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09/21/2022
Compliance News
09/21/2022
MLR Rebates Are Coming
Background & Purpose Employers sponsoring a fully-insured group health plan may soon be getting a check from their insurer. This check is a medical loss ratio (MLR) rebate that insurers are requi...
08/19/2022
Has the Prescription Drug Reporting Requirement Been Delayed?
Question: I’ve heard that the prescription drug reporting requirement under the transparency rules was delayed. Does this mean I don’t need to worry about any impending requirements? Answer: T...
08/12/2022
Important Guidelines Affecting Women’s Preventive Services
The HHS Health Resources and Services Administration (HRSA) issued updated preventive services guidelines for women, which it approved on December 30, 2021. (87 Fed. Reg. 1763). The requirements are e...
08/09/2022
Compliance Brief: Gender Nondiscrimination Considerations
Coverage for gender-related treatment and services is an evolving issue. Over the past decade, however, legislation, regulations and court decisions all suggest that failure to provide equal access t...
08/09/2022
Update to the Women’s Preventive Services Guidelines
This is a reminder that the HHS Health Resources and Services Administration (HRSA) issued updated prevent services guidelines for women and it was approved December 30, 2021. Non-grandfathered pla...
08/04/2022
Health Cost Transparency Guide for Employers
The Consolidated Appropriations Act (CAA), No Surprises Act (NSA), and the Transparency in Coverage Final Rule (TiC Final Rule) impose several new requirements on employer-sponsored group health plans...
08/04/2022
2023 Affordability Percentage Decreased
In Revenue Procedure 2022-34, the IRS slightly decreased the affordability percentage from 9.61% to 9.12% for 2023. This percentage determines which applicable large employers may face penalties under...
06/27/2022
Supreme Court's Roe v. Wade Decision: What Employers Should Know
Supreme Court's Roe v. Wade Decision: What Employers Should Know The Supreme Court released its decision regarding abortion rights on June 24, essentially reversing the previous Roe v. Wade and Pla...
06/23/2022
Transparency in Coverage: Carrier Availability of Machine-Readable Files (MRF)
Our carrier partners have shared their new dedicated websites for Machine-Readable Files (MRFs). Please note that most MRF links below will either not be available, or may not be fully loaded with all...
06/03/2022
The Transparency in Coverage Rule for Machine-Readable Files Deadline is Approaching
The deadline for Transparency in Coverage Machine-Readable Files is July 1, 2022 The Transparency in Coverage (TiC) rule is part of the federal transparency efforts that require insurers and group ...
06/02/2022
