The 2024 final rules under the Mental Health Parity and Addiction Equity Act (MHPAEA), issued by the U.S. Departments of Labor, Health and Human Services, and the Treasury, introduced significant changes to mental health and substance use disorder (MH/SUD) benefits. While these rules generally apply to group health plans for plan years beginning on or [...]
The Consolidated Appropriations Act (CAA) requires that Group Health Plans report various information about their prescription drug costs and spending. The government calls the data submission of information on prescription drugs and spending the “”RxDC Report”. The government will use the data to provide insight into increased spending on prescription drugs with reporting on rebates, [...]
HIPAA Special Enrollment Events are a subset of the Section 125 Election Change Events that provide special enrollment rights. But, unlike Section 125, HIPAA’s events are only about enrolling in your group health plan, not dis-enrolling. HIPAA requires group health plans to provide special enrollment opportunities outside the plan's regular enrollment periods in certain [...]
The Consolidated Appropriations Act (CAA) requires that Group Health Plans report various information about their prescription drug costs and spending. The government calls the data submission of information on prescription drug costs and spending the “RxDC report.” The government will use the data to provide insight into increased spending on prescription drugs with reporting on rebates, [...]
