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)...
Apr 8, 2025 | Affordable Care Act, Compliance, Employee Retirement Income Security Act (ERISA), Gag Clause, HIPAA, MedBen Employees, Medicare, Mental Health Parity and Addiction Equity Act (MHPAEA), Regulatory
Employer-sponsored health plans are subject to at least 46 federal laws, most of which apply to self-funded plans, according to a new report from the Congressional Research Service. This ever-expanding regulatory landscape raises employers’ risk of legal and...
