No Surprises Act Model Notice

2021-11-03T17:44:50+00:00

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

2021-10-25T17:18:58+00:00

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

Consolidated Appropriations Act ID Card Requirement

2021-10-22T14:16:35+00:00

The No Surprises Act which passed under the Consolidated Appropriations Act (“The Act”) includes many provisions that apply to group health plans which go into effect for plan years beginning on or after January 1, 2022. One such provision requires updated medical ID cards, however, guidance is not anticipated until sometime in 2022. In the [...]

Consolidated Appropriations Act ID Card Requirement2021-10-22T14:16:35+00:00

Gender Dysphoria Treatments and Discriminatory Practices in Health Plans

2021-06-14T15:11:54+00:00

In May 2021, the Department of Health and Human Services reversed a Trump administration position on the ACA’s section 1557. Background Under section 1557, health plans are prohibited from discriminating on the basis of race, color, sex, national origin, age and disability. Under the ACA, the definition of sex was clarified to include discrimination on [...]

Gender Dysphoria Treatments and Discriminatory Practices in Health Plans2021-06-14T15:11:54+00:00

Consolidated Appropriations Act Requires Plan Sponsors to Perform a MHPAEA Comprehensive Analysis

2021-05-12T19:13:52+00:00

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; [...]

Consolidated Appropriations Act Requires Plan Sponsors to Perform a MHPAEA Comprehensive Analysis2021-05-12T19:13:52+00:00

Orders to Cut Drug Costs

2021-01-07T15:53:58+00:00

In an effort to revive an important promise made to the American people prior to his election in 2016, President Trump recently signed 3 executive orders aimed at bringing the cost of prescription drugs more in line with what consumers in other countries pay. One order, directed at Medicare Part D plans, would require that [...]

Orders to Cut Drug Costs2021-01-07T15:53:58+00:00

HSA Limits Increase for 2021

2020-10-29T14:21:46+00:00

Inflation-adjusted limits for contributions to health savings accounts and high deductible health plans for the coming year were just announced. According to the announcement, eligible individuals with self-only HDHP coverage will be able to contribute $3,600 to their HSA in 2021, an increase of $50 from 2020. Those with family coverage will be able to [...]

HSA Limits Increase for 20212020-10-29T14:21:46+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

How a Premium Dollar Is Spent

2020-10-08T14:34:06+00:00

America’s Health Insurance Plans, a national trade association whose member companies provide insurance coverage and health-related services to consumers and businesses, has released a study revealing the breakdown of today’s healthcare premium dollar, as follows: 23.3 cents of every premium dollar is used for prescription drugs 22.2 cents cover the cost of physician services 20.2 [...]

How a Premium Dollar Is Spent2020-10-08T14:34:06+00:00
Go to Top