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Compliance Center

Diversified Group has an internal compliance department dedicated to monitoring ever-changing federal and state regulations to help clients control costs and understand the impact of proposed legislation. We offer a wide range of compliance services and are always available to help you navigate healthcare reform.

ERISA Compliance

  • Plan Document / SPD Preparation
  • Wrap Plan Document (for bundled benefit plans - both self-funded and fully-insured)
  • Material Modifications (Regulatory Plan Amendments)
  • Annual, Initial Enrollment Required Disclosures and Notices (templates and mailing service)
  • PACE Fiduciary Services (PHIA Group)

ACA Reporting

  • Exchange Notice
  • Assistance with Exchange Employer Notice of Right to Appeal Employee Subsidy
  • PCOR Fees (Calculation of fees and assistance with Form 720)
  • ACA Compliance Consulting
  • 6055 and 6056 Reporting
    • Assistance with 1094-B and 1095-B Forms (Non-Applicable Large Employers under ACA)
    • Assistance with 1094-C and 1095-C Forms (Applicable Large Employers under ACA)
  • W-2 Cost of Health Coverage Reporting Assistance

COBRA Administration

  • Mail Compliant Election and Other Required Notices to Qualified Beneficiaries (QBs) Homes Using USPS Confirmation of Mailing
  • Calculate Self-Funded Medical, Dental, Vision and/or HRA Coverage COBRA Rates
  • Provide QBs with Payment Coupons
  • Monitoring of COBRA Payments
  • Monthly Reporting to Employers of COBRA Offers, Elections, Payments and Terminations

Cafeteria Plan Administration

  • Health Flexible Spending Account (FSA) Claims Administration and Substantiation
  • Dependent Care Assistance Program (DCAP) Administration and Substantiation
  • Flex Debit Card
  • Mobile App and Member Website
  • Cafeteria Plan Documents Preparation (FSA, DCAP and Premium Conversion Plans)
  • Pre-Tax Election Forms
  • Cafeteria Plan Non-Discrimination Testing

Section 132 Plan Administration

  • Parking and/or Transportation Plan Claims Administration and Substantiation
  • Plan Document Preparation
  • Mobile App and Member Website
  • Debit Card

Medicare Compliance

  • Medicare Part D Compliance
    • Medicare Part D Creditable (or Non-Creditable) Coverage Notices to Covered Individuals
    • Medicare Part D Creditable Coverage Disclosure to CMS
  • Medicare Secondary Payer (MSP) Compliance
    • Section 111 Reporting
    • Assistance with MSP Questionnaires

HIPAA Privacy and Security

  • HIPAA Privacy and Security Consultation for Employers
  • Assistance and Templates for Employer HIPAA Privacy and Security Manuals
  • HIPAA Privacy and Security Training

105(h) Non-Discrimination Testing for Self-Funded Health Plans

 

compliancecenter

 

  • Get Eligibility Right the First Time or Pay for It Later

    View and download a guide to termination and Cobra notice requirements and failures with insights into eligibility and enrollment best practices.

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  • Updated Draft Regulations for MA Paid Family & Medical Leave

    View and download an outline of the draft regulations for the Paid Family and Medical Leave law with pertinent information for employers concerning their obligations under the law.

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  • The Interaction Between Medicare & Health Plans

    View and download a presentation created by our VP of Operations & Compliance, Dave Follansbee, which gives an overview of Medicare and explains the different ways it interacts with group health plans.

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  • Preparing for a US DOL Audit: Self-Audit Checklist for Self-Insured Plans

    View and download a checklist of items that could be required in a DOL Audit. List assumes the employer's group health plan is self-insured and Diversified is the TPA.

    Download Now
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