Webinar: How Employers Can Use Medical Loss Ratio Rebates and Other Health Insurer Refunds

Posted by Matt Schwartz on Fri, Sep 18, 2020 @ 11:09 AM

Tuesday, October 13, 2020
2:00 p.m. ET / 11:00 a.m. PT

Join us this month for an overview of the Medical Loss Ratio (MLR) and when employers will be entitled to an MLR rebate. We will discuss employer obligations regarding MLR rebate funds or other insurance refunds and the options that are available to employers when keeping a portion of the rebate and distributing a portion of the rebate to plan participants.

This webinar will:

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Topics: Compliance Issues, Employee Benefits, Learning Events

What You Need to Know about Health Flexible Spending Accounts - Updated

Posted by Matt Schwartz on Wed, Sep 16, 2020 @ 10:09 AM

A health flexible spending account (health FSA) is a pre-tax account used to pay for out-of-pocket medical care costs for a participant as well as a participant’s spouse and eligible dependents.

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Topics: Compliance Issues, Employee Benefits

Compliance Recap - August 2020

Posted by Matt Schwartz on Thu, Sep 10, 2020 @ 11:09 AM

August was a relatively busy month in the employee benefits world.

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Topics: Compliance Issues, Employee Benefits

Federal Requirements for Fully Insured and Self-Funded Plans

Posted by Matt Schwartz on Fri, Aug 28, 2020 @ 11:08 AM

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

Webinar: Considerations for Employers Moving to an ICHRA Group Health Plan Offering

Posted by Matt Schwartz on Mon, Aug 24, 2020 @ 09:08 AM

Tuesday, September 8, 2020
2:00 p.m. ET / 11:00 a.m. PT

This month's webinar will provide an overview of the final rules on health reimbursement arrangements regarding individual coverage health reimbursement arrangements and the proposed rules regarding nondiscrimination and affordability.

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Topics: Compliance Issues, Employee Benefits, Learning Events

Compliance Recap - July 2020

Posted by Matt Schwartz on Thu, Aug 6, 2020 @ 08:08 AM

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: MLR Rebates Will Go Out Early This Year

Posted by Matt Schwartz on Wed, Aug 5, 2020 @ 08:08 AM

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

Frequently Asked Questions about the Exchange (Marketplace) Notice

Posted by Matt Schwartz on Tue, Aug 4, 2020 @ 08:08 AM

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

Webinar: Counting Employee Hours Under ACA Eligibility Rules in Light of COVID-19

Posted by Matt Schwartz on Thu, Jul 30, 2020 @ 10:07 AM

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

Proposed Rules on Grandfathered Group Health Plan Coverage

Posted by Matt Schwartz on Mon, Jul 27, 2020 @ 08:07 AM

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