compliance
December 16, 2020
Proposed 2022 Benefit Payment and Parameters Rule
The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule and fact sheet for benefit payment and parameters for 2022. CMS has also released its draft 2022 actuarial value calculator and draft 2022 actuarial value calculator methodology. According to CMS, the proposed ...
December 16, 2020
Highlights of the Patient-Centered Outcomes (PCORI) / Comparative Effectiveness Fee
The Patient-Centered Outcomes Research Institute (PCORI) fee initially applied from 2012 to 2019. However, in December 2019, the Further Consolidated Appropriations Act, 2020 extended the fee to 2029. The fee is due based on plan/policy years ending on or after October 1, 2012, and before ...
December 14, 2020
Frequently Asked Questions about the Patient-Centered Outcomes / Comparative Effectiveness Fee
You have a PCORI filing and payment obligation if: You sponsor a major medical self-insured health plan You sponsor a fully-insured health plan and a self-funded health reimbursement arrangement (HRA) You sponsor a health plan that meets minimum essential coverage only (MEC) Employer-sponsored ...
December 5, 2020
PCORI, TRF and HIP Fee Highlights
The IRS and the Department of Health and Human Services have issued final regulations that provide details on several fees that will be due as part of the Patient Protection and Affordable Care Act (ACA). Self-funded plans will calculate and pay these fees directly. Insurers will calculate and ...
December 1, 2020
Spending Bill Extends PCORI Fee and Repeals Cadillac Tax, HIP Fee, and Medical Device Excise Tax
On December 20, 2019, President Trump signed the Further Consolidated Appropriations Act, 2020 (Act) to keep the federal government running through September 2020. The Act significantly affects provisions under the Patient Protection and Affordable Care Act (ACA), largely though one fee ...
November 11, 2020
Compliance Recap | October 2020
October was a busy month in the employee benefits world. The Department of Health and Human Services (HHS) renewed the public health emergency due to COVID-19 which took effect on October 23, 2020. The Internal Revenue Service (IRS) issued Notice 2020-76 regarding deadline extensions and ...
November 11, 2020
Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rules
The Department of Labor (DOL), Department of Health, Department of Health and Human Services (HHS), and the Department of the Treasury (Treasury), collectively “the Departments,” released interim final rules regarding implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) ...
November 9, 2020
Final Rules on Coverage Transparency Part 2
On October 29, 2020, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, the Departments), released final rules on coverage transparency, in order to provide health coverage recipients with an estimate of their ...
November 6, 2020
Final Rules on Coverage Transparency Part 1
On October 29, 2020, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments), released final rules on coverage transparency, in order to provide health coverage recipients with an estimate of their ...
November 2, 2020
The U.S. Supreme Court and the Future of the Affordable Care Act Part 2
On November 3, 2020, millions of Americans will cast their votes in support of presidential candidates with diametrically opposed views on the future of health care in this country. President Trump has been unwavering in his opposition to the Affordable Care Act (ACA) and has made a consistent ...
