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ACA Reporting, Are You Ready?

On Tuesday, November 23, 2021, the IRS issued a “Notice of Proposed Rulemaking” that provides a permanent automatic 30-day extension to the January 31 deadline for Applicable Large Employers (ALEs) to furnish Form 1095-C to employees. The deadline relief also applies to health plans and issuers providing Form 1095-B and permits issuers to use an […]

What We Know and Don’t Know About the COVID-19 OTC Test Kit Requirement

Virtual

Following the release of the Departments of Labor, Health and Human Services (HHS) and the Treasury (collectively, the Departments) FAQ Part 51, a significant number of unanswered questions remain regarding the coverage of over-the-counter (OTC) COVID-19 tests. In addition, we are seeing insurance carriers, third-party administrators (TPAs) and pharmacy benefit managers (PBMs) implement solutions that […]

Benefits Nondiscrimination: What You Need to Know

Virtual

Section 125 Cafeteria Plans and most employee welfare benefit plans have requirements for nondiscrimination in terms of paying for benefits and eligibility for benefits. These requirements are intended to help ensure that the benefits are available to most employees and do not favor employees defined as “highly compensated” or “key.” Please join us as we […]

HSAs and Their Tricky Rules

Virtual

Health Savings Accounts (HSAs) inhabit an interesting place in the employee benefit world: they often exist because of health coverage offered by an employer and employers can contribute to them, but they are ultimately owned by the individual and are not group sponsored health plans. The HSA’s unique features result in unusual rules not found […]

The ACA’s Employer Mandate and Look Back Measurement Method

Virtual

The Affordable Care Act’s Employer Mandate has been the law of the land for almost eight years. To help comply with the mandate, many employers have implemented tracking systems embedded within their payroll and HRIS systems that automatically calculate who qualifies for coverage. The result? The hard-won knowledge gained at the Employer Mandate’s commencement has […]