New Transparency Requirements for 2024

Group health plans and health insurance issuers are subject to many requirements designed to increase health care transparency and protect consumers against surprise medical bills. In general, most employers rely on their issuers, third-party administrators (TPAs) and other service providers to satisfy many of these requirements, including the obligations to provide machine-readable files (MRFs) and a cost comparison tool and submit detailed reports on prescription drug spending. Employers should confirm that their written agreements with their issuers, TPAs or other service providers have been updated to address this compliance responsibility. In addition, employers should monitor their service providers’ compliance with federal transparency requirements.

Employers should watch for additional transparency guidance in 2024, including guidance on the currently delayed requirement to provide advanced explanations of benefits (EOBs) and possibly new transparency legislation. In addition, employers should be aware of the following transparency requirements for 2024:

  • Cost comparison tool: For plan years beginning in 2023, health plans and issuers were required to make an internet-based price comparison tool available for 500 shoppable items, services and drugs. For plan years beginning in 2024, the internet-based price comparison tool must be expanded to cover all covered items, services and drugs.
  • MRFs: Non-grandfathered health plans and issuers must publicly post three MRFs regarding in-network provider rates, out-of-network allowed amounts and billed charges, and prescription drug rates and prices. Federal agencies have ended an enforcement delay for posting the prescription drug file. Future guidance will specify a timeline for complying with this requirement.
  • Prescription drug reporting: Health plans and issuers must report information about prescription drugs and health care spending to the federal government annually. This reporting process is referred to as the “prescription drug data collection” (or “RxDC report”). The annual deadline is June 1, which means that the RxDC report is due by June 1, 2024, covering data for 2023. However, because June 1, 2024, is a Saturday, this deadline may be extended to the next business day, which is June 3, 2024.
  • Gag clause attestations: Health plans and issuers must annually submit an attestation of compliance with the federal prohibition on gag clauses. The gag clause attestation is due by Dec. 31 of each year.

For additional information on the new transparency requirements or any other compliance concerns related to your employer sponsored health plan, please contact me at Mike.Holley@dimondbros.com

Mike Holley

Vice President of Life and Health – Partner

mike.holley@dimondbros.com

This article is intended for informational purposes only and is not intended to be exhaustive, nor should any discussion or opinions be construed as professional advice.

Welcome Barham Benefit Group

Dimond Bros. is welcoming the Barham Benefit Group from Champaign, IL to Dimond Bros. effective 1/1/2024. With the merger, we are excited to be expanding our team to include James Barham. James has been licensed as a life, health and accident insurance broker in Illinois since January 1986. We are thrilled to have James join our Benefits Team.


When he is not serving his clients, biking or sky diving, James has maintained community focus as a priority. Having served as an elected Park District Commissioner, member of numerous boards, fundraiser, contributor and art gallery owner, his commitment to our community is well known. He has been honored to receive United Way’s Spirit of Caring Award, the Community Foundation of East Central Illinois’ Hearts of Gold Award and the Friend of the Agency award from the Housing Authority of Champaign County. Recently he has been active with the United Way of Champaign County’s Power of the Purse, the Housing Authority of Champaign County’s Youth Build Program, and the World’s Largest Recycled Glass Christmas Tree.

James will remain in his office location in Champaign located at 919 West Kirby Avenue Champaign, IL 61821 and can be reached via phone at (217) 356-1978 and email at james.barham@dimondbros.com.

Welcome to Dimond Bros. Barham Benefit Group and James!

How to Make a New Years Resolution – and KEEP IT!

As a new year begins, you may be reflecting on the past year. This introspection is a significant first step toward selecting a New Year’s resolution to help you grow as a person. Many New Year’s resolutions fail by mid-February due to a lack of self-discipline, with only 1 in 5 people sticking with them all year. That’s why setting yourself up for success when choosing a resolution is important.

Regardless of what you choose as your resolution, make sure it’s a “SMART” goal—one that is specific, measurable, attainable, realistic and timely—to increase the odds that you will stick to it. Here’s what that means:

  • Specific—A specific goal is simple and strategic. It’s something you can easily conceptualize. For example, instead of saying you’ll eat healthier, be specific about how you can actually do that (e.g., cook breakfast daily or eat fish twice a week).
  • Measurable—A measurable goal is quantified. You’ll be able to see if you’re making progress as you go. For example, if you want to save $500 for your emergency fund or save for a down payment on a home, you’ll be able to track your savings and prove you’re making progress along the way.
  • Achievable—An achievable goal is realistic and attainable. If you’ve never worked out before, a daily workout goal won’t likely be feasible or sustainable in the long run. Alternatively, if you’re already taking walks, start with increasing their duration or frequency.
  • Relevant—A relevant goal needs to make sense or be appropriate for you. You want your goal to matter, so reflect on the past year about what’s working in your life and what’s not. Timing is equally important, so ensure this is the right time for you to tackle the resolution.
  • Timely—A timely goal is accomplished within a specific time frame. You can adjust this period as needed and make new goals or deadlines after achieving the first one.

Remember that New Year’s resolutions don’t have to be health-related, so find what matters to you to help you live a better life in 2024.

This article is intended for informational purposes only and is not intended to be exhaustive, nor should any discussion or opinions be construed as professional advice.

Knowing Your Coverage – Rental Cars

The holidays are upon us, and with that, brings road trips, long-distance travel, and the possibility of needing to rent a vehicle. Imagine this, you and your family decide to take a cross-country Christmas trip which includes flights and that dreaded airport rental car experience. You finally make it to the counter after traversing the long lines, and the rental car employee asks you the question you were hoping to avoid, “will you be purchasing our rental car insurance coverage today”. You freeze in a panic because truthfully, you’ve never taken the time to understand if it’s necessary or not. 

The answer to this question can be complex, and it often depends on your individual insurance policy. This is where an independent insurance agent can be a valuable resource. An independent insurance agent is a licensed professional who works with multiple insurance companies to find the best coverage and rates for their clients. They can help you navigate the complexities of rental car insurance and determine whether you need to purchase additional coverage when asked.

Although standard auto insurance policies may extend to rented vehicles, you should never assume you are covered. Picking up the phone and calling your friendly independent insurance agent may save you some major headaches later. They will gladly assist in examining your insurance policies, for example, checking to see if you have liability, collision, and/or comprehensive car insurance. Liability, collision, and comprehensive insurance are the three main coverage options when purchasing auto insurance. Although having all three coverages is not always required, it does provide the most robust coverage and protection in the event of an accident.

  • Liability Insurance: provides coverage if you damage or injure another person or their personal property.
  • Collision Insurance: provides coverage if your vehicle is involved in a collision, either with another vehicle or object.
  • Comprehensive Insurance: provides coverage if your car is damaged by a variety of exposures such as theft, vandalism, or natural disasters.

In many cases, your independent insurance agent can help explore if your auto policy will cover administrative fees, loss of use, or towing charges. This can be helpful in the event of your rental car being lost, stolen, or damaged. Furthermore, they will likely review your renters’ or homeowners’ policy as well to see if there is coverage extended in the event your personal belongings are lost or damaged while traveling. Your homeowners or renters’ policy covers your personal belongings from theft, fire, or vandalism within your home and sometimes provides off-premises coverage that can extend coverage to outside of your residence. So, imagine you come out of a restaurant after enjoying a beautiful and peaceful dinner with friends and family, only to find your rental car was broken into—the window shattered, and your personal belongings gone. Your homeowners or renters’ policy may help cover a percentage of your losses—always check with your agent to see what your personal renters or homeowners’ policy will cover.

It’s important to note that rental car insurance purchased directly from the rental company is often intended to supplement the insurance you already carry. Rental car companies generally offer four different coverage options:

  1. Supplemental liability insurance: most rental car companies require you to have the minimum liability coverage required by the state you are renting your vehicle in. Sometimes, you do not have adequate coverage, so they may require you to buy supplemental liability insurance. If you generally carry a high liability limit, for example, $250/$500, you likely will NOT need this additional protection.
  2. Loss damage waiver (LDW)/Collision damage waiver (CDW): This is not insurance, but rather coverage they are offering by way of a document that you sign, alleviating your financial responsibility should your rental vehicle be damaged or stolen. This also encompasses loss of use coverage if the rental company charges you for time the damaged car could not be used while being repaired. It’s important to note that the LDW portion may become void if the incident that caused the damage was due to reckless behavior, speeding, or the rental vehicle being driven on unpaved roads.
  3. Personal accident insurance: This is meant to cover the driver and any passengers within the rented vehicle for any medical bills caused by an auto accident. This coverage may be useful if you do not carry health insurance or personal injury protection insurance.
  4. Personal effects coverage: This covers any personal belongings that are stolen from your rental vehicle. Remember, if you already have renters or homeowners’ insurance, this may already be covered under your policy.

Overall, the coverage offered by rental car companies are oftentimes coverages you already pay for and have through your personal home and auto policies. To avoid paying for coverage you already have, review your policy with your agent before renting a vehicle.

One last avenue we may also suggest checking is if your credit card provider extends any type of rental car coverage. Many reputable credit card companies offer rental car insurance to their customers as a perk. To utilize this secondary form of coverage, they advise you to put the total amount of the rental car purchase on your credit card. When doing so, many credit card companies will require you to deny any insurance offered by the rental car company to access their coverage. In the event your rental car is in a covered incident, your credit card company may help cover costs of damage or theft up to a certain dollar amount. In short, call your credit card company, let them know you plan to rent a vehicle, and let them walk you through the coverage options they offer as well. In general, credit card rental insurance is classified as a secondary form of coverage so they may ask that you lean on your personal auto, homeowners, or rental coverage first.

As you can see, an independent insurance agent can be a valuable resource when it comes to understanding rental car coverage. They can help you assess your insurance needs, review your policy, and explore other options for coverage. An independent agent can also help you understand the risks associated with declining rental car coverage. If you’re involved in an accident while driving a rental car, you could be responsible for paying for damages and other costs out of pocket. An independent agent can help you weigh the potential costs of purchasing additional coverage against the potential costs of being uninsured. If you’re planning to rent a car soon, consider reaching out to an independent agent to help you navigate the complexities of rental car insurance. If you do not currently work with an independent insurance agent and would like to experience the value firsthand, please visit us at www.dimondbros.com

Written by Kellie Eastham – Vice President of Personal Lines at Dimond Bros. Insurance

This article is not intended to be exhaustive, nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel or an insurance professional for appropriate advice.

The Importance in Building a Safety Culture

Of course, workplace safety is important to you. But how important is it to your employees? If you don’t know, it may be time to evaluate the safety culture at your business and think about what you can do to improve it.

What is a Safety Culture?

A safety culture is the shared beliefs, practices and mindsets that shape behavior at an organization in a positive way.

A safety culture sets the standard for overall safety at your company. For example, if the head chef at your restaurant carries knives blade-up while walking through the kitchen, that tells the rest of the kitchen staff that safe knife handling is not a priority and that they can carry a knife any way they choose. This unsafe behavior is perpetuated by new employees who think this is an acceptable thing to do.

But if the head chef is diligent about health and safety in the kitchen (and always carries knives close to his or her side with the blade down), that attitude will influence the rest of the staff and create a culture of safety.

Why Should I Implement a Safety Culture?

According to OSHA, an established safety culture can reduce your injury and illness costs by 20 to 40 percent. When it comes to the costs associated with safety, consider these statistics from OSHA:

  • Employers pay almost $1 billion per week for direct workers’ compensation costs alone, which comes straight out of company profits.
  • Injuries and illnesses increase workers’ compensation and retraining costs.
  • Lost productivity from injuries and illnesses costs companies roughly $63 billion each year.

If you have high workers’ compensation costs or your premium increases every year, analyzing the effectiveness of your company’s safety culture is a good way to start controlling these costs.

How Can I Motivate My Employees to Care?

You can motivate your employees to care about safety by tying it directly to compensation or incentives. Reward employees who err on the side of safety over efficiency. But make sure you understand the difference between reward and recognition—you don’t want employees doing something just because they know they’ll get something tangible in return.

A strong safety culture with appropriate recognition and rewards will inspire employees to look out for one another and point out unsafe behaviors or situations. Everyone will feel responsible for safety and pursue it on a daily basis by going beyond the “call of duty” to identify unsafe conditions and behaviors, and to intervene to correct them.

Where Do I Start?

Your first step to promoting a safety culture is to contact Dimond Bros. Insurance today. We can provide you with the roadmap you need to get started and help you along the way, with a portfolio of hand-picked resources to share with your employees. 

Dan McNeely, CIC – Dimond Bros. Insurance Executive Vice President of Sales

This article is not intended to be exhaustive, nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel or an insurance professional for appropriate advice.

The Farm Insurance Landscape is changing!

Over the past 6 months, the insurance industry has seen unprecedented changes occurring on policy renewals due to weather, reinsurance, inflation, and regulatory concerns. 

Most insurance carriers are instituting increases in premiums to combat losses that have exponentially increased over the past 2 years.  Additionally, many insurance carriers are making major changes to policy coverages which you should be aware of, including (but not limited to):

  • Increased wind/hail deductibles
  • “Cosmetic Damage” exclusions and exclusions to “replacement cost” coverage on roofs
  • Increased scrutiny on building upkeep and condition
  • Revised and stricter billing arrangements (and a resistance to reinstate policies that have lapsed for non-pay)

With all these challenges present, the need for great insurance advice is higher than ever.  Our staff is available to walk you through the changes occurring in this unique time and offer suggestions and options to make sure you’re adequately protected.  Additionally, while many other agencies are out of options for insureds, Dimond Bros. has strong connections with many farm carriers and will continue to offer you the best products and services they may have available.

If you have farm and agricultural insurance needs, know we have a team of people prepared to discuss your needs with you.  Our goal is to help you find insurance solutions that simplify your life.  Together, we’ll find relevant insurance options for you to choose from, that will help protect you and what you care about.  To request a quote or connect with one of our Farm and Agriculture Insurance team members visit https://dimondbros.com/farm-ag-services/

Scott M Jensen

Vice President of Farm and Ag Services

scott.jensen@dimondbros.com

This article is not intended to be exhaustive, nor should any discussion or opinions be construed as legal advice. Readers should contact legal counsel or an insurance professional for appropriate advice.