Compliance Assistance

ENV offers HIPAA and COBRA compliance assistance


HIPAA Compliance Assistance

Employers who offer health benefits to their employees must ensure compliance with various regulations under the Health Insurance Portability and Accountability Act (HIPAA). These compliance obligations include implementing policies, procedures, and notices as required under HIPAA privacy rules, security rules, and final discrimination rules. Failure to comply with HIPAA regulations can lead to penalties of $100 per violation per day up to a maximum of $25,000 in a calendar year.

HIPAA Nondiscrimination rules prohibit discrimination against individuals or beneficiaries based upon a health factor in group health coverage, plan eligibility, and rewards for wellness programs.

Health factors include: health status, medical condition, claims experience, receipt of health care, medical history, genetic information, evidence of insurability and existing disability.

Navigating these guidelines requires experience, contact an ENV professional for compliance assistance with these regulations.

COBRA Compliance Assistance

The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as: voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life events. Qualified individuals may be required to pay the entire premium for coverage up to 102 percent of the cost to the plan.

COBRA generally requires that group health plans sponsored by employers with 20 or more employees in the prior year offer employees and their families the opportunity for a temporary extension of health coverage (called continuation coverage) in certain instances where coverage under the plan would otherwise end.

ENV offers a HIPAA package to assist our clients in developing their HIPAA policy.  Our COBRA software is updated monthly to keep our COBRA administration clients in compliance. ENV clients also have access to our human resource hotline to answer any and all of your compliance questions.

ENV Call Center

The ENV Call Center is one of the many things that differentiate our company from other agencies. We provide our clients with our call center for direct service. All your employees will have an ENV Call Center Card to call and discuss:

  • Claim Issues
  • Benefit Questions
  • Obtaining New ID Cards
  • COBRA Questions
  • Additions and Deletions
  • Billing Issues
  • Medicare & Medicaid Questions

The ENV Call Center ensures that your employees will always get a person on the phone to service them, bypassing lost time and frustration dealing with the insurance company's "1-800-Shuffle."

315-641-5848 Monday - Friday, 8-5