“Under Section 204 (of Title II, Division BB) of the Consolidated Appropriations Act, 2021 (CAA), insurance companies and employer-based health plans must submit information about prescription drugs a...
Purchase or Sale of Paid Time Off (PTO) Through a §125 Cafeteria Plan
February 2024
Background
§125 Cafeteria plans are generally set up to give employees access to a range of tax-free benefi...
Employer Fiduciary Duties
February 2024
The recent class action lawsuit against Johnson and Johnson (J and J) has received a lot of attention from employers. The suit accuses J and J of breachin...
ACA 1094 and 1095 Submission Deadlines - Employer Reporting Tip
Question
When are the ACA employer reporting forms (Form 1094 and Form 1095s) due?
Answer
Copies of Form 1095s (1095-B or...
IRS Announces ACA Penalties for 2025 Under Code §4980H (a) and (b)
February 2024
On February 12, 2024, the IRS released Rev. Proc. 2024-14 to provide the adjusted excise tax amounts under the Af...
Nondiscrimination Rules – Options for Highly Compensated Individuals (HCIs)
February 2024
Benefit nondiscrimination rules restrict the extent to which employers may favor highly compensated indi...
Reminder - Medicare Part D Creditable Coverage Reporting Requirement to CMS is Due By March 1, 2024 for Calendar Year Plans
In addition to the disclosure requirements to individuals, plan sponsors ...
Updates to IRS FAQs about the Premium Tax Credit
February 9, 2024
FS-2024-04
This month, the IRS updated their Frequently Asked Questions document with more information about the Premium Tax...
Updated - Department of Labor Releases a Revised Children's Health Insurance Program Model Notice
The Department of Labor (DOL), through its Employee Benefits Security Administration (EBSA), has re...
2024 Federal Poverty Levels (FPL) Guidelines
The Department of Health and Human Services (HHS) released the 2024 federal poverty guidelines.
For purposes of calculating affordability under §4980...
Most Common ACA 1094/1095 Errors - Employer Reporting Tip
February 1, 2024
Question
What are the most common employer reporting errors?
Answer
As experts assist with Letter 226J appeals...
Events Permitting Election Changes Mid-Plan Year
The Plan may be drafted to permit an individual to change an election mid-year based on a permitted event. Alternatively, a plan sponsor may design ...