Benefit Plan Design: Charging Employees Different Premiums

Posted by Matt Schwartz on Mon, Oct 23, 2017 @ 13:10 PM

Employers who are designing a health and welfare benefit plan for their employees often wonder about the rules relating to setting premiums for employees. Employers generally have significant flexibility in this part of their plan's design. Common structures contemplated by employers include, but are not limited to:

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Topics: Employee Benefits, Benefits Plan Design

My Generation: Employee Benefits & Labels

Posted by Matt Schwartz on Wed, Jul 5, 2017 @ 10:07 AM

Recently in Employee Benefit News, an article pointed out that segmenting your employee population and creating profiles for each segment can be useful when designing benefits strategies - but relying too much on generational labels such as Baby Boomer, Generation X or Millennial can be counterproductive ("Why Benefits Shouldn't be Based on Generational Labels" by Lydia G. Jilek).

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Topics: Employee Benefits, Benefits Plan Design, Employee Engagement

PCORI Fee FAQ Updated

Posted by Robin Broyles on Fri, May 27, 2016 @ 09:05 AM

An updated version of the FAQ about the PCORI fee is now available. While no significant updates have occurred since the fall of 2015, further resources have been provided to enhance the document.

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Topics: Compliance Issues, Benefits Plan Design

What Employers Need to Know about the IRS-SSA-CMS Data Match Program

Posted by Robin Broyles on Fri, May 27, 2016 @ 09:05 AM

Beginning in early 2016, many employers received letters from the IRS-SSA-CMS Data Match program. These letters are addressed to the employer and begin by stating that "Medicare needs your cooperation." Employers are directed to report information on the IRS/SSA/CMS Data Match Secure website at the following link: 
https://www.cob.cms.hhs.gov/DataMatch/.  
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Topics: Compliance Issues, Benefits Plan Design

EEOC Issues Two Final Rules Affecting Wellness Programs

Posted by Robin Broyles on Fri, May 27, 2016 @ 09:05 AM

The Equal Employment Opportunity Commission (EEOC) has issued two final rules relating to employer wellness programs -- one amends regulations and provides guidance on implementing Title I of the Americans with Disabilities Act, and the other amends the regulations implementing Title II of the Genetic Information Nondiscrimination Act.
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Topics: Compliance Issues, Benefits Plan Design

Nondiscrimination Regulations Relating to Sex, Gender, Age, and More Finalized

Posted by Robin Broyles on Mon, May 23, 2016 @ 11:05 AM


On May 13, 2016, the Department of Health and Human Services (HHS) issued a final rule implementing Section 1557 of the Patient Protection and Affordable Care Act (ACA), which will take effect on July 18, 2016.

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Topics: Compliance Issues, Affordable Care Act, Benefits Plan Design

Compliance Recap April 2016

Posted by Robin Broyles on Mon, May 16, 2016 @ 11:05 AM


Compliance Recap April 2016

As much of the country anxiously awaits the Department of Labor's (DOL) long-promised final rule relating to overtime exemption regulations, the employee benefits space has been relatively quiet.

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Topics: Compliance Issues, Affordable Care Act, Benefits Plan Design

DOL Issues Another FAQ on ACA Implementation

Posted by Robin Broyles on Fri, Apr 29, 2016 @ 14:04 PM

The U.S. Department of Labor (DOL) has issued its 31st FAQ on the implementation of the Patient Protection and Affordable Care Act (ACA), dedicated to coverage of preventive services, rescissions of coverage, out-of-network emergency services, clinical trial coverage, cost-sharing limitations, the Mental Health Parity Act, and the Women's Health and Cancer Rights Act.
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Topics: Compliance Issues, Benefits Plan Design

Same-Sex Marriages and Group Health Benefits

Posted by Robin Broyles on Fri, Apr 29, 2016 @ 14:04 PM


 
From 2013 to 2015, a series of Supreme Court cases and government updates have changed the landscape of the way employers must consider same-sex spouses in relation to employee benefits. 
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Topics: Compliance Issues, Benefits Plan Design

Compliance Recap March 2016

Posted by Robin Broyles on Mon, Apr 11, 2016 @ 14:04 PM


Compliance Recap March 2016

The government was busy during the month of March, issuing the massive Benefit Payment and Parameters rule in addition to numerous other updates.

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Topics: Compliance Issues, Affordable Care Act, Benefits Plan Design