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
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
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
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
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
On September 30, 2019, the Internal Revenue Service (IRS) published its proposed rules to clarify how the employer shared responsibility provisions and Section 105(h) nondiscrimination rules apply to health reimbursement arrangements (HRAs) and other account-based group health plans that are integrated with individual health insurance coverage or Medicare.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”) released final FAQs About Mental Health and Substance Use Disorder Parity Implementation and the 21st Century Cures Act Part 39.
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits
September was a busy month in the employee benefits world.
The U.S. Senate confirmed Eugene Scalia as the new Secretary of the Department of Labor (DOL).
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Topics: Compliance Issues, Affordable Care Act, Employee Benefits