compliance

compliance

Status of Court Case Challenging ACA Constitutionality

Updated March 2020 On March 2, 2020, the U.S. Supreme Court (Supreme Court) announced that it will hear the court case challenging the ACA’s constitutionality. Previously, the Supreme Court declined expedited review the case. On December 18, 2019, the U.S. Court of Appeals for the Fifth ...

Compliance Recap | January 2020

January was a busy month in the employee benefits world. The U.S. Supreme Court (Supreme Court) denied expedited review of a court case challenging the constitutionality of the Patient Protection and Affordable Care Act (ACA). The Supreme Court also granted review of a nationwide preliminary ...

Proposed 2021 Benefit Payment and Parameters Rule

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule for benefit payment and parameters for 2021. CMS also released its draft 2021 actuarial value calculator and draft 2021 actuarial value calculator methodology. According to CMS, the proposed rule is intended to ...

Nondiscrimination Rules for Cafeteria Plans

Updated January 2020 A cafeteria plan is an employer-provided written plan that offers employees the opportunity to choose between at least one permitted taxable benefit and at least one qualified employee benefit. There is no federal law that requires employers to establish cafeteria plans; ...

What Group Plan Sponsors Need to Know About ERISA

The Employee Retirement Income Security Act (ERISA) was signed in 1974. The U.S. Department of Labor (DOL) is the agency responsible for administering and enforcing this law. For many years, most of ERISA’s requirements applied to pension plans. However, in recent years that changed and group ...

Compliance Recap | December 2019

December was a busy month in the employee benefits world. The U.S. Court of Appeals for the Fifth Circuit held that the Patient Protection and Affordable Care Act’s (ACA’s) individual mandate is unconstitutional. The Internal Revenue Service (IRS) released final instructions and final 1094-B, ...

Proposed Rules on Coverage Transparency and Final Rules on Hospital Price Transparency

Updated January 2020 On November 15, 2019, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments) released proposed rules on coverage transparency. The proposed rules seek to give an estimate of plan ...

Overtime Rule Goes Into Effect January 1, 2020

For many employers, overtime is a tricky issue. Should you offer it to all employees? Only hourly employees? How much time should they work before they are eligible? Effective January 1, 2020, this will be decided for any employers struggling to classify overtime status. Last September, the ...

Federal Tax Credit for Employer-Provided Paid Family and Medical Leave

In December 2019, the Further Consolidated Appropriations Act, 2020 included a one-year extension of the federal tax credit for employers that provide paid family and medical leave (FML) to their employees. As background, in December 2017, the Tax Cuts and Jobs Act (Act) included the new ...

IRS Releases Final Forms and Instructions for 2019 ACA Reporting

Background Under the Patient Protection and Affordable Care Act (ACA), applicable large employers (ALEs) are required to offer health benefits to their full‑time employees and individuals are required to have health insurance, although the penalty is $0 for individuals who fail to have minimum ...

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