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 [...]
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 [...]
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 [...]
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 [...]
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.
The Consolidated Appropriations Act of 2021 (CAA) that was passed on December 27, 2020 is known primarily for its third round of direct payment stimulus checks. However, there were additional health benefit related provisions including: (1) expanded relief for health and dependent care flexible spending arrangements; (2) new reporting requirements for commission and similar compensation; [...]
On March 10th, the American Rescue Plan Act of 2021(ARPA) was passed by both chambers of Congress and is expected to be signed by the President this week. The Act addresses several COVID relief provisions including another round of direct stimulus payments, unemployment compensation payments continuation, COVID-19 vaccine funds, and extension of the paycheck protection [...]
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 [...]
