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Compliance News

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...
06/03/2022

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

Kaiser Permanente® Announces Transparency in Coverage Machine-Readable Files Webinar

Join Kaiser Permanente's webinar that includes a panel of experts to help you understand regulation, provide insights on key considerations around the machine-readable files data, and share perspectiv...
05/31/2022

What is "Timely Access to Care"?

Health plans must provide enrollees with timely access to care, including an appointment within a specific number of days or hours. Effective July 1, 2022, a new timely access to care requirement f...
05/27/2022

Transparency in Coverage Compliance - Machine Readable Files (MRF)

Under the “Transparency in Coverage” Final Rule (TiC), issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury, effective 7/...
05/13/2022

Top Five Form 5500 Questions

1. Do I need to file a Form 5500? A Form 5500 filing is required for each employee welfare benefit plan sponsored by an employer that is subject to the Employee Retirement Income Security Act (ERIS...
05/10/2022

A Primer on Reporting PCORI Fees to the IRS

Fully insured carriers and most self-insured health plan sponsors must pay annual Patient-Centered Outcomes Research Institute (PCORI) fees to the IRS. They are also required to report the same on For...

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