As group health plan sponsors, employers are responsible for ensuring compliance by their vendors (insurers, third-party administrators and pharmacy benefit managers) with the prescription drug data collection (RxDC) reporting requirements. These were... Read more »
As the end of 2022 approaches, it’s again time for plan sponsors to review their plan documents and plan operations to ensure compliance with increasingly complex qualification requirements and moving deadlines. While... Read more »
Applicable large employers (ALEs)—those with 50 or more full-time or equivalent employees—must adhere to Affordable Care Act (ACA) annual reporting rules to remain compliant regarding group health plan offerings. Below is a checklist... Read more »
The U.S. Department of Labor’s (DOL’s) Employee Benefits Security Administration issued Interpretive Bulletin (IB) 2022-01 on Sept. 6, updating its guidance on the independence requirement for accountants who audit employee benefits plans under... Read more »
Employers that offer prescription drug coverage in 2023 must provide notices of “creditable” or “noncreditable” coverage to Medicare-eligible employees or covered dependents before the annual Medicare Part D annual enrollment period begins.... Read more »
The Consolidated Appropriations Act, 2021 (CAA) and Transparency in Coverage (TiC) Rule comprise the most comprehensive legislative and regulatory reforms facing group health plans since the Affordable Care Act. As the year... Read more »
The Society for Human Resource Management (SHRM) has asked the Internal Revenue Service to ensure that proposed regulations expanding access to subsidies for Affordable Care Act (ACA) marketplace plans to employees’ family... Read more »
In late 2020, the Departments of Health and Human Services, Labor, and Treasury (the Departments) released Transparency in Coverage (TiC) rules that put several new compliance burdens on group health plan sponsors.... Read more »
Companies around the U.S. have recently seen a barrage of cases alleging that notices required under the Consolidated Omnibus Budget Reconciliation Act (COBRA) fail to provide all information required by COBRA. Class action... Read more »
During or after the government shutdown, employers should not expect extensions of reporting deadlines for their health or other benefit plans, and they shouldn’t risk future penalties by missing them.
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