compliance
December 6, 2019
Compliance Recap | November 2019
November was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released draft 2019 instructions for Forms 1094-B, 1095-B, 1094-C, and 1095-C. The IRS also released health plan limits and various compensation, benefit, and contribution levels under qualified ...
December 2, 2019
IRS Releases Draft 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 failing to have minimum essential ...
November 4, 2019
Compliance Recap | October 2019
October was a relatively quiet month in the employee benefits world. The U.S. District Court for the Northern District of Texas vacated portions of the current rule implementing Section 1557 that prohibit discrimination on the basis of gender identity and pregnancy termination. The U.S. Court ...
October 21, 2019
Update on Nondiscrimination Regulations for Health Care Providers
The Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation in, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department ...
October 4, 2019
Compliance Recap | September 2019
September was a busy month in the employee benefits world. The U.S. Senate confirmed Eugene Scalia as the new Secretary of the Department of Labor (DOL). The Internal Revenue Service (IRS) published proposed rules regarding affordability safe harbors and Section 105(h) nondiscrimination rules ...
September 13, 2019
Final FAQs, Model Disclosure Form, and Enforcement Fact Sheet Regarding Mental Health and Substance Use Disorder Parity
The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”) released final FAQs About Mental Health and Substance Use Disorder Parity Implementation and the 21st Century Cures Act Part 39. The Departments respond to FAQs as part of ...
September 5, 2019
Compliance Recap | August 2019
August was a relatively quiet month in the employee benefits world. The Department of Labor (DOL) issued its updated Medicaid / CHIP Model Notice. The Centers for Medicare and Medicaid Services (CMS) revised its Medicare Secondary Payer User Guide and changed reporting requirements regarding ...
August 29, 2019
Final 2020 Benefit Payment and Parameters Rule
The Centers for Medicare & Medicaid Services (CMS) released its final rule and fact sheet for benefit payment and parameters for 2020. According to CMS, the final rule is intended to reduce fiscal and regulatory burdens associated with the Patient Protection and Affordable Care Act (ACA) ...
August 10, 2019
Compliance Recap | July 2019
July was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released a notice that expands the list of preventive care benefits a high deductible health plan can provide without a deductible or with a deductible below the annual minimum deductible. The IRS also ...
July 23, 2019
New HDHP Preventive Care Benefits
In response to the President’s Executive Order 13877 “Improving Price and Quality Transparency in American Healthcare to Put Patients First,” the Internal Revenue Service (IRS) released Notice 2019-45 to expand the list of preventive care benefits that a high deductible health plan (HDHP) can ...
