Benefits Buzz

Posted April 5th, 2023 in

On March 30, 3023, U.S. District Judge Reed O’Connor issued a ruling that health insurance plans are not required to cover many preventive services, nor are the plans required to cover many preventive services cost-free to members. Preventive service coverage requirements have been required as a provision of the Affordable Care Act (ACA) since 2010.

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Posted March 30th, 2023 in

On March 17, 2023, the Internal Revenue Service (IRS) published some Frequently Asked Questions (FAQs) as it pertains to the reimbursement of nutrition, wellness, and general health expenses from a Health Flexible Spending Account (FSA), Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), or Archer Medical Savings

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Posted March 23rd, 2023 in Employers

Applicable Large Employers (ALEs) are those who employed 50 or more full-time equivalent employees in the previous calendar year. Under the Affordable Care Act (ACA) law, ALEs must offer minimum essential coverage to at least 95% of its full-time employees or they risk penalties. ALEs who fail to meet this offer requirement risk a significant penalty if just one full-time employee receives a subsidized individual health insurance plan through a Marketplace.
 

Posted March 15th, 2023 in Employers

On February 21, 2023, the Internal Revenue Service (IRS) published a final rule which changes the electronic filing requirements for Forms 1094-B, 1095-B, 1094-C, and 1095-C.

Posted March 8th, 2023 in Uncategorized

The No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act of 2021, requires group health plans and health insurers to report information on prescription drug and health care spending to the Department of Health and Human Services (HHS), Department of Labor (DOL), and the Department of Treasury (DOT). The reporting process is referred to as the Prescription Drug Data Collection, or RxDC for short.
 

Posted March 1st, 2023 in Employers

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers with 20 or more employees to offer continuation coverage under a group health plan for periods of 18, 29 or 36 months depending on the qualifying event. Qualifying events generally include a loss of coverage due to 1) termination of employment, 2) a reduction in hours, 3) an employee’s entitlement to Medicare, 4) death of the employee, 5) divorce or legal separation from the employee, and 6) a dependent child reaching the maximum age limit to be covered under the plan.

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