A view into the latest Benefits and HR topics
15Feb 2019

Checklist for Self-funded Group Health Plans

Authors: |Administration, Benefits, Compliance, In The Know|0 Comments

Group health plans are subject to an ever-changing environment of regulations surrounding compliance and notice obligations. Many of the requirements apply equally to both insured and self-funded arrangements, and the insurance carrier often ensures compliance with certain items. This checklist provides an overview of the obligations for self-funded group health plans. Employers sponsoring self-funded plans should monitor these requirements closely and [...]

27Dec 2018

Nondiscrimination Rules for Section 125 Plans and Self-funded Health Plans

Authors: |Administration, Benefits, Compliance, In The Know|0 Comments

The IRS imposes nondiscrimination rules on Section 125 plans (also known as flexible benefit plans, cafeteria plans or pre-tax premium plans) and self-funded group health plans.  The purpose of the rules is to prevent employers from favoring highly compensated employees to an impermissible degree.  The general consequence of the failure of the tests is that the highly compensated employees will [...]

27Dec 2018

PCORI Fee Amount Adjusted for 2018

Authors: |Administration, Benefits, Compliance, In The Know|0 Comments

The Affordable Care Act (ACA) imposes a fee on fully-insured health plans and self-funded company plan sponsors in order to fund comparative effectiveness research. These fees are widely known as Patient-Centered Outcomes Research Institute (PCORI) fees.  The Internal Revenue Service (IRS) increased the fee to $2.45 for 2018.  Here are the highlights. The IRS published Notice 2018-85, which increased the PCORI [...]

18Dec 2018

Despite Judge’s Ruling, the Affordable Care Act Remains in Full Effect

Authors: |Benefits, Compliance, In The Know|0 Comments

On Friday, December 14, a federal judge in Texas ruled that without the individual mandate penalty, the Affordable Care Act (ACA) is unconstitutional and the entire law is invalid. While this decision signals the start of another legal battle over the future of the ACA, it does not have any immediate impact. As part of the Tax Cuts and Jobs [...]

4Dec 2018

IRS Extends ACA Reporting Deadline (Again)

Authors: |Administration, Benefits, Communications, Compliance, In The Know, Technology|0 Comments

In the recently released Notice 2018-94, the IRS provided reporting relief for employers for the 2018 calendar year.  Here are the key points. The due date for providing Forms 1095-C or 1095-B to employees and individuals is extended 32 days to March 4, 2019 Despite the extension, the IRS is encouraging reporting entities to furnish Form 1095-B and 1095-C statements [...]