Banner Cap

Latest Articles

Laws, Regulations, & FAQ

calculatorThe HHS 2015 Notice of Benefit and Payment Parameters Final Rule (issued March 6, 2014) included numerous and varied provisions of interest, not only regarding the payment parameters of the premium stabilization programs, but also regarding: cost-sharing limits (for stand-alone dental as well as medical plans), changes to the 2015 annual open enrollment period dates, the 2015 actuarial value (AV) calculator, patient safety, the Small Business Health Options Program (SHOP), and several others.

Final Rule 2015 Benefit and Payment Parameters: Transitional Reinsurance Fee $44, Cost-Sharing Limits, 2015 AV Calculator, More

Wednesday, March 12, 2014

medical-staffOn March 5, 2014, HHS and the IRS separately released four sets of guidance addressing several key provisions in the Affordable Care Act: Information Reporting, Two-Year Extension for Canceled Health Plans, and 2015 Notice of Benefit and Payment Parameters Final Rule.

Summary of ACA Guidance Issued this Past Week

Friday, March 7, 2014

HCR Provisions by type and size of plan(This is a more detailed version of an article that was originally posted February 24, 2014) On February 20, 2014, the IRS, DOL and HHS jointly released two separate sets of regulations on the 90-day waiting period limit ...

Ninety-Day Waiting Period and the new One Month Orientation Period

Friday, February 28, 2014

US-capitol-flagOn February 20, 2014, the IRS, DOL and HHS jointly released two sets of regulations on the 90-day waiting period limit under the Affordable Care Act (ACA). The final regulations generally finalize the...

Regs and More Regs: Maximum 90-Day Waiting Period & 1-Month Orientation Period

Monday, February 24, 2014

US-Capital-BuildingOn February 10, 2014, the Internal Revenue Service issued long-awaited Final Regulations (227 pages) implementing ...

Specifics on "Play or Pay" Final Rules for Large Employers

Tuesday, February 18, 2014

US-capitol-flag On December 20, 2013, the Departments of HHS, Labor and Treasury issued proposed regulations that expand and clarify the categories of benefits that qualify as "excepted benefits." The three primary expansions are:

Proposed Rule Expands Definition of "Excepted Benefits"

Monday, December 30, 2013

Benefits Compliance

equal-rightsHealth insurance issuers who offer coverage to opposite-sex spouses must offer policyholders the option to offer coverage to same-sex spouses on the same terms and conditions.

Insurers Offering Coverage to Opposite-Sex Spouses Must Offer Same to Same-Sex Spouses

Friday, March 21, 2014

medicare-deadlineHealth plan sponsors must notify the Centers for Medicare and Medicaid Services (CMS) within 60 days from the beginning of the plan or policy year as to whether their group health plan prescription...

March 1st Deadline for Calendar Year Plans to Notify CMS of Medicare Part D Notices

Monday, February 10, 2014

early-consequencesFor small group plans that renewed early on December 1, 2013, the deadline for online notice to CMS regarding Medicare Part D creditable coverage and notices will be January 29, 2014, rather than March 1.

Dec 1 Early Renewal Plans have Jan 29 Deadline to Notify CMS of Medicare Part D Notices

Tuesday, January 21, 2014

piggy-bankThe IRS issued Notice 2013-71 modifying the longstanding "use-or-lose" rule for health flexible spending arrangements (FSAs).

IRS Changes "Use-It-Or-Lose-It" Rule to allow $500 Annual Carryover in Health FSAs

Thursday, October 31, 2013

facebook twitter LinkedIn Youtube facebook twitter LinkedIn Youtube