compliance

Final Regulations Regarding Short-Term Limited-Duration Insurance, Excepted Benefits, and Lifetime/Annual Limits

On October 31, 2016, the U.S. Department of the Treasury, Department of Labor (DOL), and Department of Health and Human Services (HHS) (collectively the Departments) issued final regulations regarding the definition of short-term, limited-duration insurance, standards for travel insurance and ...

What Group Plan Sponsors Need to Know about ERISA

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 that has changed and ...

Frequently Asked Questions about Tracking Full Time Employees under Play or Pay

Q1: Must full-time employees be tracked under the Patient Protection and Affordable Care Act’s (PPACA) play or pay rules? A1: All common-law employees must be tracked underplay or pay rules, including ongoing full-time employees. Q2: Why would you track employees that you know are full time? ...

Extension of Maximum COBRA Coverage Period | Brinson Compliance

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to offer covered employees who lose their health benefits due to a qualifying event to continue group health benefits for a limited time at the employee’s own cost. The length of the COBRA coverage period ...

Compliance Recap | June 2018

June was a relatively quiet month in the employee benefits world. The U.S. Department of Labor issued final regulations regarding association health plans. The U.S. Department of Justice filed a response in ongoing litigation regarding the constitutionality of the Patient Protection and ...

Health Savings Accounts: What You Need to Know

A health savings account (HSA) is a tax-exempt trust or custodial account set up with a qualified HSA trustee (such as a bank or insurance company) that is used to pay or reimburse certain medical expenses. HSAs were first available as of January 1, 2004, and have grown greatly in popularity. ...

Wraparound Excepted Benefits Pilot Programs

Health plan sponsors are permitted to offer wraparound coverage to employees purchasing individual health insurance in the private market, including the Marketplace, in limited circumstances, under a Final Rule issued by the U.S. Department of Labor (DOL) and other federal agencies. The Final ...

FAQ about the PCORI Fee Due July 31

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 ...

Compliance Recap | May 2018

May was a relatively busy month in the employee benefits world. The Internal Revenue Service (IRS) released the indexed threshold that employers will use in 2019 to determine coverage affordability. The IRS also issued inflation-adjusted amounts that will apply to health savings accounts for ...

Frequently Asked Questions about the W-2 Reporting Requirement

Updated June 2018 Employers must include the value of “employer-sponsored group health coverage” on their employees’ W-2s. However, employers that issued fewer than 250 W-2s during the prior calendar year are currently exempt from this requirement. For example, an employer that issued 250 or ...