by The Lawyers | Nov 9, 2022 | Compliance
Compliance Alert: Medicare Part D Coverage Notices Due Mid-October The October 14, 2022 deadline by which plan sponsors that offer prescription drug coverage to provide notices of creditable or non-creditable coverage to Medicare-eligible individuals is fast...
by The Lawyers | Nov 1, 2022 | Uncategorized
Compliance Alert: Biden Administration issues final rule to end the “Family Glitch” The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on...
by The Lawyers | Nov 1, 2022 | Compliance, Dept of Labor
Compliance Alert: Updated details addressing No Surprises Act and Transparency in Coverage Rules On Friday, August 19, 2022, the Departments of Labor, Health and Human Services, and Treasury (the Departments) issued updated FAQs addressing the No Surprises Act and the...
by The Lawyers | Oct 22, 2022 | Compliance
Compliance Alert: Medical Loss Ratio Rebate Guidelines Many sponsors of fully insured health plans either already have or will soon receive checks from their insurance carriers, along with a notice informing them that the check is a medical loss ratio (MLR) rebate....
by The Lawyers | Oct 3, 2022 | Compliance, Uncategorized
Compliance Alert: 2023 Health FSA Inflation Adjustments On October 18, 2022, the Internal Revenue Service issued Revenue Procedure 2022-38 that sets forth various 2023 tax-related limits that have been adjusted for inflation. The table below identifies updates to the...
by Bret Brummitt | Sep 29, 2022 | Uncategorized
Tip # 22: Treat the EAP like a real plan The EAP is an Employee Assistance Program. If your employees don’t know it exists, or they think they aren’t enrolled it won’t assist anyone. And, you may need to do some digging to see if you...
by The Lawyers | Sep 28, 2022 | Compliance, Dept of Labor, ERISA, Labor Law, Plan Design
Compliance Alert: Additional Guidance Issued on Surprise Billing Protections The Consolidated Appropriations Act of 2021 (CAA) introduced numerous protections against surprise billing for plan participants that impact group health plans, health insurance issuers, and...
by Bret Brummitt | Sep 10, 2022 | 30 for 30, ACA, Compliance, Dept of Labor, Employee Benefits
Now is the time to make sure your Insurance Contracts match your Employment Practices There are so many one-off agreements and handshake arrangements and special provisions granted to one employee or maybe a certain category of employees. Often when we review...
by Bret Brummitt | Sep 9, 2022 | 30 for 30, Employee Benefits, Health Insurance
Creating a Census for your Renewal isn’t as easy as you’d think When a broker or insurance company asks for a census, they want to specifically know the important demographic data they use to build a pricing option for you. Different plans require...
by Bret Brummitt | Sep 8, 2022 | 30 for 30, Employee Benefits, Health Insurance, Health Rosetta, Pharmacy, Plan Design, Plan Design
Tip # 25: Become well versed in Cost Containment Strategies Strategic decisions are not made on a spreadsheet when there are factors in the real world that influence cost, quality, and access to health care. There are a plethora of cost containment vendors in...
