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April 7, 2020 – Group Health Plan Dependent Eligibility Audit

April 7, 2020

  Group Health Plan Dependent Eligibility Audit   At the outset, employers should have two main objectives regarding their group health plan’s eligibility provisions: (1) drafting clear plans and policies to reflect their intended eligibility rules, and (2) administering and monitoring these eligibility provisions consistently.  In order to achieve the second objective, an employer may …

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March 27, 2020 – DOL Issues Additional FFCRA Resources

March 27, 2020

  Department of Labor Issues Additional Families First Coronavirus Response Act Resources   Employers impacted by COVID-19 have a variety of questions regarding the Act’s effect on their business and employees.  While there are still many questions left unanswered, the Department of Labor (DOL) is continuing to release guidance and resources often to help employers. …

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March 6, 2020 Coronavirus in the Workplace Bulletin

March 9, 2020

  Coronavirus in the Workplace According to the CDC, Coronaviruses are a large family of viruses that are common in humans and many different species of animals, including camels, cattle, cats, and bats. Rarely, animal coronaviruses can infect people and then spread between people, such as with MERS-CoV and SARS-CoV. The virus that causes COVID-19 …

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Extended Deadline for Furnishing 2019 ACA Form

December 19, 2019

Happy Holidays from the IRS: Extended Deadline for Furnishing (But Not Filing) 2019 ACA Form 1095-B and Form 1095-C December 2019 Simplify Compliance Benefits Bulletin   On December 2, 2019, the IRS issued Notice 2019-63, which extends the due date for certain Affordable Care Act (ACA) information reporting requirements for insurers, self-insured plan sponsors, and …

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Wellness Plan Compliance Checklist

December 19, 2019

Simplify Compliance Benefits Brief December 2019 Employers offer wellness plans for a number of reasons, but the main reasons are often to contain health care costs and to encourage employees to improve their health and prevent disease.  There are many different laws and legal considerations that govern wellness plans.  The design of an employer’s wellness …

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California Enacts New FSA Notification Requirement

November 18, 2019

  California recently enacted a new law, AB 1554, which imposes a notice requirement on employers who have California employees that participate in a health care flexible spending account (FSA), a dependent care FSA, or an adoption assistance FSA.   This new law is effective January 1, 2020.   Claim Submission Deadline Requirement Whether or …

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IRS Announces 2020 Health FSA Limit

November 7, 2019

  Benefits Brief November 2019   Open Enrollment Checklist For employers operating their group health plans on a calendar year basis, now is the time of the year to prepare for open enrollment with respect to group health and welfare benefits.  Typically, the focus is on evaluating the services and performance of vendors, renewing rates …

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Medical Loss Ratio (MLR)

September 27, 2019

– October 2019 –   The Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on medical care and health care quality improvement, which is intended to lower the cost of care. This percentage is known as “medical loss ratio” (MLR). In the large group insurance market, the …

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