Compliance News

What is California SB 966

What Is California SB 966 SB-966 is a bill that will require Pharmacy Benefit Managers (PBM) to be licensed and regulated by California’s Department of Insurance. The Bill will also require the PBM to...

Compliance News Week Ending July 19, 2024

Compliance News Week Ending July 19, 2024 Draft Employer Reporting Form 1095s The IRS released draft versions of the Form 1095-A, Form 1095-B and Form 1095-C used for reporting enrollment in min...

Lifestyle Spending Accounts and Compliance

Lifestyle Spending Accounts As employers continue to explore different options to attract and retain employee talent, and to support employee well-being, some employers are choosing to offer Lifest...

Is It a PCORI Fee or Is It a CERF Fee

Is It a PCORI Fee or Is It a CERF Fee We have seen a few articles coming out this time of the year that state ‘The Affordable Care Act includes a Comparative Effectiveness Research Fee (CERF)’ that...

CMS Medicare Part D Redesign Program Effective 2025

CMS Part D Redesign Program Instructions – Creditable Coverage Status The Medicare Part D prescription drug coverage will expand in 2025 as required under the Inflation Reduction Act (IRA), which c...

Compliance News Week Ending July 12, 2024

Compliance News Week Ending July 12, 2024 In this Article: Change Healthcare - HIPAA Breach Notifications Supreme Court Decision - Change in Administrative Power Federal Trade Commission ...

New Potential ACA Ruling - Adult Dental Coverage

New Potential ACA Rule – Adult Dental Coverage A few months back, the Biden Administration proposed enhancing ACA insurance by adding adult dental coverage. This falls under the HHS Notice of Benef...

Amwins Connect - July 2024 Question of the Month

Amwins Connect – July 2024 Question of the Month Question Can two owners/officers under a S-Corporation Company elect an FSA for themselves or any other owner of the company? Answer A 2-pe...

Form 5500 Extensions - for Calendar Year Plans

Form 5500 Extensions (for calendar year plans) June 2024 The Form 5500 for an ERISA plan is due the last day of the seventh month after the end of the ERISA plan year, including short plan years...

Transparency in Coverage: Carrier Machine-Readable Files (MRF) Links

[updated] Quick access to each carriers dedicated website for Machine Readable Files (MRF).

PCORI Fee Reporting and Payment Due July 31, 2024

PCORI Fee Reporting and Payment Due July 31, 2024 Fully insured carriers and most self-insured health plan sponsors must pay annual Patient Centered Outcomes Research Institute (PCORI) fees to the ...

Dental Loss Ratio - Could Be Coming To Your State

Dental Loss Ratio - Could Be Coming To Your State From the American Dental Association News (ADA): NCOIL (the National Council of Insurance Legislators) adopts Medical Loss Ratios for Health Care S...