Compliance News

Employer Reporting Quick Hit - Reporting Offers of Coverage - 1A versus 1E

Applicable large employers (50 or more FTEs) and employers offering self-funded group medical plans are in the midst of finalizing reporting via Forms 1094 and 1095 for the 2022 calendar year. The rep...

Federal Public Health Emergency Extended to April 11, 2023

On January 11, 2023, the Public Health Emergency (PHE) was extended once again and is now effective through April 11, 2023. With the PHE still effective, group health plans must continue to provide...

Employer Reporting Quick Hit - Affordability Safe Harbors

Issue Date: January 2023 Applicable large employers (50 or more FTEs) and employers offering self-funded group medical plans are in the midst of finalizing reporting via Forms 1094 and 1095 for the...

Compliance Considerations When Moving from Fully-Insured to Self-Funded

Employers may choose self-funded group health plan coverage to obtain more flexibility with plan design and hopefully save some money. However, in doing so, there are additional responsibilities and c...

President Signs ‘Respect for Marriage Act’

President Signs ‘Respect for Marriage Act’ The President signed the Respect for Marriage Act (RFMA) on December 13, 2022. The Act defines marriage to include same-sex couples under a federal statu...

2023 CAA Signed Into Law - Includes Telemedicine & HSA Relief

Issue Date: January 2023 As previously reported, the 2023 Consolidated Appropriations Act (CAA 2023) includes language extending the temporary relief permitting telemedicine plans to be offere...

New Guidance and Delayed Enforcement for Prescription Drug Data Collection (RxDC)

On the eve of the requirement for employer-sponsored health plans and health insurance carriers to submit prescription drug cost reporting data (RxDC), the Departments of Labor, Health and Human Servi...

Compliance Considerations When Moving from Fully-Insured to Self-Funded

Employers may choose self-funded group health plan coverage to obtain more flexibility with plan design and hopefully save some money. However, in doing so, there are additional responsibilities and c...

Transparency in Coverage: Prescription Drug Data Collection Reporting (RxDC) Requirements, December 2022

The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services begin...

New PCORI Fee Announced

At the time we originally distributed the announcement for the IRS and ACA limits for 2023, the new PCORI Fee amount was projected to be $2.93 for Plan Years ending on or after October 1, 2022 and bef...

ACA Reporting and Other Employer Mandate Compliance Changes for the Upcoming New Year

Recent federal policy changes will impact compliance for Self-Funded Plans, Group Health Plans, and all Applicable Large Employers (ALEs). ALEs are those employers offering group health plans that ...

New California Law Requires Broker License Number on Emails

Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license numbe...