Compliance News

Fixing The Family Glitch: IRS Final Rules for Family Coverage Affordability

The IRS has issued final regulations that change the way employer-sponsored plan affordability is calculated when determining if a family is eligible for a premium tax credit (PTC) when purchasing ind...

Upcoming Fall and Winter Compliance Deadlines

It’s that time of year again! Some important compliance deadlines are coming up this fall and winter.

Broker Compensation Disclosure Reminder

With many group health plan renewals approaching, brokers or consultants will need to remember to provide the compensation disclosure passed into law with the Consolidated Appropriations Act, 2021 (CA...

MLR Rebates Are Coming

Background & Purpose Employers sponsoring a fully-insured group health plan may soon be getting a check from their insurer. This check is a medical loss ratio (MLR) rebate that insurers are requi...

Has the Prescription Drug Reporting Requirement Been Delayed?

Question: I’ve heard that the prescription drug reporting requirement under the transparency rules was delayed. Does this mean I don’t need to worry about any impending requirements? Answer: T...

Important Guidelines Affecting Women’s Preventive Services

The HHS Health Resources and Services Administration (HRSA) issued updated preventive services guidelines for women, which it approved on December 30, 2021. (87 Fed. Reg. 1763). The requirements are e...

Compliance Brief: Gender Nondiscrimination Considerations

Coverage for gender-related treatment and services is an evolving issue. Over the past decade, however, legislation, regulations and court decisions all suggest that failure to provide equal access t...

Update to the Women’s Preventive Services Guidelines

This is a reminder that the HHS Health Resources and Services Administration (HRSA) issued updated prevent services guidelines for women and it was approved December 30, 2021. Non-grandfathered pla...

Health Cost Transparency Guide for Employers

The Consolidated Appropriations Act (CAA), No Surprises Act (NSA), and the Transparency in Coverage Final Rule (TiC Final Rule) impose several new requirements on employer-sponsored group health plans...

2023 Affordability Percentage Decreased

In Revenue Procedure 2022-34, the IRS slightly decreased the affordability percentage from 9.61% to 9.12% for 2023. This percentage determines which applicable large employers may face penalties under...

Supreme Court's Roe v. Wade Decision: What Employers Should Know

Supreme Court's Roe v. Wade Decision: What Employers Should Know The Supreme Court released its decision regarding abortion rights on June 24, essentially reversing the previous Roe v. Wade and Pla...

The Transparency in Coverage Rule for Machine-Readable Files Deadline is Approaching

The deadline for Transparency in Coverage Machine-Readable Files is July 1, 2022 The Transparency in Coverage (TiC) rule is part of the federal transparency efforts that require insurers and group ...