HHS released a proposed rule to lower prescription drug prices and out-of-pocket costs by encouraging manufacturers to pass discounts directly to patients and bring new transparency to prescription
Court-issued preliminary injunctions have blocked the Trump administration’s recent final regulations that would significantly expand the group of employers that could opt out of providing
The PCOR fee filing deadline is July 31, 2019 for all self-funded medical plans and HRAs for plan years ending in 2018. This is the final filing and payment for some plans.
Employers sponsoring a group health plan need to report information on the creditable status of the plan’s prescription drug coverage to CMS within 60 days after the beginning of the plan year. An
The Departments finalized rules creating two new Health Reimbursement Arrangement (HRA) options available to employers beginning January 2020. Excepted benefit HRAs will be discussed in a separate
COVID-19 and Government Funding Legislation Signed into Law
Where insurance carriers have not satisfied certain medical loss ration (“MLR”) thresholds, rebates are made available to employer. These rebates were required to be distributed by carriers to
The American Rescue Plan Act of 2021 was signed into law on March 11, 2021. The Act includes a 100% COBRA subsidy available to certain COBRA qualified beneficiaries who lose group health plan
The final rule on transparency in health plan coverage was recently issued by the Departments, which imposes significant new requirements on non-grandfathered group health plans to disclose
The COVID-19 pandemic Public Health Emergency, scheduled to expire on April 21, 2021, has been renewed again.
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