Dec 12, 2023 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Regulatory
An important reminder: Group health plans are required to attest that they are in compliance with the Consolidated Appropriations Act’s gag clause prohibition no later than December 31, 2023. The 2021 federal law requires that all group health plan sponsors file an...
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,...
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 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...
Jul 24, 2023 | Compliance, Department of Labor, Mental Health, News, Regulatory
On July 10, 2023, the United States Office of Management and Budget (OMB) received the Department of Labor’s newly proposed Mental Health Parity regulations. This latest installment in health plan Mental Health Parity compliance is expected to be released in the near...
