compliance

Medicare Part D Notices

If your health benefit plan covers any employee, or their covered dependents, who is eligible for Medicare, this applies to you. If you know that your plan does not cover any Medicare eligible individuals (employee or dependent) then you do not need to send this notice. If your medical plan ...

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

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. The Departments respond to FAQs as part of ...

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. (Note: Health Reimbursement ...

Compliance Recap | August 2019

August was a relatively quiet month in the employee benefits world. The Department of Labor (DOL) issued its updated Medicaid / CHIP Model Notice. The Centers for Medicare and Medicaid Services (CMS) revised its Medicare Secondary Payer User Guide and changed reporting requirements regarding ...

Final 2020 Benefit Payment and Parameters Rule

The Centers for Medicare & Medicaid Services (CMS) released its final rule and fact sheet for benefit payment and parameters for 2020. According to CMS, the final rule is intended to reduce fiscal and regulatory burdens associated with the Patient Protection and Affordable Care Act (ACA) ...

Sample Open Enrollment Notices Packet

  Sample Open Enrollment Notices Packet Including:  Important Notice About Your Prescription Drug Coverage and Medicare: Provide this notice by October 14 to all participants and dependents who are or may become eligible for Medicare Part D in the next 12 months if the prescription drug ...

Compliance Recap | July 2019

July was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released a notice that expands the list of preventive care benefits a high deductible health plan can provide without a deductible or with a deductible below the annual minimum deductible. The IRS also ...

New HDHP Preventive Care Benefits

In response to the President’s Executive Order 13877 “Improving Price and Quality Transparency in American Healthcare to Put Patients First,” the Internal Revenue Service (IRS) released Notice 2019-45 to expand the list of preventive care benefits that a high deductible health plan (HDHP) can ...

Contraception Mandate Rolled Back for Employers

The Department of the Treasury (Treasury), Department of Labor (DOL), and Department of Health and Human Services (HHS) (collectively, the Departments) released two final rules on November 7, 2018, regarding contraceptive coverage exemptions. These rules finalize the Departments’ interim final ...

Compliance Recap | June 2019

June was a relatively busy month in the employee benefits world. The Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Department of Treasury published final rules that removed the prohibition against integrating a health reimbursement arrangement (HRA) with ...