The Best Valentine’s Gift

As February approaches, we remember Valentine’s Day. Can you think of the best Valentine’s gift you received or that you gave to your Valentine? Wouldn’t it be a great idea to give the gift of health? This year give yourself the best present, a gift of a healthy heart. February is also known as Heart Health Month so let’s focus on a few simple ideas on ways to keep your heart healthy.

Change your plate, lose some weight– One of the best suggestions I have received regarding diet and nutrition was to reduce my plate size. At dinner I use a lunch plate instead of a dinner plate and surprisingly it fills me up. Have you ever heard the term “eat everything on your plate, there are starving children all over the world”. That has been ingrained in us since childhood and to this day I feel guilty leaving food on my plate. One way to curb the guilt is to use a smaller plate. Or if you are eating out, ask for a box when you order and place half of your food in the to-go box as soon as the meal arrives.Image

Make your plate a masterpiece- The more colors on your plate, the more variety of vitamins and minerals, the healthier it is. The Academy of Nutrition and Dietetics ( recommend half of your plate consisting of fruits and vegetables. Also, the protein should include lean meats, poultry, beans, eggs, and nuts.  Keep it fun and colorful.

Pack the sack- Do you want to save money and stay healthy? Who doesn’t, right? Then all you need to do is spend a few minutes planning and packing your lunch the night before and this will accomplish both of these. Some examples of easy and nutritious lunches are: baked sweet potato, tuna pita sandwich (with low fat salad dressing, lettuce and tomatoes), carrots and hummus, salad topped with lean proteins,  taco salad (add cubes of mango, red onions, avocado for a burst of flavor), or chicken wraps (rotisserie chicken wrapped in lettuce leaves). Click on the link below for other great lunch ideas.

Happy Heart Month!

What is a RAC?

inspectorRAC (now referred to as a recovery auditor, or RA, by the Centers for Medicare & Medicaid Services, or CMS) really is: a corporate entity contracted with CMS to audit payments made to Medicare providers. RAC determines whether they were paid appropriately, entitled to additional payments (in the event of under billing), or subject to recovery and loss of revenue if they billed too much. For this RACs receive a contingency fee of 9 to 12.5 percent of the net funds collected as a result of the errors they detect.
Is your facility prepared, if a RAC shows up at your door? The W3 Healthcare Services Advantage can help you prepare and mitigate your exposure from a RAC audit.

Ten Steps to Setting Successful New Year’s Resolutions


By Michelle May, M.D.

Whether you are setting personal goals for better health or business goals for getting organized and increasing profit, the key to successful New Year’s Resolutions is to create a strategic plan.  The following ten steps will guide you through the goal setting and achievement process.

1. Assess Your Starting Point:  Take an accurate and detailed assessment of where you are presently relative to the goal you would like to achieve.

2. Consider Your Values:  Goals based on your core principles and values will form a passionate attitude.

3. Dream:  Go for areas that inspire and challenge you.  Project yourself into the future and write down your ideal scenario.

4. Define & Clarify:  Narrow down your goals to those that inspire you the most.  Make them so clear that you can see them, feel them, and measure them.

5. Write it Down:  Write your goals in positive terms using detailed words and/or pictures.  Put them in a place where you will see them often.

6. Develop a Plan:  Set long and short goals, including a timeline with deadlines.  Be flexible and open to new opportunities and paths to your goals but be careful of detours.

7.  Identify Obstacles and Possible Solutions:  Expect setbacks and learn to recover from them.

8.  Create a Support Network: Consider identifying an accountability partner to encourage your continued progress.

9.   Make it Happen: Periodically assess your progress, adjusting your approach and/or modifying goals as necessary.

10. Reward Yourself: Small and large incentives will keep you motivated to reach your short and long term goals.  Keep in mind that the greatest reward is in knowing that you have done your best!

Contact WWW today at 727-522-7777 or by email at for a FREE wellness calendar to plan out the new year.

Michelle May, M.D. is a recovered yo-yo dieter, founder of the Am I Hungry?® Mindful Eating Program, and award-winning author of Eat What You Love, Love What You Eat: How To Break Your Eat-Repent-Repeat Cycle.
Copyright Michelle May, M.D.

Do you have a holiday plan to “Maintain-NOT-Gain” weight this season?

Do you have a holiday plan to “Maintain-NOT-Gain” weight this season?Holidays are approaching. It is easy to over-eat and skip workouts for the next few months. Too much to do, holiday stress, and “unhealthy foods” abound. Take control of your holidays with a little planning and some healthy habits. Remember, the easiest way to keep off the pounds is to burn off as many calories as you take in. If you are eating more, you need to burn more off with exercise.


Try these suggestions:

  1. Plan a post-meal walk. Announce this to your family before the meal and they may join you.
  2. Arrange a fitness workout with friends in the mornings or at lunch time. You will be more motivated to show up and participate.
  3. Stop eating when you are full. Sounds simple, right? Try using smaller plates and if you want to sample all the goodies at the party, use moderation.
  4. Drink a glass of water before each meal. This will make you feel fuller and eat less.
  5. Try roasting or steaming your healthy, fresh veggies. The power of produce will give you and your guests beneficial nutrients and fiber, with less fat.
  6. Avoid the recipes that call for a lot of unhealthy ingredients. Try using fat-free chicken broth to baste turkey and make gravy, reduce oil and butter wherever you can, and try plain yogurt or fat-free sour cream in dips, mashed potatoes, and casseroles.
  7. Go easy on the alcoholic beverages. Have a glass of water between each drink.
  8. Spend time socializing away from the buffet. ’Tis the season of family and friends, enjoy the time with them.
  9. Be realistic with yourself during the holidays and just focus on maintaining your current weight. The average American gains 1-2 pounds during the holidays, and these tend to be a permanent addition.

Flood Reform & Your Business

Flood Reform & Your BusinessIn 2012, the U.S. Congress passed the Biggert-Waters Flood Insurance Reform Act. This requires a number of changes to the National Flood Insurance Program (NFIP). These law changes are mainly the result of rising costs and consequences of flooding over the past few years.

Some of these changes have already been put in place and others will be implemented in the coming months.  Key provisions of the legislation will require the NFIP to raise rates to reflect true flood risk, make the program more financially stable, and change how Flood Insurance Rate Map (FIRM) updates impact policyholders. The changes will mean premium rate increases for policyholders over time and they must be adhered to by all insurance companies who write flood insurance.

Effective October 1, 2013, the NFIP (National Flood Insurance Program) will no longer allow renewals for Pre-FIRM (built prior to 1975) business property in a Special Flood Hazard Area (this includes all A & V Zone properties) to continue receiving subsidized premium rates.  Business property flood renewals will experience a premium rate increase of 25% annually until their premium reflects true risk or until the owners submit a new elevation certificate.

New Business Property purchases that are Pre-FIRM and in Special Flood Hazard Areas will no longer be able to assume the seller’s flood policy and will be required to obtain an elevation certificate and pay the full actuarial rates.  Please note: allowing a flood policy to lapse, even if it’s the fault of your Mortgagee, can trigger rate changes and require you to obtain an Elevation Certificate to secure flood coverage.

Business Property is defined as any non-residential building that produces income, or a building designed for use as office or retail space, or for wholesale, hospitality, or similar uses.

General rate increases for all flood policy holders prior to the Biggert – Waters Act was a maximum of 10% per year.  With the passage of this Act, the maximum annual increase will be 20%. Additionally, Federal Rate Fee is increasing from $40 to $44.

If you don’t have an elevation certificate for your building, you will need to hire a surveyor to come to your property to complete the certificate. Also, effective October 1, 2013, a 5% Reserve Fund will be added to all flood policies except Preferred Risk Policies. Contact your WWW representative for a lists of surveyors in the area.

Sometime in 2014

This section of the bill requires an adjustment to the rating for all policies when their community adopts a new Flood Insurance Rate Map.  This will be phased in over the five years following the effective date of the map change or revision.

It is important to note that actions such as buying a property, allowing a policy to lapse (even if it’s the fault of your Mortgagee), or purchasing a new policy can trigger rate changes and will require you to obtain an Elevation Certificate to secure flood coverage.  We can advise how these changes might affect your flood coverage and what options you might have to lower your premium.

Request a Flood Quote

Grab n’ Go Breakfasts

Are your mornings hectic? Do you have trouble finding time for breakfast? Breakfasts can be quick and the benefits are big. A nutritious breakfast will fuel you and your family up for work, the kids’ classroom, or a workout and rev your metabolism.

Make 1 of these easy to-go meals and you’ll get a good balance of healthy carbohydrates and protein so you won’t feel hungry before lunch. All that, and you’ll be out the door in 5 minutes or less.

Banana Dog1
Breakfast, fast-food style.

  • Spread peanut butter on a whole-grain hot dog bun
  • Stuff with a banana
  • Grab a carton of low-fat yogurt

Toss into the blender:

  • A handful of ice cubes
  • Frozen or ripe fruit chunks (like mango or strawberries)
  • 3/4 cup low-fat, plain Greek yogurt
  • 1/2 cup orange juice

Egg Sandwich3
Instead of waiting at the drive-thru window: 

  • Break an egg into a small bowl, prick the yolk or scramble the egg, cover the bowl with plastic, microwave on 50% power until done — about 2 minutes
  • While the egg cooks, toast a whole-grain English muffin (whole-grain waffles, pitas, bagels, or wraps work too) with a slice of cheese. Top with cooked egg.
  • Add a slice of lean ham, turkey, or Canadian bacon if you like
  • Grab a piece of fruit

Crunch by the Handfull
4You don’t have to eat cereal with milk from a bowl.

  • Fill a small plastic sandwich bag with whole-grain cereal or trail mix with nuts and dried fruit
  • Take a carton of low-fat chocolate milk to drink
  • Grab a piece of fruit

DOMA Guidance

We are receiving many questions on recent rulings regarding the Defense of Marriage Act (DOMA).  Employers and employees have awaited federal guidance on how the decision would affect taxation and eligibility for employer-based benefits for same sex spouses and domestic partners. The ruling effective September 16, 2013 does not expand marriage rights to other forms of same-sex unions such as civil unions or domestic partnerships; it only applies to couples who are legally married under state law.

This legislation is far reaching and we do not anticipate one cut and dry answer or set of instructions on how employers need to comply with the effects of the DOMA reversal.

Under this ruling, a same-sex married couple will be considered married for all federal tax purposes requiring marriage, such as tax-return filing status, dependency and deduction availability, and employee benefits.  If an employer offers benefits to same-sex spouses but requires payment for that coverage on an after tax basis, this practice must cease (although it remains the practice for other non-marriage unions, such as domestic partnerships and civil union partners).  Coverage for the same-sex spouse may be paid with pre-tax dollars.  In addition, for tax year 2013 and going forward, same-sex spouses generally must file using a married filing separately or joint filing status. The IRS is expected to issue future guidance on reimbursement on previous same sex benefits that were offered after tax.

Here is a quick review of that recent guidance and a court case that gives us some insight.

Department of Labor (DOL) and FMLA

The DOL website was revised with an FAQ to clarify that when granting FMLA the employer must look to the state in which the employee resides when providing FMLA for the care of a spouse.  This FAQ defines a spouse as “a husband or wife as defined or recognized under state law for purposes of marriage in the state where the employee resides, including “common law” marriage and same sex marriage.” Therefore, while the employer may be in a state that does not recognize or permit same sex marriage, the employer must provide FMLA for an employee that has a same sex spouse and resides in a state that allows for or recognizes same sex spouses.

Obergefell v. Kasich, 2013 WL 3814262 (S.D. Ohio 2013)

This federal court case involves a same sex couple who were legally married in Maryland and resided in Ohio, a state that neither permits nor recognizes same sex marriage. The couple got married due to the imminent death of one of the spouses and wanted the marriage to be recognized for estate purposes.

The court ruled that the couple had established a likelihood of prevailing on their claim that the state had no purpose in not recognizing their marriage and ordered the state not to refuse a death certificate that listed the couple as married. According to the court, the state’s refusal to recognize same sex marriages that were legally performed elsewhere serves no purpose other than to create inequality and is therefore, unconstitutional.

This case bears out that regulators may decide that the recognition of same sex marriage should be based on the state of celebration versus the state of residence.


Social Security Administration (SSA) and Income Benefits

The Social Security Administration recently said the demise of DOMA means gay couples who were married in one of the 13 states that allow such unions — and who also live in one of those states — can collect “spousal retirement benefits.”

SSA income benefits are also available to individuals who are treated as spouses under their state’s inheritance laws. Some states confer this spousal status to same sex individuals even though the state does not permit or recognize same sex marriage.

Consequently, even if the state where the same sex couple resides does not permit or recognize same sex marriage, the SSA might provide income benefits under the spousal benefit provision of the Social Security statute if the partners have inheritance rights in that state.

This announcement is an example of the complexity of trying to fit together seemingly unrelated pieces of regulation that would be easier if same sex couples were recognized by federal regulations no matter where the couple resides.

WWW will continue to monitor the updates and clarification and release information as it becomes available.

Compliance Spotlight – PPACA

The new healthcare law has brought significant changes and challenges to the health insurance market.  These changes have raised a myriad of questions and concerns for employers.  Over the past year, the rules and regulations have changed as the government wrestled with how to implement the numerous requirements of the law.  Compliance means much more than just offering an affordable health plan for your employees.  The new law affects the layout of your office, the hours your employees work and much more.  The first step in avoiding the penalties and costs imposed by the new law is to find out if your agency is in compliance.  Find out what compliance means and how your current plan stacks up by contacting one of our nonprofit health insurance specialists at 727-522-7777.

Don’t let the summer heat beat you.

how to beat the heatSummer is a great time to enjoy the outdoors. Just be careful to stay hydrated. When your body doesn’t have enough water and fluids it needs to function properly, you become dehydrated. This happens when you sweat a lot or have a fever. Your body needs fluids. The American College of Sports Medicine recommends that athletes drink 16 ounces of fluids a couple hours before starting practice or exercise. It takes that long for the body to absorb it.

Keep these tips in mind before going out into the heat:

  • Drink 16 ounces of fluids before exercising
  • Avoid coffee before exercising (this is a diuretic)
  • Consider sports drinks (only when sweating for longer than an hour or during an intense activities)
  • Shun the sugars. Avoid sodas, high fructose juices, etc.
  • If possible, plan your exercises during the morning or evening when the sun is not so intense

Symptoms of Dehydration:

  • Dry, sticky mouth
  • Thirst
  • No tears
  • Low blood pressure
  • Rapid heart rate
  • Shock
  • Low to no urine



We all love summer-the sun, the waves, and the outdoors. While you are outside enjoying the weather, don’t forget to protect yourself and your loved ones from the sun’s harmful rays.  The sun’s rays are strongest between 10:00AM-3PM.  During these times especially, try to limit your exposure to the sun and CHOOSE YOUR COVER:


Skin cancer is the most common form of cancer in the US. Over 61,000 people were diagnosed with melanomas of the skin in 2009 and about 9,000 people died from this preventable disease.* The CDC recommends preventive measures such as: wear sunscreen, seek shade, cover up with long sleeve clothing, pants, a wide brim hat, and UVA/UVB protective sunglasses to minimize your chances of getting some form of skin cancer.

Enjoy summer responsibly!