compliance

compliance

IRS Revises Guidance to Allow Expanded Mid-Year Cafeteria Plan Election Changes

The IRS recently released revised guidance to permit employers to amend their cafeteria plans to allow mid-year election changes when an individual related to a plan participant is eligible to elect a qualified health plan on the Marketplace due to either a special enrollment period or during ...

Compliance Recap | October 2022

IRS Announces Increased Limits for Certain Employee Benefits, Higher Fines for ACA Reporting Failures Each year, just as the leaves turn to the fiery shades of autumn, the Internal Revenue Service (IRS) announces how much more “green” will be available during the coming year under various ...

Cafeteria Plans: Change in Status Events and Permissible Employee Election Changes

Cafeteria plans are governed by IRS Code Section 125 and allow employers to help employees pay for expenses such as health insurance with pre-tax dollars. Employees can choose between a taxable benefit (such as cash) and two or more specified pre-tax qualified benefits (health insurance, for ...

IRS Announces Increased Limits for Certain Employee Benefits, Higher Fines for ACA Reporting Failures

Each year, just as the leaves turn to the fiery shades of autumn, the Internal Revenue Service (IRS) announces how much more “green” will be available during the coming year under various employee benefit programs. The IRS recently released Revenue Procedure 2022-38 in which it has updated many ...

Final Rule Resolves “Family Glitch” for ACA Marketplace Coverage

The Department of the Treasury recently issued final regulations to make the premium tax credit (PTC) for Marketplace health coverage available to more individuals starting in 2023. The new rule changes the IRS’s interpretation of group health coverage affordability for determining PTC ...

Compliance Recap | September 2022

September was a relatively quiet month in compliance as employers continue the ramp-up to open enrollment. Prescription Drug Cost Reporting With a due date of December 27, 2022, prescription drug cost reporting is looming large in employers’ minds. The first reports for submission to the U.S. ...

Departments Issue No Surprises Act FAQ and Clarify Independent Dispute Resolution Process

The U.S. Departments of Health and Human Services, Labor, and the Treasury (the “Departments”) recently released final rules regarding the No Surprises Act. The rules specifically address required independent dispute resolution (IDR) of certain claims and expenses and finalize prior interim ...

Compliance Recap | August 2022

August was a busy month, with employers buzzing about transparency, reporting, and more. As we wrap up the summer season of the 2022 benefits compliance calendar, be mindful of these important issues. 2023 ACA Facts and Figures The Affordable Care Act (ACA) imposes an employer shared ...

Important 2023 ACA Reminders for Applicable Large Employers

The Affordable Care Act (ACA) includes numerous requirements for applicable large employers (ALEs) to meet to maintain compliant group health plans. Many of these requirements change annually, so we provide you this overview of the key facts and figures to keep in mind for 2023. Affordability ...

Departments Issue Final Rules to Clarify Dispute Resolution and Transparency under No Surprises Act

On August 19, the U.S. Departments of Health and Human Services, Labor, and the Treasury (the Departments) released final rules regarding the No Surprises Act provisions of the Consolidated Appropriations Act, 2021. The rules address the No Surprises Act’s required independent dispute ...

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