Dec 8, 2023 | Affordable Care Act, Announcements, 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. Per the Affordable Care Act,...
Oct 26, 2023 | Announcements, Compliance, IRS, PCORI
On October 18, the IRS issued Notice 2023-70, which increased the Patient-Centered Outcomes Research Institute (PCORI) fee from $3.00 per covered life to $3.22 per covered life for policy and plan years that end on or after October 1, 2023 and before October 1, 2024....
Sep 28, 2023 | Announcements, Compliance, Consumer-driven Health Plans, Health Savings Accounts (HSAs), High-Deductible Health Plans (HDHPs), IRS, Regulatory
The MedBen Compliance team has updated its High Deductible Health Plan (HDHP)/Health Savings Account (HSA) summary to include 2024 IRS guidelines. In 2024, the HDHP minimum required deductible is $1,600 for self-only coverage ($3,200 for family coverage), while the...
Sep 27, 2023 | Compliance, MedBen Access, MedBen WellLiving, Mobile App, Online Services, Preventive Care, Primary Care, Wellness exam
Believe it or not, the end of 2023 is fast approaching… so it’s a good time to remind your plan members to schedule their yearly wellness exam! Many plans may require members to get their wellness exam by December 31 to stay compliant – and failure to do...
Sep 4, 2023 | Compliance, Plan changes, Regulatory
Q: Are plan sponsors required to provide members advanced notice when making midyear changes to the plans? A: Yes! Under the Affordable Care Act (ACA), there are two notification requirements that apply to changes made midyear. These notifications are in addition to...
Jul 25, 2023 | Caroline Fraker, Claims data, Compliance, Consolidated Appropriations Act of 2021 (CAA), No Surprises Act (NSA), Regulatory
MedCity News reports on the latest in a series of lawsuits by large self-funded employers against national carrier administrators. These cases place a spotlight on health plan administrators that do not provide employers access to their medical claims data, in...
