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2022 Open Enrollment Checklist

To prepare for open enrollment, group health plan sponsors should be aware of the legal changes affecting the design and administration of their plans for plan years beginning on or after Jan. 1, 2022. Employers should review their plan documents to confirm that they include these required changes. In addition, any changes to a health

COVID-19 Exchange Special Enrollment Period Extended

Transcript: Legal Update: COVID-19 Exchange Special Enrollment Period Extended On March 23, 2021, CMS extended a special enrollment period (SEP) through federal Exchanges due to the COVID-19 pandemic for an additional three months. This SEP is now available through Aug. 15/ 2021, via www.HealthCare.gov to all new and existing Echange-eligible consumers. States using their own

Employer Tax Credit for Paid Family and Medical Leave

Employer Tax Credit for Paid Family and Medical Leave Pursuant to § 45S of the Internal Revenue Code (Code), employers that provide paid family and medical leave to their workers may qualify for a general business credit. The tax credit is a percentage of wages paid between January 1, 2018 and December 31, 2019 only.

HSA HDHP Limits Increase for 2023

On April 29, 2022, the IRS released Revenue Procedure 2022-24 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2023. The IRS is required to publish these limits by June 1 of each year. These limits include: The maximum HSA contribution limit; The minimum deductible amount for

Protecting Yourself From the Delta Variant With a COVID-19 Vaccine

What Is the Delta Variant? As the country reopens, a surge in COVID-19 cases has occurred. According to the Centers for Disease Control data, this surge is primarily due to the Delta variant of COVID-19; it currently accounts for over 80% of new COVID-19 cases across the country, according to U.S. News. The Delta variant

Stimulus Bill Includes Ban on Surprise Medical Bills

On Dec. 27, 2020, President Trump signed the Consolidated Appropriations Act, 2021 into law. The Act includes a $900 billion coronavirus relief package that provides funding for unemployment benefits, direct economic payments to individuals, vaccine distribution and rental assistance. It also includes the No Surprises Act, a ban on surprise medical bills, which takes effect

The Impact of Employee Training Initiatives

Industry trends, protocols and in-demand skills are always changing. Especially in today’s job market, employers can remain competitive by prioritizing employee learning and development (L&D) efforts. Why It Matters Employee retention rates increase by between 30% and 50% for companies with strong learning cultures. In addition, L&D opportunities can increase overall morale due to increased

Libbie Wilmer, Chief Executive Officer, GBE&W, Honored with Coveted Most Influential Women in Benefit Advising Award | GBE&W

Wilmer One of Twenty Women Presented by “Employee Benefits Adviser” Magazine during Annual Workplace Benefits Summit

Grandfathered Health Plans

Grandfathered health plans are exempt from certain requirements under the Affordable Care Act (ACA). A plan loses its grandfathered plan status if it makes certain changes to reduce its benefits or increase the participant’s out-of-pocket costs. Quick Facts: A group health plan is grandfathered if it was in existence as of March 23, 2010 and

Deadline for Submitting Reinsurance Fee Enrollment Counts

The deadline for contributing entities to submit their 2014 annual enrollment counts has been extended until 11:59 p.m. on Dec. 5, 2014. Download the Article Quick Facts The reinsurance fee annual enrollment count must be submitted by Nov. 15 each year. On Nov. 14, 2014, CMS extended the regulatory deadline for 2014 to 11:59 p.m.

Employer Mandate (Play or Pay)

The Affordable Care Act’s “employer shared responsibility” provision – often referred to as the “employer mandate” or “play or pay” – applies only to employers with 50 or more full-time-equivalent employees. Starting in 2015, a Large Employer may be assessed a penalty for failure to offer health care coverage to its full-time employees. No penalties

Employer’s Role in Mental Health Care

Employer’s Role in Mental Health Care In March, Germanwings Flight 9525 crashed in the French Alps, killing all 150 passengers and crew members on board. Investigators later determined that the crash was deliberately cased by co-pilot Andreas Lubitz, who had a history of depression, reportedly exhibited suicidal tendencies and contacted a number of doctors for

Under the Health Care Reform rules, do small employers have any special reporting requirements for medical care right now?

 With respect to employer-sponsored group health coverage, the majority of requirements under the Affordable Care Act impact the insurance carrier that issues the group contract. Thus, the carrier takes the required actions while the employer does not have direct actions. Examples of items taking effect 2010-2013 that require/required carrier action include: expanding child eligibility though

More Information About Employer Notification Requirements for Medicare Part D Coverage

Plan sponsors of group health plans offering prescription drug coverage to Medicare eligible individuals have been responsible for issuing notices to Medicare Part D eligible individuals for several years now. The annual notice deadline is before October 15 of each year. The following explains the employer notice requirements. The Medicare Modernization Act (MMA) requires employers

For Affordable Care Act (ACA) reporting, is an employer required to file Forms 1094 or 1095 if it has less than 50 full time equivalent (FTE) employees?

Only if the employer offers a self-funded plan. In that case the employer would complete forms 1094-B and 1095-B. Otherwise, only applicable large employers (ALEs) are required to complete forms 1094-C and 1095-C. ALEs are those who had an average of 50 full-time employees (including FTEs) in the previous calendar year.

Minimum Essential Coverage (MEC)

Minimum essential coverage (MEC) means and includes the following types of health care coverage: Employer-sponsored coverage (including self-funded [self-insured] plans, COBRA coverage and retiree coverage) Coverage purchased in the individual market, including a qualified health plan offered by the Healt Insurance Marketplace Medicare Part A coverage and Medicare Advantage plans Most Medicaid coverage Children’s Health