compliance

What Group Plan Sponsors Need to Know about ERISA

Updated January 2020 The Employee Retirement Income Security Act (ERISA) was signed in 1974. The U.S. Department of Labor (DOL) is the agency responsible for administering and enforcing this law. For many years, most of ERISA’s requirements applied to pension plans. However, in recent years ...

Compliance Recap | December 2019

December was a busy month in the employee benefits world. The U.S. Court of Appeals for the Fifth Circuit held that the Patient Protection and Affordable Care Act’s (ACA’s) individual mandate is unconstitutional. The Internal Revenue Service (IRS) released final instructions and final 1094-B, ...

Proposed Rules on Coverage Transparency and Final Rules on Hospital Price Transparency

Updated January 2020 On November 15, 2019, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments) released proposed rules on coverage transparency. The proposed rules seek to give an estimate of plan ...

Overtime Rule Goes Into Effect January 1, 2020

For many employers, overtime is a tricky issue. Should you offer it to all employees? Only hourly employees? How much time should they work before they are eligible? Effective January 1, 2020, this will be decided for any employers struggling to classify overtime status. Last September, the ...

Federal Tax Credit for Employer-Provided Paid Family and Medical Leave

In December 2019, the Further Consolidated Appropriations Act, 2020 included a one-year extension of the federal tax credit for employers that provide paid family and medical leave (FML) to their employees. As background, in December 2017, the Tax Cuts and Jobs Act (Act) included the new ...

Spending Bill Extends PCORI Fee and Repeals Cadillac Tax, HIP Fee, and Medical Device Excise Tax

On December 20, 2019, President Trump signed the Further Consolidated Appropriations Act, 2020 (Act) to keep the federal government running through September 2020. The Act significantly affects provisions under the Patient Protection and Affordable Care Act (ACA), largely though one fee ...

Status of Court Case Challenging ACA Constitutionality

On December 18, 2019, the U.S. Court of Appeals for the Fifth Circuit (Appeals Court) held that the Patient Protection and Affordable Care Act’s (ACA’s) individual mandate is unconstitutional. The Appeals Court is remanding the case to the U.S. District for the Northern District of Texas ...

PCORI, TRF and HIP Fee Highlights

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 ...

Frequently Asked Questions about the Patient-Centered Outcomes/Comparative Effectiveness Fee

You have a PCORI filing and payment obligation if: You sponsor a major medical self-insured health plan You sponsor a fully-insured health plan and a self-funded health reimbursement arrangement (HRA) You sponsor a health plan that meets minimum essential coverage only (MEC) Employer-sponsored ...

IRS Releases Final Forms and Instructions for 2019 ACA Reporting

Background Under the Patient Protection and Affordable Care Act (ACA), applicable large employers (ALEs) are required to offer health benefits to their full‑time employees and individuals are required to have health insurance, although the penalty is $0 for individuals who fail to have minimum ...