Knowledge Center
A recent court decision highlights an administrative process known as cross-plan offsetting, a mechanism used by TPAs to resolve overpayments to a provider. Based on the court's ruling, employers
Today the Departments of Labor and the Treasury issued guidance addressing the COVID-19 Outbreak Period. Unexpectedly, they have taken the interpretation that these benefit plan deadline extensions
The IRS released Notice 2021-26 to address taxation of Dependent Care Assistance Programs as it relates to the relief afforded under Section 214 of the Consolidated Appropriations Act, 2021 and the
The Secretary of Health and Human Services has announced the administration will renew the COVID-19 pandemic Public Health Emergency, scheduled to expire on January 21, 2021. This will once again
The IRS recently released cost of living adjustments for 2021, including several that affect employee benefit plans. Many applicable limits remained unchanged from their 2020 limits.
The Consolidated Appropriations Act, 2021 imposes new reporting requirements related to pharmacy benefits and prescription drug costs that apply to group health plans and health insurance issuers. On
President Biden issued an executive order requiring the U.S. Department of Health and Human Services to consider having a mid-year special enrollment period for the federally-facilitated Marketplace
President Trump recently issued an Executive Order directing relevant federal agencies to issue regulations or other guidance to make available more meaningful information related to the price and
My Benefit Advisor, Compliance, March, 2021, New York Requires Paid Leave for COVID-19 Vaccinations
As a reminder, insurance carriers are required to satisfy certain medical loss ratio (“MLR”) thresholds. If required thresholds are not satisfied, rebates are available to employers in the form of a
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