Knowledge Center
The Department of Health and Human Services published the “payment parameters” portion of its Annual Notice of Benefit and Payment Parameters for 2023. The final rule includes caps on out-of-pocket
Download our 2021 Compliance Digest Year in Review, featuring all of the released compliance bulletins for January through December.
As reported earlier, beginning December 27, 2021, covered service providers (brokers and consultants) of ERISA-covered group health plans, regardless of size, must provide responsible plan
Employees have an extended timeframe to, in part, elect COBRA, make COBRA payments, add dependents, and appeal denials of benefits. As the timeframe may extend beyond the current plan year, in some
The Departments released additional guidance to assist group health plans in implementing the over-the-counter COVID-19 testing coverage requirements previously discussed in FAQs Part 51.
The Secretary of Health and Human Services recently announced that the administration will renew the COVID-19 pandemic Public Health Emergency, scheduled to expire on July 20, 2021. This will once
The Departments recently issued FAQ Part 50 addressing several important issues concerning group health plans including incentives under wellness programs, denial of eligibility and coverage of
Although long term disability (LTD) benefits may lack the appeal of other more often utilized programs in a company’s benefit portfolio, for an employee who becomes disabled due to an accident,
California has enacted a law requiring group health insurance policies and health maintenance organizations in California to continue covering the cost of COVID-19 testing, vaccinations, and
Plan sponsors of group health plans must submit information annually about prescription drugs and health care spending to the Centers for Medicare and Medicaid Services . The first deadline is
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