Dec 9, 2024 | Affordable Care Act, Compliance, Form 1094, Form 1095, IRS, Regulatory
It is that time of year when self-funded employers need to start preparing for a critical health care reform mandate: Providing the IRS with an accurate accounting of health coverage for full-time employees via IRS Forms 1094 and 1095. And there’s an important...
Oct 25, 2024 | Affordable Care Act, Cancer, Compliance, Mastectomy, Regulatory, USPSTF, Women's health
On October 21, 2024, the Tri-Agencies (HHS, DOL, and Treasury) jointly issued FAQs About Affordable Care Act and Women’s Health and Cancer Rights Act Implementation Part 68. The document provides clarification of preventive service coverage of pre-exposure prophylaxis...
Sep 30, 2024 | Affordability safe harbor, Affordable Care Act, Announcements, Compliance, Health Savings Accounts (HSAs), Regulatory
Is it time to start work on your 2025 employee health plan budget – or are you wondering about the 2025 Affordable Care Act (ACA) health plan’s limitations and affordability percentages? MedBen can help. Our Compliance team has compiled “ACA by the...
Jul 8, 2024 | Affordable Care Act, Compliance, Department of Health and Human Services (HHS), Department of Labor, News, Regulatory, Supreme Court, Treasury Department
Last month, in a 6 to 3 decision, the U.S. Supreme Court overturned the “Chevron Deference” doctrine. The Chevron Deference is a principle of administrative law that has required courts to defer to how regulatory agencies interpret federal statutes (legislation...
Jun 10, 2024 | Affordable Care Act, Caroline Fraker, MedBen Rx, Obesity, Wegovy, Weight loss, Weight loss drugs, Zepbound
While most health plans do not currently cover obesity medications like Wegovy and Zepbound – and MedBen Rx recommends clients continue not to do so – constant media coverage means the calls to do so will only grow. Therefore, employers are increasingly considering...
May 28, 2024 | Affordable Care Act, Announcements, Compliance, PCORI, Regulatory
As in year’s past, no later than July 31, 2024, all self-funded employer health plan sponsors are required to file and pay their PCORI fees. You may remember that as part of the Further Consolidated Appropriations Act of 2020, Congress extended the requirement that...
