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

Play or Pay Penalty and Counting Employees - Updated

Posted by Matt Schwartz on Mon, Oct 28, 2019 @ 08:10 AM

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

Tri-Agency Final Rules on Health Reimbursement Arrangements - Updated

Posted by Matt Schwartz on Mon, Oct 14, 2019 @ 08:10 AM

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

Final FAQs, Model Disclosure Form, and Enforcement Fact Sheet Regarding Mental Health and Substance Use Disorder Parity

Posted by Matt Schwartz on Fri, Oct 11, 2019 @ 11:10 AM

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

Compliance Recap - September 2019

Posted by Matt Schwartz on Fri, Oct 4, 2019 @ 10:10 AM

 

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

Medicare Part D Notice Due by October 14, 2019

Posted by Matt Schwartz on Tue, Sep 17, 2019 @ 09:09 AM

The Center for Medicare/Medicaid Service (CMS) requires employers to provide an annual “Notice of Creditable Coverage” to all Medicare-eligible employees and their beneficiaries, or ALL employees if you do not track Medicare-eligibility, before October 15 of this year.

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Topics: Compliance Issues, Employee Benefits

PCORI, TRF and HIP Fee Highlights - Updated

Posted by Matt Schwartz on Mon, Sep 16, 2019 @ 08:09 AM

The IRS and the Department of Health and Human Services have issued final regulations that provide details on several fees that will be due as part of the Patient Protection and Affordable Care Act (ACA). Self-funded plans will calculate and pay these fees directly. Insurers will calculate and pay the fees due on insured policies, although insured plans should expect these fees to be passed along.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - August 2019

Posted by Matt Schwartz on Tue, Sep 10, 2019 @ 08:09 AM

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

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Frequently Asked Questions about the Health Marketplace

Posted by Matt Schwartz on Tue, Aug 13, 2019 @ 15:08 PM

The health insurance Marketplaces (which are also called the Exchange) opened January 1, 2014. Most Americans are eligible to enroll in the Marketplace, and many are eligible for assistance in paying the premium.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits

Compliance Recap - July 2019

Posted by Matt Schwartz on Fri, Aug 9, 2019 @ 08:08 AM

July was a quiet month in the employee benefits world. The Internal Revenue Service (IRS) released draft Forms 1094-B, 1095-B, 1094-C, and 1095-C. The IRS also released an information letter on the employer shared responsibility provisions.

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Topics: Compliance Issues, Affordable Care Act, Employee Benefits