The Consolidated Appropriations Act requires self-insured plan sponsors to file a gag clause attestation with CMS using the HIOS system no later than December 31st, 2023. A gag clause is any contractual term that prohibit health plan sponsors and plan issuers from having any agreements with a healthcare provider, a network, an association of providers, [...]
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 [...]
The Internal Revenue Service (IRS) recently issued Revenue Procedure 2021-36 which indexes the contribution percentages for 2022 for purposes of determining affordability of an employer’s plan under the Affordable Care Act (ACA). For plan years beginning on or after January 1, 2022, employer-sponsored coverage will be considered affordable if the employee’s required contribution for self-only coverage does [...]
With the American Rescue Plan Act (ARPA) COBRA subsidy coming to end on September 30, 2021, questions are arising as to the plan administrators next steps. Below you will find some of the more common FAQs: Subsidy Expiration Notification To ensure compliance, plan administrators must provide a timely notice to those AEIs who wish to [...]
The Internal Revenue Service released its 2022 Health Savings Account Inflation Adjustment Limits. A comparison of the 2022 and 2021 limits are listed below. The ACA maximum out-of-pocket limits have also been adjusted. The ACA uses a different adjustment calculation than the IRS when setting H.S.A. limits year over year. 2022 2021 Change HDHP Minimum [...]
The House and Senate have passed the "Paycheck Protection Program and Health Care Enhancement Act" (Stimulus 3.5). The bill provides $484 billion in additional funding to supplement programs under the CARES Act. The bill includes further aid to small businesses and hospitals, as well as funding for coronavirus testing. Below are some of the key provisions in [...]
