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01/03/2023
Compliance News
12/27/2022
New Guidance and Delayed Enforcement for Prescription Drug Data Collection (RxDC)
On the eve of the requirement for employer-sponsored health plans and health insurance carriers to submit prescription drug cost reporting data (RxDC), the Departments of Labor, Health and Human Servi...
12/10/2022
Compliance Considerations When Moving from Fully-Insured to Self-Funded
Employers may choose self-funded group health plan coverage to obtain more flexibility with plan design and hopefully save some money. However, in doing so, there are additional responsibilities and c...
12/06/2022
Transparency in Coverage: Prescription Drug Data Collection Reporting (RxDC) Requirements, December 2022
The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services begin...
12/05/2022
New PCORI Fee Announced
At the time we originally distributed the announcement for the IRS and ACA limits for 2023, the new PCORI Fee amount was projected to be $2.93 for Plan Years ending on or after October 1, 2022 and bef...
11/29/2022
ACA Reporting and Other Employer Mandate Compliance Changes for the Upcoming New Year
Recent federal policy changes will impact compliance for Self-Funded Plans, Group Health Plans, and all Applicable Large Employers (ALEs). ALEs are those employers offering group health plans that ...
11/16/2022
New California Law Requires Broker License Number on Emails
Starting January 1, 2023, a new law will require most types of insurance producers, as well as independent insurance adjusters, public insurance adjusters, and analysts, to include their license numbe...
10/17/2022
Fixing The Family Glitch: IRS Final Rules for Family Coverage Affordability
The IRS has issued final regulations that change the way employer-sponsored plan affordability is calculated when determining if a family is eligible for a premium tax credit (PTC) when purchasing ind...
09/21/2022
Upcoming Fall and Winter Compliance Deadlines
It’s that time of year again! Some important compliance deadlines are coming up this fall and winter.
09/21/2022
Broker Compensation Disclosure Reminder
With many group health plan renewals approaching, brokers or consultants will need to remember to provide the compensation disclosure passed into law with the Consolidated Appropriations Act, 2021 (CA...
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
