Compliance Recap - February 2020

Posted by Matt Schwartz on Tue, Mar 10, 2020 @ 09:03 AM

February was a busy month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Highlights of the Summary of Benefits & Coverage Requirement

Posted by Matt Schwartz on Thu, Feb 27, 2020 @ 11:02 AM


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

Proposed 2021 Benefit Payment and Parameters Rule

Posted by Matt Schwartz on Wed, Feb 19, 2020 @ 10:02 AM

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule for benefit payment and parameters for 2021. CMS also released its draft 2021 actuarial value calculator and draft 2021 actuarial value calculator methodology.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - January 2020

Posted by Matt Schwartz on Wed, Feb 12, 2020 @ 08:02 AM

January was a busy month in the employee benefits world.

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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 Wed, Jan 15, 2020 @ 08:01 AM

Updated January 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 - December 2019

Posted by Matt Schwartz on Thu, Jan 9, 2020 @ 08:01 AM

Compliance Recap

December 2019

 

December was a busy month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - November 2019

Posted by Matt Schwartz on Thu, Dec 12, 2019 @ 08:12 AM

November was a busy month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Frequently Asked Questions about Grandfathered Plans - Updated

Posted by Matt Schwartz on Tue, Nov 26, 2019 @ 09:11 AM

As employers determine their plan designs for the coming year, those with grandfathered status need to decide if maintaining grandfathered status is their best option. The following are some frequently asked questions and answers about grandfathering a group health plan.

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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 Thu, Nov 14, 2019 @ 11:11 AM

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

Compliance Recap - October 2019

Posted by Matt Schwartz on Thu, Nov 7, 2019 @ 08:11 AM

October was a relatively quiet month in the employee benefits world.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits