Health Benefits for Different Classes of Employees
Can employers design health benefits differently for classes of employees?
Employers may be thinking of providing health plans by ‘employee cla...
The Braidwood Decision and Coverage of Preventive Health Services
Update - May 2023
On May 15, 2023, the Fifth Circuit Court of Appeals issued an administrative stay on the enforcement of the di...
Update on Employer Responsibilities for the Upcoming RxDC Reporting due June 1, 2023
May 2023
Many employers received an email from their carrier or TPA (for Self-Insured plans) requesting that ...
The Internal Revenue Service (IRS) announced (see Revenue Procedure 2023-23) cost-of-living adjustments to the applicable dollar limits for health savings accounts (HSAs), high-deductible health p...
What is a Qualifying Life Event?
May 2023
Background
We often face the question of whether an individual’s situation is a “qualifying life event” that would permit them to make a change to th...
A Guide to Non-Discrimination Testing for Self-Insured Group Health PlansMost employer group benefit plans provide tax-advantaged benefits and are subject to non-discrimination rules to discourage emp...
A Guide to Non-Discrimination Testing for Fully Insured Group Health PlansMost employer group benefit plans provide tax-advantaged benefits and are subject to non-discrimination rules to discourage em...
Reminder: The employer mandate under §4980H of the ACA remains in effect and requires compliance to avoid potential penalties for applicable large employers (ALEs).
The Braidwood Decision and Coverage of Preventive Health Services
Date Issued: April 2023
Background
The Affordable Care Act (ACA) amended the Public Health Service (PHS) Act to require non-g...
End of the National and Public Health Emergencies
April 13, 2023
Background
Over the course of the last three years, the US has been operating under two separate legal emergencies related to ...
National Emergency and Outbreak Period Ending Sooner
In January of this year, the White House announced that it intended to end the pandemic-related National Emergency and the separate Public Healt...
Why would a plan need a wrap document?
Question: Why do plans need wrap documents?
Answer: Wrap documents are generally used for either (or both) of the following:
Supplementing alrea...