Advance Explanation of Benefits: the 411
What is it? An Advance Explanation of Benefits (AEOB) starts with the obligation of a health care provider to furnish a patient with an advance […]
Group Health Plans Required to Cover Cost of HIV-Preventive Drug, Truvada
Effective January 1, 2021, and with the exception of ACA-compliant Grandfathered Plans, most group health plans and insurance issuers must now cover the full cost […]
ICHRAs and the Shared Responsibility Payment: Final Regulations
The IRS outlined final rules regarding the shared responsibility payment (SRP) and other nondiscrimination rules applicable to health reimbursement arrangements (HRAs) and other account-based group […]
CAA #1 The Consolidated Appropriations Act with COVID-19 Relief: An Overview
Beginning in 2021, employers who sponsor group health plans (GHPs) must begin complying with several requirements of the Consolidated Appropriations Act (CAA) of 2021. The […]
Two Cost-Sharing Changes Provide Flexibility for Grandfathered Plans
On December 15, 2021, the Departments of Labor, Health & Human Services, and Treasury (“Departments”) issued a final rule (“Rule”) expanding cost-sharing requirements for grandfathered […]
Transparency Rule Means Requirements for Health Plans
Transparency Rule Means Requirements for Health Plans On November 12, 2020, the Departments of Treasury, Labor, and Health and Human Services (the Departments) published a […]
Health and Welfare: IRS Releases 2021 Adjusted Dollar Limits
The IRS recently announced the tax year 2021 annual inflation adjustments for more than 60 tax provisions, including the tax rate schedules and other tax […]
401(k): IRS Releases 2021 Adjusted Dollar Limits
On October 26, 2020, the IRS released its annual notice, Notice 2020-79, setting forth the various dollar limitations for contributions and benefits under qualified retirement […]
Employer Shared Responsibility Updates From the IRS
The IRS updated two Q&As on its Employer Shared Responsibility Provisions web page. One of the Q&As updates penalties for 2021 and the second confirms […]