Nov 14, 2025 | Affordable Care Act, Compliance, Form 1094, Form 1095, IRS, Regulatory
It’s that time of year when self-funded employers need to start preparing for a critical Affordable Care Act 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...
Oct 20, 2025 | Announcements, Compliance, Medicare, Regulatory
With the October 15 Medicare Part D notice deadline behind us, it’s time to start preparing for 2026 Creditable Coverage testing. IMPORTANT CHANGES have been made to next year’s testing parameters. In 2026, the Simplified Determination testing parameters...
Jul 14, 2025 | Announcements, Compliance, Consumer-driven Health Plans, Dependent care assistance plan (DCAP), Flexible spending accounts (FSAs), Legislative, Regulatory
The recently enacted “One Big Beautiful Bill” Act (H.R. 1) includes a long-awaited update for working families: a permanent increase in the annual contribution limit for dependent care assistance flexible spending accounts (DCAPs). Beginning in tax years after...
Jun 30, 2025 | Announcements, Compliance, HIPAA, Privacy, Regulatory, Reproductive health care
On June 18, 2025, the United States District Court, Northern District of Texas, vacated the HIPAA Privacy Rule to Support Reproductive Health Care Privacy (Final Rule) with nationwide effect. In doing so, HIPAA Covered Entities, including self-funded health plan...
Jun 2, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), PCORI, Regulatory
As in years past, no later than July 31, 2025, 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...
May 30, 2025 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Regulatory
As you’ll recall, the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Each year, the Prescription Drug Data Collection reporting (RxDC)...
