Knowledge Center
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
Medicare Part D – CMS Notification Reminder Employers sponsoring a group health plan are required by federal law to inform the Centers for Medicare and Medicaid Services within 60 days after the
The Department of Health and Human Services recently published its Annual Notice of Benefit and Payment Parameters for 2022. For purposes of employer-sponsored health plans, the final rule includes
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
The City of Pittsburgh recently adopted a Temporary COVID-19 Emergency Paid Sick Leave Ordinance which gives certain workers up to 80 hours of paid sick leave due to COVID-19. The Ordinance was
The New Jersey Department of Banking and Insurance recently issued Bulletin No. 21-08, which establishes a new notice requirement for small employers of fully insured group health plans subject to
On May 10, 2021, HHS announced that it will interpret and enforce Section 1557’s prohibition on discrimination on the basis of sex to include discrimination on the basis of sexual orientation and
While most industry professionals would agree the COVID-19 pandemic will impact health insurance premiums, few have a grasp yet on just how significant any increase will be. Until we know more, one
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.
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