Group health plans and insurers must annually attest by December 31 that they are in compliance with the gag clause prohibition. Attestations for the 2024 calendar year are due by December 31, 2024.
With Employee Benefits & HR topics regularly in the news, it’s difficult to stay up to date. Our weekly newsletter will help you stay current. Check out this week’s edition.
Workplace injury management involves a range of HR practices to address and mitigate the effects of injuries sustained by employees on the job. This webinar will address direct insurance related costs associated with workplace injuries and give strategies to improve processes, productivity, morale, employee turnover, and absenteeism.
The Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on medical care and healthcare quality improvement, which is intended to lower the cost of care. This percentage is known as the "medical loss ratio" (MLR). In the large group insurance market, the required MLR is 85%; the small group and individual markets have a required MLR of 80%. However, each state may set a higher rate. When an issuer fails to meet the requisite MLR for a year, it must provide a rebate to its policyholders. MLR rebates for the 2023 calendar year are due to policyholders by September 30, 2024. An employer-policyholder who receives a rebate for its insured group health plan will be responsible for determining how to appropriately use the refund, particularly in the context of the Employee Retirement Income Security Act (ERISA).
With Employee Benefits & HR topics regularly in the news, it’s difficult to stay up to date. Our weekly newsletter will help you stay current. Check out this week’s edition.
With Employee Benefits & HR topics regularly in the news, it’s difficult to stay up to date. Our weekly newsletter will help you stay current. Check out this week’s edition.