revenues should be kept to 7 years for IRS audit purposes. The IRS will not allow tax deductions through a MERP as the costs are not qualified medical expenses.
A company must establish a MERP (it can not be set by an individual). During the plan set up, the company decides what types of medical expenses.
MERP is a very flexible and can compensate almost all medical expenses an employee can have.
What medical expenses may reimburse MERP?A MERP may reimburse all costs are considered as qualified medical expenses by the IRS, including premiums for individual health insurance policy. Note that the business community, the list of reimbursable expenses to limit in any way they choose.
Some common categories of reimbursable items include:
1. Health Premium2. Doctor Visits3. Dental4. Vision5. Pharmacy6. Hospital7. Over the Counter Drugs (Prescription required)
For more information, see IRS Publication 502.
You need health insurance HAS TO BRING THE MERP?While many companies use a MERP for employees to compensate for the costs of their individual health insurance, a worker is not required to have health insurance to participate in a MERP. MERPs can also be used in conjunction with health savings accounts (HSAs) and flexible spending accounts (FSAS).
Why would a Business a MERP?There are two reasons a company would MERP:
(1) A MERP may reimburse Employees' Out-of-pocket health insurance premiums(2) A MERP allows employers to self-Insure Group Health Plan Deductibles
A MERP is a form of self-insurance. An employer may use a MERP as a way to medical insurance costs, but still relate to the employees qualified medical expenses tax free. In a year when the cumulative medical costs for employees are relatively low, the savings on insurance costs are very important.
For example, if a company reduces health insurance at lower premiums without adding a MERP is that the employer simply shift medical costs from employer to employee. Employees may also then be forced to their higher medical costs with after-tax money to pay. The MERP helps avoid additional costs to the employee.


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Lee Memorial Health System will become insured

For decades, to protect themselves against multimillion-dollar lawsuits. Lee Memorial Health System in large part on Florida's "sovereign immunity" protection.
That assurance strategy officially ended Thursday with the decision of the organization to pay for insurance to protect themselves against large malpractice claims, a movement driven by a $ 15 million prize should quickly pay a former patient.
The health system elected board of directors voted unanimously Thursday to the organization to give three options: spend about $ 1 million per year for a private plan, the health insurer for its own or get together with other public entities that self-insure .
Administrators decided the organization specific training in the coming months.
"There's too many greedy people who want to benefit from large organizations like this who want to do the right thing," said board member Chris Hansen. "I believe this is reasonable."
Lee Memorial will cover up to $ 25 million per year, with a $ 5 million deductible. If purchased from a plan, the organization between $ 952,000 and $ 1.2 million a year, said Mary McGillicuddy, healthcare's Chief Legal Officer.
Sovereign immunity limits the amount that the official hospital systems, such as Lee Memorial must pay up to $ 300,000. Senior Legal Awards are paid only when the legislature and governor decide to override that cap.
This year, legislators determined Lee Memorial, the family of Aaron Edwards $ 15 million to pay for a failed delivery of the boy in 1997 Health Park Medical Center.
Edwards now lives with cerebral palsy, a condition which his family blames on medical errors at the moment. The health system has repeatedly denied the medical staff did anything wrong.
"This was about politics - clean and simple politics," said Richard Akin, the hospital board chairman.
A Lee County jury in 2007 the family, who now lives in Colorado, to almost $ 31 million in damages be paid. But sovereign immunity was only a $ 200,000 payout - than the maximum allowed by Florida law.
That money went to Edwards' lawyers.
Lee Memorial Health System is now the family must pay $ 10 million by end of this calendar year. It will pay another $ 5 million over the next five years.


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Let private cash improve health care

ederal and provincial governments face serious fiscal and political challenges as a result of slow economic growth. Budget deficits, rising debt, high unemployment and the pressure for austerity policies would all be eased if more robust growth in the economy of Canada. It is ironic that the government continues to economic growth to occur in one of our key sectors: health care. Freeing the health care industry could generate an economic boom.
Health care accounts for a large part of national economic activity. According to the Canadian Institute for Health Information (CIHI), Canadians spent nearly $ 200-billion on healthcare in 2010, equal to about 12% of GDP. For comparison, data from the Canadian Association of Petroleum Producers indicates that in the same year the value of producers' sales in the Canadian oil industry was about $ 100 billion, or slightly more than 6% of GDP. Industry Canada data show that the auto industry sales of nearly $ 70-billion, or slightly more than 4% of GDP had.
Health care also provides a job creation machine. According to CIHI data, in 2010 the health care industry directly employed 673,000 as regulated health professionals. This is not even new jobs in support functions and management. Industry Canada estimates that another 29,000 people directly employed in the biopharmaceutical industry and 26,000 people in the medical device industry. By comparison, according to figures from Industry Canada, the oil and gas industry directly employed over the 230,000 and the auto industry directly employed 109,000 people in 2010.
Despite its already large share of the economy, the healthcare industry still has much potential for growth. The evidence strongly suggests that the current market demand for care exceeds the current market supply of health care in Canada. Long waiting times for access to necessary medical goods and services are commonplace, a shortage of medical professionals, innovative technologies and medicines are known, and future demand for healthcare is expected to increase as the population ages. But the supply of medical goods and services, and therefore economic growth in the industry is artificially constrained by the limited public resources and policy barriers to private sector financing and delivery.
If the government allowed private investment would flow into the health care, creating new capacity and expansion and modernization of our stock of medical facilities and equipment. New capacity, the demand for health workers, potentially creating thousands of additional high-paying jobs. New economic opportunities in health care in combination with a solid intellectual property protection would encourage home-grown research and development of innovative medical technologies, as an extension of export quality. Canada could even become a leader in the global market for health care, possibly attracting an influx of high-end medical tourism from other countries, which would effectively subsidize the domestic costs of health care for Canadians.

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Looming court ruling worries some with health woes

(Reuters) - Texan Sam Lovett had no health insurance in August 2010 when an emergency hospital stay brought news of his doctors that his liver was not and he could die in less than a year without a transplant.
The small warehouse where he worked had no health insurance. Lovett, 43, who lives near Comfort, Texas, was unable to purchase private coverage on their own because of his already poor health. Although he had the means to cover routine medical bills, he now needs a $ 400,000 organ transplant and no doctor or clinic would be him without insurance.
"They were arrangements for me to send to a hospice. Bluntly A doctor told me that I have a better chance of leaving the hospital alive than dead," said Lovett, who had a history of alcoholism and obesity.
But in the months that followed, Lovett was able to enroll in the existing state Insurance Plan (PCIP). The program was created by the health care law by President Barack Obama, a Democrat, signed in March 2010, despite the united opposition of the Republicans in Congress. The program paid for Lovett's transplant surgery at the Mayo Clinic in Phoenix in December last year.
PCIP is a temporary government set to run until 2014, when the Obama health care law is due in full force and insurance companies avoid the common practice of denying people coverage due to preexisting medical conditions. Approximately 60,000 Americans are already receiving medical coverage through the program under the Obama administration.
If the U.S. Supreme Court prepares to in the coming weeks to comment on whether the law considered as Obama's signature domestic policy achievement to overthrow, Lovett said that the choice is very clear to him and others unable to without insurance to get the provisions of the statute's.
"Without this, you will die," Lovett said in an interview arranged by the organization Consumers Union, which supports the law. "From my perspective, that is what the Supreme Court to sanction or not -. Or people may die because they can not get insurance"
Unlike people in many other rich countries, where health insurance is near universal, many Americans struggle without health coverage, even if the country more for healthcare than anywhere in the world pays. The American health care is a patchwork of private insurance and restrictive government measures programs that has left tens of millions uninsured.
Many Americans get health insurance because their employers as a job benefit. But some companies, particularly smaller employers do not provide. People with pre-existing medical conditions are often denied private coverage when they try to buy it on their own.
The Obama law represented the $ 2.6 trillion U.S. health care the biggest overhaul in nearly 50 years. Twenty-six of the 50 U.S. states - including Lovett home state of Texas - and a small business trade group challenged the law in court.
The Supreme Court has heard three days of historical arguments in March over the fate of the law. A ruling is expected by the end of June.
PCIP is only one facet of a law intended to expand coverage to more than 30 million more Americans, competitive health insurance exchanges in all 50 states and create new ways to provide effective care at lower cost to find.
Opponents of the law say that it represents an attack by the federal government to the individual's right to choose health care, interfering in the case of states, and that consumers saddled with higher costs and less access to care.
If the high court designate the law, the provisions immediately invalid.
'Start Over'
Although conservatives revile the law, Republicans and other critics agree something must be done to insurance access to people with preexisting conditions and other health problems. Several Republican bills in Congress would create new insurance polish for the expansion of affordable coverage.
"We need to get rid of the whole thing and start over with a very deliberative process," said Sean Spicer, a spokesman for the Republican National Committee. "There is dual recognition that these are valid issues to be addressed. But we have to do it in a way that no government in the middle of healthcare."
Mitt Romney, the Republican challenger to Obama in the U.S. election on November 6, has called for repeal of the law.
If the entire law or key provisions struck down, it may be difficult for any alternatives through a partisan stalemate in Congress to get even after the elections. Republicans currently control the House and Obama's fellow Democrats in the Senate.
Republican lawmakers working on an alternative health care agenda, the law must be passed. They may try to address some of the more popular consumer protection, such a provision already in force, that young adults remain under their parents health insurance plans at age 26 to recover.
But the uninsured or uninsurable could wait months or years for an alternative plan to help them. Meanwhile, many people without insurance fear that a serious illness can lead to astronomical health care bills and doom them to bankruptcy.
Statistics show that as many as one in four working-age U.S. adults without health insurance in a given year, often as a result of unemployment and job changes.
Helen Berger of Boise, Idaho, said she has not seen since her physician husband, Russ, lost his IT job 10 months ago.


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