compliance

compliance

Compliance Recap | March 2023

After a slow start to the year in compliance, March ramped up with FAQs from the Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) (the “Agencies”) on the gag clause provision of the Consolidated Appropriations Act (CAA), ...

HHS Releases Revised Instructions for Upcoming Prescription Drug and Health Care Spending Reports

The Department of Health and Human Services (HHS) has released revised instructions for group health plans to report prescription drug and health care spending data, as required by the Consolidated Appropriations Act, 2021 (CAA). This data submission is called the RxDC report. The Rx stands for ...

Joint Agency Guidance on Gag Clause Prohibition for Health Plan Agreements

On February 23, 2023, the Department of Labor (DOL), the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) (the “Agencies”) released FAQs addressing the implementation of certain transparency requirements under the Consolidated Appropriations Act of 2021 ...

Compliance Recap | February 2023

February saw the start of Affordable Care Act (ACA) reporting for health coverage provided in 2022. The ACA reporting deadlines range from February 28 to March 31, 2023, and the state deadlines range from January 31,2023 to April 30, 2023. Preparing for the end of the COVID-19 National ...

Compliance Recap | January 2023

2023 began quietly as the dust settles around open enrollment and the plan changes that can come with it. Proposed End to the Public Health Emergency and the COVID-19 National Emergency In a statement made through the Office of Management and Budget on January 30, President Biden announced his ...

President Biden Reveals Plan to End National COVID-19 Emergency

On January 30 President Biden issued a statement of policy to Congress in which he announced that the administration plans to end both the National Emergency related to COVID-19 originally declared by President Trump in 2020 and the public health emergency (PHE) declared by the U.S. Department ...

Compliance Reminder | ACA Reporting Obligation and Due Dates

If you are an Applicable Large Employer (ALE) and offer medical benefits to your employees, you are required to complete IRS forms 1095-C and 1094-C, and report appropriately to the IRS and to your employees. The reporting indicates which full-time employees were offered medical coverage during ...

DOL Announces 2023 Penalties for Health & Welfare Plan Compliance Errors

Since 2015, federal agencies have been required to annually review the laws and regulations they enforce to adjust applicable penalties for inflation. These adjustments, or so the theory goes, provide higher incentives for plan sponsors to ensure their benefit plans and programs remain ...

Compliance Recap | December 2022

US Department of Labor Releases Informational Copies of 2022 Form 5500 Series Annual Return and Report Informational copies of the 2022 Form 5500, Form 5500-SF, and their related instructions were released by the U.S. Department of Labor’s Employee Benefits Security Administration, the IRS, and ...

IRS Grants Permanent 30-Day Extension to Providing Individual ACA Statements

‘Tis the season for applicable large employers (ALEs) to scramble to meet their Affordable Care Act (ACA) obligation to provide full-time employees with individual statements that provide group health coverage information required to be filed with the IRS on Form 1095-C. Although the ACA ...

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