Compliance News Week Ending April 25, 2025 In this Article2026 Annual Dollar Limits on Cost Sharing Late in 2024, the Department of Health and Human Services (HHS) and the Centers for Medicare and Med...
RxDC Reporting is Due June 1, 2025 Annual RxDC reporting is required by June 1 of each year. Reporting for the data from 2024 will be due June 1, 2025. The reporting consists of a plan file (P2), eigh...
Group Term Life Insurance Nondiscrimination Rules – Section 79 §79 of the Internal Revenue Code (“IRC”) provides that the cost of the first $50,000 of employer-provided group term life insurance cover...
Both bills are effective July 1, 2025. The charts below provide carrier specific information as to how each will be communicating the requirements. AB 2843 Effective July 1, 2025Applies to individual...
Compliance News Week Ending April 18, 2025 In this ArticleEmployer Mandate - Successful Challenge of IRS Collection of §4980H Penalties An employer that did not offer medical coverage to full-time emp...
Employer Marketplace Subsidy Notices – Appeal or Not Employers continue to receive notices from the public Marketplaces (i.e., Exchanges) indicating that one or more employees are currently receiving ...
Executive Order Signed – Lowering Drug Prices Yesterday, on April 15, 2025, the President signed another Executive Order in an effort to work towards lowering prescription drug prices. Below are summ...
Updated Information on the Federal CHIP Model Notice The Federal Children’s Health Insurance Program (CHIP) Model Notice has been updated as of March 17, 2025. Children’s Health Insurance Program Auth...
Compliance News Week Ending April 11, 2025 In this ArticleFinal CMS Instructions - Changes to Simplified Method Determinations for 2026 Employers that provide prescription drug coverage are not requir...
Employee Benefit Record Retention Requirements & Considerations Employers often ask, “How long should I retain my employee benefits–related records?” It comes as no surprise that there is not an e...
San Francisco Health Care Security Ordinance The San Francisco Health Care Security Ordinance (HCSO) requires most San Francisco employers to spend a minimum amount on health care for employees workin...
Two California Bills - Both Effective July 1, 2025 California SB 729 Passed September 29, 2024 - Effective on or after July 1, 2025This bill would require large and small group health care service pla...