Updated July 2019
Insurers with medical loss ratios (MLRs) that were below the prescribed levels on their blocks of business must issue rebates to policyholders. Since 2015, insurers must pay rebates to policyholders by September 30 following the reporting year.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
June was a relatively busy month in the employee benefits world. The Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Department of Treasury published final rules that removed the prohibition against integrating a health reimbursement arrangement (HRA) with individual health insurance coverage and recognized certain HRAs as limited excepted benefits.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
The Department of the Treasury (Treasury), Department of Labor (DOL), and Department of Health and Human Services (HHS) (collectively, the Departments) released two final rules on November 7, 2018, regarding contraceptive coverage exemptions.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Updated May 2019
Health reimbursement arrangements (HRAs), health savings accounts (HSAs) and health care flexible spending accounts (HFSAs) are generally referred to as account-based plans. That is because each participant has their own account, at least for bookkeeping purposes.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
May was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released health savings account annual contribution limits and high deductible health plan minimum annual deductibles and annual out-of-pocket maximums for 2020.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
On May 24, 2019, the Department of Health and Human Services’ Office for Civil Rights (OCR) released a proposed rule to revise its regulations under the Patient Protection and Affordable Care Act’s Section 1557. OCR also released a fact sheet and press release.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Introduction: Beginning in 2015, to comply with the Patient Protection and Affordable Care Act (ACA) “large” employers must offer their full-time employees health coverage, or pay one of two employer-shared responsibility/play-or-pay penalties.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
The Centers for Medicare & Medicaid Services (CMS) released its final rule and fact sheet for benefit payment and parameters for 2020.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
