Communications

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VCG’s VANTAGE
A view into the latest Benefits and HR topics

IRS Extends ACA Reporting Deadline (Again)

Authors: |December 4th, 2018|Administration, Benefits, Communications, Compliance, In The Know, Technology|

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 [...]

Required Reporting, Disclosures and Notices for Group Health Plans

Authors: |November 2nd, 2018|Administration, Benefits, Communications, Compliance, In The Know|

Participants must be provided with various notices in connection with an employer’s group health plan.  The notices are required at certain intervals including initially, upon annual open enrollment and at termination. Notices with Initial Enrollment Materials Notice of Exchange Availability. This notice must contain certain basic information about the employer’s group health coverage so the [...]

Annual Enrollment Checklist

Authors: |October 23rd, 2018|Benefits, Communications, Compliance, Human Resources, In The Know|

For employers operating their group health plans on a calendar year basis, now is the time of the year to prepare for open enrollment with respect to group health and welfare benefits.  Typically, the focus is on evaluating the services and performance of vendors, renewing rates and considering design changes.  In addition to these items, [...]

Medical Loss Ratio (MLR)

Authors: |September 20th, 2018|Administration, Benefits, Communications, Compliance, In The Know|

The Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on medical care and health care quality improvement, which is intended to lower the cost of care. This percentage is known as "medical loss ratio" (MLR). In the large group insurance market, the required MLR is 85%; the [...]

Medicare Part D Notices – Creditable (or Non-Creditable) Coverage

Authors: |August 28th, 2018|Benefits, Communications, Compliance, In The Know|

Plan sponsors of group health plans providing prescription drug coverage to individuals who are eligible for Medicare Part D prescription drug coverage are required to satisfy certain notice requirements. Background Individuals must enroll in Medicare Part D prescription drug coverage when first eligible (generally, at age 65).  If they do not do so, they are [...]

When Can SPDs and Participant Notices be Distributed Electronically?

Authors: |August 23rd, 2018|Administration, Benefits, Communications, Compliance, In The Know, Technology|

Summary Plan Description (SPD) is a document that employers are required to give to employees in retirement plans or health benefit plans covered by ERISA.  The SPD is simply a summary of the plan document required to be written in such a way that the participants of the benefits plan can easily understand it. Employers [...]

2017 PCORI Fee Due July 31st

Authors: |July 30th, 2018|Benefits, Communications, Compliance, In The Know|

The Affordable Care Act requires health insurers and employers that sponsor self-funded group health plans (including health reimbursement arrangements) to pay a Patient-Centered Outcomes Research Institute (PCORI) fee for each year from 2012 to 2019. The PCORI fee for plan years ending in 2017 is due by July 31, 2018. If the plan is fully [...]

IRS Announces 2019 HSA and HDHP Limits

Authors: |May 18th, 2018|Benefits, Communications, Compliance, In The Know, Strategy|

The 2019 Health Savings Account (HSA) Contribution Limits have been announced and plan participants will see a slight increase in the amount they can contribute.  The single contribution maximum will increase by $50 to $3,500 and the family maximum will increase by $100 to $7,000. The annual catch-up contribution for workers over age 55 will [...]

Required Participant Notices for Wellness Programs

Authors: |April 23rd, 2018|Administration, Benefits, Communications, Compliance, In The Know, Workplace Wellness|

Wellness programs are subject to several federal laws including ERISA, the affordability rules of the Affordable Care Act, COBRA, and the Internal Revenue Code.  In addition, wellness programs may be subject to the HIPAA/ACA wellness program rules and the EEOC wellness program regulations issued under the Americans with Disabilities Act (the “ADA”) and GINA. These [...]

2018 Health and Welfare Compliance Dates

Authors: |April 9th, 2018|Administration, Benefits, Communications, Compliance, In The Know|

This chart summarized the key filing and disclosure requirements in connection with group health and welfare plans. Deadline Requirement Description January 31 Form W-2s Employers that filed 250 or more Form W-2s in the prior year must report the cost of employer sponsored group health coverage in Box 12, using Code DD. February 28 or [...]