Reminder: PCORI Fee Due August 1, 2022
The PCORI fee due on August 1, 2022 for self-funded employers is $2.66 per member covered during the 2021 plan year.
Tag Compliance
Pharmacy Benefits and Drug Costs Disclosure Due December 27, 2022
Health plans are required to disclose information about their pharmacy benefits and drug costs for the past two years on December 27, 2022.
ERISA Disclosures for Welfare Benefit Plans
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for welfare benefit plans maintained by private- sector employers. ERISA-covered welfare benefit plans must comply with certain ongoing reporting and disclosure requirements. For…
COBRA Basics – What is a COBRA Qualifying Event?
COBRA (the Consolidated Omnibus Budget Reconciliation Act) requires covered employers to offer continued health plan coverage to qualified beneficiaries when they experience a COBRA “qualifying event.” Federal COBRA applies to employers with 20 or more employees in the preceding calendar…
Employer Exchange Subsidy Notices – Appeal or Not?
Employers are starting to receive notices from public Exchanges indicating that one or more employees are currently receiving a subsidy when purchasing individual health insurance coverage through a public Exchange, which could potentially trigger employer penalties under §4980H. If an…
Form 1095 – Employee Communications
Many employers want to provide some type of communication along with, or before, the distribution of Form 1095s to relevant employees. Although any employee communication must be tailored to meet the employer’s specific circumstances, some general concepts are addressed here…
Cadillac Tax – Delayed Effective Date
In December, the Consolidated Appropriations Act, 2016 was signed into law which, amongst other provisions, effectively delayed the excise tax on high-cost health coverage (also known as the “Cadillac tax”) until January 1, 2020. In addition, the law made the…