compliance

compliance

Federal Agencies Announce Pause in Enforcement of 2024 Mental Health Parity Rule

On May 15, 2025, the U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (IRS) (collectively, “the Departments”) issued an anticipated nonenforcement policy regarding the 2024 Final Rule implementing the Mental Health Parity and Addiction Equity Act (MHPAEA). This ...

Frequently Asked Questions about the Patient-Centered Outcomes Research Institute (PCORI) Fee

Updated May 2025 Q1: What plans does the PCORI fee apply to? A1: All plans that provide medical coverage to employees owe this fee. Medical coverage includes preferred provider (PPO) plans, health maintenance organization (HMO) plans, point-of-service (POS) plans, high deductible health (HDHP) ...

Compliance Recap | April 2025

The Maryland Paid Family and Medical Leave Insurance program is delayed, and the definition of “Employer” under Maryland’s Parental Leave Act gains clarification. The DOL released an updated version of the CHIP Model Notice and covered employers under the San Francisco Health Care Security ...

CMS Updates Simplified Method for Determining Creditable Coverage Status for 2026

This month, the Centers for Medicare and Medicaid Services (CMS) announced final instructions for the changes to Medicare Part D prescription drug coverage mandated by the Inflation Reduction Act of 2022 (IRA) which will affect employer-sponsored plans in 2026. The changes are intended to ...

Compliance Recap | March 2025

In March, employers submitted their electronic filings to the Internal Revenue Service for the Affordable Care Act reporting requirement. Medicare Part D disclosure to CMS, certain reporting on HIPAA breaches, and MEWA Form M-1 were due in March. ACA Reporting Affordable Care Act (ACA) ...

2025 Penalties for Health and Welfare Plans

In January, the Department of Labor (DOL) published the inflation-adjusted penalties for ERISA violations in 2025. The following table summarizes the new penalty amounts and reminds employers of filing deadlines to avoid incurring penalties. Employer Action Items Prepare for annual filing or ...

2025 RxDC Reporting Deadline

Since the passage of Section 204 of the Consolidated Appropriations Act, 2021 (CAA), referred to as the No Surprises Act (NSA), employers have been required to submit annual prescription drug and health care spending data with the Prescription Drug Data Collection (RxDC) report. The RxDC report ...

Compliance Recap | February 2025

The federal government in 2025 is experiencing significant internal restructuring, workforce reductions, and communication restrictions across various departments. The results from the Departments of Labor and Health and Human Services investigations into Mental Health Parity and Addiction ...

Compliance Alert | CMS RxDC Submission Required

To comply with the legislation to report on pharmacy information under the Consolidated Appropriations Act, you are required to submit premium information to the Centers for Medicare & Medicaid Services (CMS) by June 1, 2025. You should be receiving an email or an online portal alert to ...

Compliance Recap | January 2025

January brought guidance on the management of taxes on state paid family and medical leave, and an update on the much-watched Johnson & Johnson fiduciary lawsuit. The Department of Health and Human Services provided the 2025 Federal Poverty Levels and FAQs clarify gag clause prohibitions ...

Brinson Benefits