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 [...]
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 [...]
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 [...]
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. [...]
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, [...]
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 [...]
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 [...]
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 [...]
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.
On Thursday, May 7, 2020, the United States Centers for Medicare and Medicaid Services (CMS) released the 2021 Notice of Benefit and Payment Parameters final rule. This rule finalizes the CMS’ proposed modification of existing policy relating to how pharmaceutical manufacturer direct assistance (i.e., coupons) accrues with respect to health plan enrollees’ annual limit on [...]
