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December 14, 2020
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
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
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 24, 2020
Earlier this afternoon, two Purple Card clients independently reported that a team member of theirs received a fraudulent phone call. The callers represented themselves to be with a company contracted by the health plan for their prescription benefits and made it sound as if they already knew ...
November 17, 2020
The holidays are often associated with friends, family, and food. It is a great excuse to get folks together whom you may not have seen all year. Calendars resemble a bingo card as celebrations fill dates for weeks, if not months, in advance. Historically, the biggest obstacle you had to work ...
November 14, 2020
A member was having a problem filling a brand name prescription medication she had been taking for the last 4 years. A formulary pharmacy benefit change had been made to the insurance plan and the cost of the brand name prescription medication had risen several hundred dollars. Because of the ...
November 11, 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
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 10, 2020
What would you say if I told you Human Resource Information Systems (HRIS) have been around since the 1980s? It’s true. The use of software to organize and store employee data gained popularity during the dot.com era and continued to grow as the role of human resources evolved – from that of an ...
November 9, 2020
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 ...