Benefits Buzz

Posted February 1st, 2023 in

You may be familiar with Medicare’s annual enrollment period (AEP) which occurs each fall. From October 15th until December 7th of each year, Medicare beneficiaries can enroll in a Medicare Advantage or Part D plan of their choice. This includes enrolling in a plan for the first time or changing to a new plan.

Posted January 25th, 2023 in Producers

Reporting requirements from the Affordable Care Act (ACA) are rapidly approaching. Health Insurance Marketplaces, health insurance carriers, and employers may be subject to the reporting. The reporting is due February 28, 2023 if filing manually and by March 31, 2023 if filing electronically. Electronic filing is required for entities that are filing 250 or more forms.

Let’s get to the ABCs of the reporting.

Form 1095-A

Posted January 18th, 2023 in

At the start of the COVID-19 pandemic in 2020, Congress enacted a law called the Families First Coronavirus Response Act (FFCRA). One of the provisions of the FFCRA included a requirement that state Medicaid programs keep individuals continuously enrolled in coverage through the end of the month in which the COVID-19 public health emergency (PHE) ends. In return, state Medicaid programs have received enhanced federal funding.

Posted January 12th, 2023 in Employers

The COVID-19 national public health emergency is set to expire on January 11, 2023; however, the Biden administration is expected to issue another extension of the national public health emergency. It is unknown at this time when the national public health emergency will be declared over.

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Posted December 28th, 2022 in Family, Individuals

Health Savings Accounts (HSAs) have become a popular way to pay for out-of-pocket medical expenses and/or save for future medical expenses. HSAs are considered by many to be the “unicorn” of financial accounts. The primary reason for this claim to fame are the triple tax advantage features of HSAs. Contributions are taxdeductible, earnings and interest grow tax-deferred, and withdrawals are tax-free provided the money is used for an out-of-pocket medical expense.

Posted December 21st, 2022 in

Many telemedicine programs disqualify a person from making contributions to a Health Savings Account (HSA). Generally, telemedicine programs that have a $0 copay or low dollar copay will eliminate HSA eligibility. Typically, a telemedicine program must apply the full cost of the virtual visit to the deductible, or it can only cover limited benefits (e.g., preventive-only services, dental-only services) to preserve HSA eligibility.

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