resources

Compliance Recap | January 2019

January was a relatively quiet month in the employee benefits world. The Department of Labor (DOL) issued its annual adjustment of federal civil monetary penalties. The Centers for Medicare & Medicaid Services released a proposed rule for benefit payment and parameters for 2020. The ...

Advocacy in Action | Scheduling Assistance

Our Patient Advocates are serious about service. As an independent resource, they are available to our members to help them resolve any concerns about their benefits program.  They can assist with concerns about claims, patient referrals, balance bills, enrollment delays, or any benefits issue. ...

Court Modifies Order Regarding EEOC Wellness Rules

In August 2017, the United States District Court for the District of Columbia held that the U.S. Equal Employment Opportunity Commission (EEOC) failed to provide a reasoned explanation for its decision to allow an incentive for spousal medical history and adopt 30 percent incentive levels for ...

Status of Court Case Challenging ACA Constitutionality

On December 14, 2018, the U.S. District Court for the Northern District of Texas (Court) issued a declaratory order in ongoing litigation regarding the individual mandate and the Patient Protection and Affordable Care Act (ACA). The Court declared that the individual mandate is unconstitutional ...

Compliance Recap | December 2018

December was a relatively quiet month in the employee benefits world. A U.S. District Court issued an order declaring that the Patient Protection and Affordable Care Act (ACA) is unconstitutional. The Equal Employment Opportunity Commission (EEOC) issued two final rules to remove certain ...

Compliance Recap | November 2018

November was a busy month in the employee benefits world. The Internal Revenue Service (IRS) extended the due date for employers to furnish Forms 1095-C or 1095-B to individuals, extended “good faith compliance efforts” relief for 2018, and issued specifications for employer-provided substitute ...

Culture Questions

With unemployment continuing at historically low numbers, it’s up to employers to win sought-after candidates. During an interview, employers are likely ready for the culture question. When asked about culture directly, according to an article in Fast Company, interviewers are quick to offer ...

Advocacy in Action | Negotiating Unexpected Claims

Provider Balance Bill Our Patient Advocates are serious about service. As an independent resource, they are available to our members to help them resolve any concerns about their benefits program. They can assist with concerns about claims, patient referrals, balance bills, enrollment delays, ...

Happier Holidays, the HR Way

Most people, according to a new survey featured in HR Dive, have the greatest sense of belonging in their own homes. That may not be surprising news, but what is interesting is that one-third of respondents felt the greatest sense of belonging in their workplace. A significant percentage, 40 ...

Nondiscrimination Rules for Cafeteria Plans

A cafeteria plan is an employer-provided written plan that offers employees the opportunity to choose between at least one permitted taxable benefit and at least one qualified employee benefit. There is no federal law that requires employers to establish cafeteria plans; however, some states ...