Compliance Recap - October 2020

Posted by Matt Schwartz on Thu, Nov 19, 2020 @ 11:11 AM

October was a busy month in the employee benefits world. The Department of Health and Human Services (HHS) renewed the public health emergency due to COVID-19 which took effect on October 23, 2020.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Updated: HRAs, HSAs and Health FSAs - What's the Difference?

Posted by Matt Schwartz on Fri, Nov 13, 2020 @ 11:11 AM

10/26/20 Update: Updated for the 2021 EBHRA limit, 2021 Health FSA limit, and 2021 QSE HRA limit. Health reimbursement arrangements (HRAs), health savings accounts (HSAs) and health care flexible spending accounts (HFSAs) are generally referred to as account-based plans.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

The U.S. Supreme Court and the Future of the Affordable Care Act

Posted by Matt Schwartz on Fri, Oct 30, 2020 @ 11:10 AM

Part One

Amy Coney Barrett was sworn in as President Trump’s third U.S. Supreme Court (Supreme Court) Justice on October 26, 2020, to fill the seat vacated by Justice Ruth Bader Ginsburg’s death. Justice Barrett’s vote could be a deciding factor on whether the ACA remains law.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

2020 ACA Reporting for Individual Coverage HRAs

Posted by Matt Schwartz on Mon, Oct 26, 2020 @ 09:10 AM

The IRS recently released final instructions for both the 1094-B and 1095-B forms and the 1094-C and 1095-C forms and the final forms for 1094-B, 1095-B, 1094-C, and 1095-C. The forms have generally remained unchanged from prior years. As a reminder, individuals do not pay a penalty for failure to have health coverage.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Update on IRS Notice 2020-76

Posted by Matt Schwartz on Thu, Oct 8, 2020 @ 11:10 AM

As the deadline for reporting of group health coverage offered in 2020 under the Patient Protection and Affordable Care Act (ACA) approaches, the Internal Revenue Services (IRS) has issued IRS Notice 2020-76 (Notice) regarding deadline extensions and requirements as it has done in prior years.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Federal Requirements for Fully Insured and Self-Funded Plans

Posted by Matt Schwartz on Fri, Aug 28, 2020 @ 11:08 AM

Updated August 2020

A plan sponsor’s requirements under federal law will vary depending on factors such as group health plan design, size, grandfathered status, and whether the plan is fully insured or self-funded.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - July 2020

Posted by Matt Schwartz on Thu, Aug 6, 2020 @ 08:08 AM

July was a busy month in the employee benefits world. The U.S. Supreme Court (Supreme Court) upheld the religious exemption and moral exemption final rules to the Patient Protection and Affordable Care Act (ACA) contraceptive mandate.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Anthem: MLR Rebates Will Go Out Early This Year

Posted by Matt Schwartz on Wed, Aug 5, 2020 @ 08:08 AM

Anthem states they are continuing to look for ways to ease the financial burden COVID-19 is creating for many of their employers and members. With that goal in mind, this year they are fast-tracking the annual medical loss ratio (MLR) rebates that groups and individual members typically receive in late September. 

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Frequently Asked Questions about the Exchange (Marketplace) Notice

Posted by Matt Schwartz on Tue, Aug 4, 2020 @ 08:08 AM

On September 11, 2013, the Department of Labor (DOL) issued an FAQ that stated that no penalties will apply to employers that fail to provide the exchange/marketplace notice. Despite this FAQ, employers may still want to provide the notice, to provide information to employees and to reduce the risk of unanticipated liability.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Webinar: Counting Employee Hours Under ACA Eligibility Rules in Light of COVID-19

Posted by Matt Schwartz on Thu, Jul 30, 2020 @ 10:07 AM

Tuesday, August 11, 2020
2:00 p.m. ET / 11:00 a.m. PT

The Patient Protection and Affordable Care Act (ACA) specifies when employers of a certain size must offer their employees health plan coverage.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits, Learning Events