PCOR Fees Due July 31, 2022


PCOR fees are reported and paid annually using IRS Form 720 (Quarterly Federal Excise Tax Return). These fees are due each year by July 31 of the year following the last day of the plan year. This means that for plan years ending in 2021, the PCOR fees are due by July 31, 2022. For self-funded [...]

PCOR Fees Due July 31, 20222022-05-09T17:32:08+00:00

Machine-Readable File Hosting/Public URL Link


IMPORTANT INFORMATION below regarding your obligation to provide a Machine-Readable File by July 1, 2022. Please read and respond accordingly. To meet the requirements of the Transparency in Coverage (TiC) Rules that will be enforced starting on July 1, 2022, plan sponsors must create two files — one to disclose in-network provider rates for covered items [...]

Machine-Readable File Hosting/Public URL Link2022-05-06T13:41:43+00:00

IRS Releases HSA Adjusted Amounts for 2023


On Friday, April 29, the IRS released Rev. Proc. 2022-24, which outlines the 2023 inflation-adjusted amounts for Health Savings Accounts and compatible High Deductible Health Plans. Adjusted amounts include HDHP calendar year minimum deductibles, out-of-pocket maximums, and the annual HSA contribution limits as follows: 2023 2022 Change HDHP Minimum Deductible Individual $1,500 $1,400 +$100 Family [...]

IRS Releases HSA Adjusted Amounts for 20232022-05-02T20:02:40+00:00

PCOR Fee Increases for Health Plans


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. In Notice 2021-04, the IRS published that the applicable amount for PCOR fees [...]

PCOR Fee Increases for Health Plans2022-05-02T19:23:25+00:00

Vaccine Mandates and At Home COVID-19 Testing Kits


Last week there were several developments surrounding the large employer vaccine mandate and the mandate for health plans to cover COVID-19 at home test kits.  A summary of these is outlined below. Large Employer Vaccine Mandate Background – The Biden Administration through OSHA released Emergency Temporary Standard (ETS) rules for employers with 100 or more employees [...]

Vaccine Mandates and At Home COVID-19 Testing Kits2022-05-02T19:23:33+00:00

Update on OSHA’s Vaccine Mandate


Late last week, the Sixth Circuit Court of Appeals reinstated the OSHA Emergency Temporary Standard (ETS) mandating employees to be vaccinated or tested weekly. Immediately after the Sixth Circuit ruled on Friday, several of the many plaintiffs who had challenged OSHA’s ETS asked the Supreme Court to intervene as part of its “emergency” docket. Appeals from the Sixth Circuit [...]

Update on OSHA’s Vaccine Mandate2021-12-23T15:54:26+00:00

OSHA’s Emergency Temporary Standard on Vaccine and Testing Mandates


On November 4, 2021, OSHA published its Vaccine Emergency Temporary Standard (ETS). The ETS obligates private employers with 100 or more employees to require vaccination or weekly testing and masking for their unvaccinated employees. Legal challenges have been made with more pending, but until those are resolved, employers should prepare for this mandate. All requirements [...]

OSHA’s Emergency Temporary Standard on Vaccine and Testing Mandates2021-11-05T14:56:40+00:00

No Surprises Act Model Notice


Per the No Surprises Act (NSA), a component of the Consolidated Appropriations Act passed in December of 2020, beginning with renewals on or after January 1, 2022, health plans and health issuers offering group and individual health insurance coverage must issue a plain language notice regarding employee’s rights under the No Surprises Act. The notice [...]

No Surprises Act Model Notice2021-11-03T17:44:50+00:00

2022 Important Compliance Dates


This checklist is designed to help companies review the key reporting and notice requirements that may apply to their employer-sponsored group health plans under ERISA (the Employee Retirement Income Security Act). Please note that this list is for general reference purposes only and is not all-inclusive. Click to download entire checklist.

2022 Important Compliance Dates2021-10-25T17:18:58+00:00

CT Paid Leave Administrative Process


Effective January 1, 2022, the Connecticut Paid Leave law goes into full effect. Eligible employees may begin submitting claims in December for the January start date. The CT Paid Leave Authority is using the carrier AFLAC to determine eligibility, receive claims and make payment determinations. Below is an outline of the claims process which summarizes [...]

CT Paid Leave Administrative Process2021-10-22T14:27:10+00:00
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