On July 25, 2022, the Internal Revenue Service (IRS) issued Revenue Procedure 2022-34 which indexes the contribution percentages for 2023 for purposes of determining affordability of an employer’s plan under the Affordable Care Act (ACA). For plan years beginning in 2023, employer-sponsored coverage will be considered affordable if the employee’s required contribution for self-only coverage does not [...]
On June 24, 2022, the Supreme Court issued its much-anticipated decision in Dobbs v. Jackson Women’s Health Organization, which stated that there is not a constitutionally protected right to terminate a pregnancy. Employers are now faced with the task of determining how this decision will impact their workforce and their benefit offerings. Self-Insured Plans — as a self-insured [...]
In earlier communications from Diversified Group, you were notified of the requirements of the Transparency in Coverage (TiC) Rules that will be enforced beginning on July 1, 2022. The rules require plan sponsors to create two files — one to disclose in-network provider rates for covered items and services and another to disclose out-of-network allowed amounts [...]
In earlier communications from Diversified Group, you were notified of the requirements of the Transparency in Coverage (TiC) Rules that will be enforced beginning on July 1, 2022. The rules require plan sponsors to create two files — one to disclose in-network provider rates for covered items and services and another to disclose out-of-network allowed amounts [...]
On March 19th, President Trump signed into law The Families First Coronavirus Response Act. This is a significant piece of legislation designed to address the economic impact of the COVID-19 pandemic. The bill provides new employee leave benefits, including paid sick time options and mandated insurance coverage for the COVID-testing. Mandated Coverage for COVID-19 Testing: Group [...]
To Our Valued Clients: We recognize that there is plenty of uncertainty right now unfolding around the situation we find ourselves in with the introduction of COVID-19. At Diversified, our aim is to add some clarity surrounding your medical plan by reviewing the trending topics of the calls coming into our member services department. Question [...]
This article was published on March 18, 2020 on BenefitNews.com, written by Amanda Schiavo. Photo Source: BenefitsNews.com. The coronavirus is causing concern around the world, impacting the health and safety of millions and upending the global economy. As stock prices plunge and a possible recession looms, employers and self-insured organizations may react by cutting excess [...]
To Our Valued Clients and Business Partners, As we are all dealing with COVID-19 we want to reach out to you and say please be safe and rest assured that Diversified Group has plans and resources in place in our effort to protect our employees and continue to serve our clients. We have a business [...]
Coverage for COVID-19 Testing and Treatment Earlier this month, the administration announced that testing for COVID-19 was deemed an essential health benefit for coverage purposes. However, it is not considered preventive and is therefore subject to any deductible, copay or coinsurance applied to diagnostic testing under your plan. Testing and treatment provided at approved locations in accordance [...]
The ACA’s PCOR fee had expired with the 2019 plan year, although non-calendar year plans were still required to remit their fees on July 31, 2020. However, as part of the year end budget/spending bill, Congress authorized an extension of the Patient Centered Outcomes Research Institute Fee (PCOR) for another ten years through 2029. The ACA [...]
