Solutions for

Brokers and Advisors

Your clients with employer-sponsored group health plans risk fines up to $100 per member per day, or approximately $87,000 per enrolled member per year, for non-compliance with the Transparency in Coverage Rule or the No Surprises Act. While enforcement may commence in mid-2022 or sometime thereafter, the No Surprises Act requires compliance, including an internet-based consumer self-service tool, beginning on January 1, 2022. 

Risk averse CEOs, CFOs, CHROs and benefits managers across America will consider their options as they receive this news and seek advice and solutions from trusted sources. It is smart business for benefit advisors to identify the most effective, efficient solution in short order.  

While some might consider compliance highly onerous, with the right solution in place, it need not be. Informed employers are in fact embracing the benefits of the Transparency in Coverage Rule and No Surprises Act as the impressively bipartisan legislation changes the health care marketplace from a fractured one to one that is truly consumer-first. The end-result will mean billions of dollars saved annually in insureds’ out-of-pocket costs and reduced plan expenditures. 

TALON is the only turnkey platform available today that can bring your clients to full and immediate compliance, removing clients’ non-compliance risk and uncertainty while at the same time ushering in smart healthcare consumerism. TALON’s MyMedicalShopper™ consumer self-service tool served as the prototype for these federal mandates. It fulfills all transparency requirements of the Transparency in Coverage Rule and No Surprises Act that apply to both your fully insured and self-funded clients.  

Take
Flight.

Download the full Planning Guide
Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

The deadline is fast approaching. We are here to help. For a quick overview of MyMedicalShopper, click here.  With links below, our Executive Summary introduces the new laws, rules, and the TALON platform, while our Planning Guide presents both in greater detail.

Our experts are ready to work with you, your clients and their TPA/ASO, and carriers to ensure compliance and safe harbor, while our Advisor tools will help you support your clients and prospecting efforts, adding differentiated value as you leverage TALON in the new market-driven healthcare system and reduce their healthcare costs through various TALON tools that encourage and reward smart healthcare consumerism.

Learn more:

Executive Summary
10 Key Considerations
Planning Guide
Transparency in Coverage Final Rule
No Surprises Act

TALON Knowledge Center

Executive Summary

Download the Executive Summary of Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

10 Key Considerations

What you need to consider with Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

Planning Guide

Download the Planning Guide Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule

Transparency in Coverage Final Rule

Learn about how the final rule applies to your group.

No Surprises Act

Learn about how the act applies to your group.

Smart Consumerism

The best benefits for consumers.