compliance

compliance

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, 2026. You should be receiving an email or an online portal alert to ...

Compliance Alert | Annual Notice Regarding 2026 ACA Affordability

The required annual notice, Health Insurance Marketplace Coverage Options and Your Health Coverage, has been updated to reflect the 2026 Affordable Care Act (ACA) affordability percentage of 9.96%. There are two versions of this notice: Health Insurance Marketplace Coverage Options and Your ...

New Law Demands Prescription Drug Pricing Transparency from Pharmacy Benefit Managers

The recently-enacted Consolidated Appropriations Act, 2026 (CAA 2026) promises to significantly shift the information advantage between pharmacy benefit managers (PBMs) and group health plans by requiring semiannual disclosure of vast amounts of prescription drug cost, pricing, utilization, and ...

New Lawsuits Focus on Fiduciary Duties for Voluntary Benefits

Schlichter Bogard LLC, a law firm well-known for filing lawsuits against retirement plan fiduciaries (and recently health and welfare plan fiduciaries), filed separate class action lawsuits against four employers, their employee benefit plan fiduciaries, and their employee benefit brokers and ...

Compliance Brief | February 2026

February 2026 Updated HIPAA Notice of Privacy Practices Required in 2026 Nondiscrimination Testing: Why Early Testing Makes Sense DOL Proposes Additional PBM Transparency Rules New Childhood Vaccination Guidelines and Employer Impact Part D Creditable Coverage Disclosure Due to CMS Updated ...

Compliance Brief | January 2026

January 2026 2026 Transparency in Coverage Posting Requirements IRS Issues Guidance on HSA-Related OBBBA Changes Senate Vote on ACA Subsidies Fails CMS Releases ICHRA Employer Lowest-Cost Silver Plan Premium Look-up Table Alternative Manner for ACA Health Coverage Reporting IRS Guidance on ACA ...

Compliance Recap | November 2025

In November, employers prepared for the Gag Clause Prohibition Compliance Attestation, a requirement of the Consolidated Appropriations Act. A federal trial court vacated key portions of nondiscrimination regulations under Section 1557 of the Affordable Care Act that include gender-identity ...

Compliance Alert | Gag Clause Prohibition Compliance Attestation (GCPCA)

For 2025, the Gag Clause Prohibition Compliance Attestation is due to CMS by December 31, 2025 and covers the period from January 1, 2025, through the date of attestation. Title II (Transparency) of Division BB of the Consolidated Appropriations Act (“CAA”) prohibits group health plans from ...

Family and Medical Leave Act Compliance Guide

The Family and Medical Leave Act (FMLA) is a federal law passed in 1993. Its primary purpose is to provide job protection for eligible employees who need to take time off work to care for themselves or a family member with a serious health condition, or to care for a new child or adoptive ...

Compliance Recap | October 2025

In October, the IRS announced 2026 penalties for failure to file or furnish ACA reporting forms and published an FAQ clarifying certain infertility benefits and the 2026 Cost of Living Adjustments. California expanded its Paid Family Leave program to include “designated persons” and enacted a ...

Brinson Benefits