MLR Rebate Considerations - Private Plans

Posted by Matt Schwartz on Thu, Jul 18, 2019 @ 08:07 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - June 2019

Posted by Matt Schwartz on Tue, Jul 9, 2019 @ 08:07 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Contraception Mandate Rolled Back for Employers - 2019 Updates

Posted by Matt Schwartz on Thu, Jun 27, 2019 @ 08:06 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

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

Posted by Matt Schwartz on Tue, Jun 18, 2019 @ 08:06 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - May 2019

Posted by Matt Schwartz on Fri, Jun 14, 2019 @ 08:06 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Update on Nondiscrimination Regulations Relating to Sex, Gender, Age and More

Posted by Matt Schwartz on Mon, Jun 10, 2019 @ 08:06 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

The Play-or-Pay Penalty and Counting Employees under the ACA - Updated

Posted by Matt Schwartz on Thu, May 23, 2019 @ 08:05 AM

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.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - April 2019

Posted by Matt Schwartz on Mon, May 13, 2019 @ 08:05 AM

Compliance Recap

April 2019

April was a busy month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Final 2020 Benefit Payment and Parameters Rule

Posted by Matt Schwartz on Thu, Apr 25, 2019 @ 08:04 AM

The Centers for Medicare & Medicaid Services (CMS) released its final rule and fact sheet for benefit payment and parameters for 2020.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - March 2019

Posted by Matt Schwartz on Mon, Apr 15, 2019 @ 08:04 AM

March was a busy month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits