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Compliance Brief

11/05/2024

Medicare Part D Non-Creditable Plan List

The Medicare Part D prescription drug coverage will expand in 2025 as required under the Inflation Reduction Act (IRA), which could impact whether an employer’s group health plan provides creditable p...
07/16/2024

San Francisco 2024 MCO and HCAO Updates

San Francisco: 2024 MCO and HCAO Updates San Francisco is updating minimum compensation rates covering most city service contractors as well as tenants at the San Francisco International Airport. T...
06/13/2023

San Francisco MCO and HCAO Updates

San Francisco: MCO and HCAO Updates San Francisco is updating minimum compensation rates covering most city service contractors as well as tenants at the San Francisco International Airport. The Mi...
01/09/2023

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...
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 ...
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...
05/13/2022

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...
05/03/2022

HSA Contribution and Delayed Medicare Enrollment

Did you know that when an individual delays Medicare enrollment there is a 6 month lookback period? If an individual delays enrollment and continues to contribute to an HSA, or if their employer contr...
03/29/2022

City of San Francisco Updates Minimum Compensation Rates

San Francisco is updating minimum compensation rates covering most city service contractors as well as tenants at the San Francisco International Airport. The Minimum Compensation Ordinance (MCO) ...
03/17/2022

Premium Payment and FMLA Leave

Making sure your group is compliant with FMLA leave is important. So is making sure that health insurance is paid for. Question: How can an employee who is out on FMLA leave and not receiving a pa...
06/30/2021

Webinar Replay: 2021 Six Month Wrap-Up

Our partners at BenefitComply review the compliance issues from the first six months of this year, and more importantly talk about what we expect to be focused on going forward, including understandin...
05/21/2021

Compliance Brief: IRS Releases Additional COBRA Subsidy Guidance

The Internal Revenue Service (IRS) has issued Notice 2021-31 (the Notice) which includes significant guidance regarding the American Rescue Plan (ARP) COBRA subsidy. The Notice answers some of the out...

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