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Employee Benefit News for School, City and County Employers

Pierre Guilfoile

Pierre Guilfoile believes that “every situation, positive or negative, provides an opportunity to learn and to grow.” Clients will appreciate his overall expertise, communication skills, and his willingness to dig deep to find the right solution. As Director of Health Plan Analytics, Pierre monitors the financial health of client's health insurance plans, evaluating medical renewals, overseeing claim evaluation creation and delivery, and working closely with our Employee Benefits Consultants. Pierre is a licensed insurance agent, a member of the Minnesota Association of Health Underwriters (MAHU) and has a background in health and dental insurance.

Recent Articles by Pierre Guilfoile

Deadline to Receive MLR Rebates Approaching

1.5 minute read

Employers with insured group health plans may receive a medical loss ratio (MLR) rebate from their issuers if the applicable percentage for 2023 is not met. Rebates, in the form of...

State Pharmacy Benefit Manager Regulations

1.5 minute read

In 2021, prescription drug spending by private health plans nearly reached $152 billion, an 18% increase since 2016. Some researchers and stakeholders are scrutinizing certain...

Evaluating a Pharmacy Benefits Manager

4 minute read

A pharmacy benefits manager (PBM) acts as a middleman in the pharmacy benefits marketplace, connecting employers, drug wholesalers, plan members, pharmacies, and drug companies. PBMs...

Market Outlook for 2020/2021

4.5 min read

Pierre Guilfoile, NIS' Director of Health Plan Analytics, gives his take on the renewal and market expectations for the insured and self-insured market for 2020 and 2021.

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Final Forms for 2019 ACA Reporting

1.5 minute read

The Internal Revenue Service (IRS) has released the final forms and instructions for 2019 reporting under Sections 6055 and 6056.

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2020 ACA Compliance Checklist

Public sector organizations with group health plans should be aware of changes to Affordable Care Act (ACA) requirements that take effect in 2020.

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Pay or Play Penalties are Still Applicable

1 minute read

The IRS released an information letter which confirms that the employer shared responsibilities or pay or play penalties continue to apply for applicable large employers (ALEs) that...

Health Insurance Literacy and its Impact on Your Bottom Line

Employees with low health insurance literacy frequently utilize more health care services.[1] Often, they do not understand how to choose the appropriate healthcare services and may select an...

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Your Guide to ACA Employee Subsidy Notifications

The next Affordable Care Act (ACA) compliance hurdle that schools, cities and counties are facing is employee subsidy notifications and appeals. Subsidy notifications will be sent out this summer and...