Public Health Emergency Extended

2021-01-15T15:57:43+00:00

In late January 2020, The Department of Health and Human Services (HHS) issued a public health emergency declaration. Several payment policies and regulatory adjustments are attached to the public health emergency, including the Medicare inpatient 20% add-on payment, Medicaid matching rates, and requirements that insurers and health plans cover COVID-19 testing without cost-sharing, and waivers [...]

Public Health Emergency Extended2021-01-15T15:57:43+00:00

Consolidated Appropriations Act of 2021

2021-01-04T22:00:57+00:00

On December 27, 2020, the President signed into law the Consolidated Appropriations Act of 2021 (CAA). The Act contains several provisions that impact healthcare plans and also includes several rules extending COVID relief. Below is a brief summary of the CAA provisions pertaining to employer sponsored health and welfare plans. CAFETERIA PLANS:  The CAA allows [...]

Consolidated Appropriations Act of 20212021-01-04T22:00:57+00:00

DG Compliance Update: FFCRA Expiration

2020-12-28T16:31:05+00:00

Earlier this month, Diversified Group notified our clients (access blog here) that the Families First Coronavirus Response Act (FFCRA) leave requirements were set to expire on 12/31/20.  FFCRA allowed for paid FMLA and up to 80 hours of paid sick leave under certain coronavirus related circumstances.  The provision was mandatory for employers with fewer than [...]

DG Compliance Update: FFCRA Expiration2020-12-28T16:31:05+00:00

CT PFML Updates and Required Employer Actions

2020-12-11T13:30:20+00:00

On June 25, 2019, Governor Ned Lamont signed into law Connecticut’s Paid Family and Medical Leave law (CTPFML). Below are some highlights from the new law updated with the most recent developments. Despite setbacks due to COVID 19 issues, the deadline to begin collecting contributions in 2021 remains intact. The new CTPFML program will expand the [...]

CT PFML Updates and Required Employer Actions2020-12-11T13:30:20+00:00

Families First Response Act Expanded Leave Provisions Set to Expire

2020-12-07T16:44:46+00:00

Barring congressional action to extend the law as the pandemic worsens around the country, the additional paid leave provided for by the Families First Coronavirus Response Act (FFCRA) expires on December 31, 2020. Background: The Families First Coronavirus Response Act (FFCRA) requires certain employers to provide employees with paid sick leave or expanded family and medical leave [...]

Families First Response Act Expanded Leave Provisions Set to Expire2020-12-07T16:44:46+00:00

PCOR Fee Increases for Health Plans

2020-12-04T16:33:23+00:00

The IRS announced in Notice 2020-84 that the adjusted applicable amount for the Patient-Centered Outcomes Research Institute (PCOR) fee for policy or plan years ending on or after October 1, 2020, and before October 1, 2021, will be $2.66 per plan participant. The PCOR fee is calculated based on the average number of lives covered under [...]

PCOR Fee Increases for Health Plans2020-12-04T16:33:23+00:00

HHS Extends the Public Health Emergency

2020-10-22T14:31:30+00:00

In late January 2020, The Department of Health and Human Services (HHS) issued a public health emergency declaration. Several payment policies and regulatory adjustments are attached to the public health emergency, including the Medicare inpatient 20% add-on payment, Medicaid matching rates, requirements that insurers and health plans cover COVID-19 testing without cost-sharing, and waivers of telehealth restrictions. [...]

HHS Extends the Public Health Emergency2020-10-22T14:31:30+00:00

Updates to the 2021 Summary of Benefits and Coverage

2020-10-16T14:17:15+00:00

To help consumers compare the different features of health benefits and coverage, the Affordable Care Act requires all group health plans and health insurance companies to provide individuals a “summary of benefits and coverage” that “accurately describes the benefits and coverage under the plan.” The SBC is a snapshot of a health plan’s costs, benefits, [...]

Updates to the 2021 Summary of Benefits and Coverage2020-10-16T14:17:15+00:00

States with Individual Health Insurance Mandates

2020-10-14T16:14:57+00:00

After the repeal of the Affordable Care Act’s Individual Mandate, which was effective January 1, 2019, several states began the process of implementing statewide individual mandates. Currently there are six states that have passed some form of the individual mandate. To date, California, the District of Columbia, Massachusetts, New Jersey, Rhode Island, and Vermont have [...]

States with Individual Health Insurance Mandates2020-10-14T16:14:57+00:00

IRS Extends ESR Reporting Deadline

2020-10-07T16:19:19+00:00

On October 2nd, the IRS issued notice 2020-76, which extends the deadline for employers and other coverage providers to distribute forms 1095-B and 1095-C to individuals for the 2020 reporting year. The due date for furnishing the 2020 Form 1095-B and the 2020 Form 1095-C to applicable individuals is extended from January 31, 2021 to March [...]

IRS Extends ESR Reporting Deadline2020-10-07T16:19:19+00:00