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
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 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
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
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
In response to the President’s Executive Order 13765 “Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal” issued on January 20, 2017, the Department of Health and Human Services (HHS), Department of Labor (DOL), and the Department of the Treasury (Treasury) issued proposed rules for grandfathered health plans.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
June was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released the updated patient-centered outcomes research institute (PCORI) fee amount and announced transition relief.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
The Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation in, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department of Health and Human Services (HHS), on the basis of race, color, national origin, sex, age, or disability.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
Plan administrators of group health plans must provide a Summary of Benefits and Coverage (SBC) to eligible individuals. Insurer is responsible for creating the SBC for fully insured plans, and the insurer and plan administrator are both responsible for distributing to participants in insured plans.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits