HHS Archives - Employee Benefits I AP Benefit Advisors

President Trump Signs Executive Orders to Lower Prescription Drug Costs

By: Keenan & Associates, an AssuredPartners Company On July 24, 2020, President Donald Trump signed four executive orders that focused on lowering prescription drug prices. All of these executive orders direct the Secretary of Health and Human Services (HHS) to make determinations and promulgate rules that would put the executive orders into effect. Therefore, these […]

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HRCI & SHRM Pre-Approved Webinar | 2020 Compliance Mid-Year Roundup

Please join us for this HRCI* and SHRM** pre-approved, complimentary, one-hour webinar as Patrick Haynes, AssuredPartners’ General Counsel and SVP of Compliance, covers the following compliance topics through 2020 thus far: IRS Notices 2020-29, 2020-33 Changes to Cafeteria Plans, HCFSAs, HSAs, DCAPs, and more COVID-19 Relief and Changes Other DOL, IRS, and HHS Guidance, including […]

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HHS Provides 2021 Benefit Payment Out-of-Pocket Limits

Earlier this week, the Department of Health and Human Services (HHS) published finalized 2021 Benefit Payment Parameters with an $8,550 out-of-pocket maximum for self-only coverage and $17,100 for family coverage for health plans beginning in 2021. See, the 5/14/2020 Federal Register publication here. Under the Affordable Care Act (ACA), non-grandfathered health plans are required to […]

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HHS Releases Federal Poverty Level Guideline Updates for 2020

Author: Nathanael M. Alexander, Esq., Director of Compliance – AP Benefit Advisors On January 17, 2020, the Department of Health and Human Services (HHS) published the updated Federal Poverty Level (FPL) guidelines for 2020. The revised FPL guidelines are effective as of January 15, 2020, with the new FPL level set at $12,670 for a person […]

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Rx Plans May Exclude Value of Drug Manufacturers’ Coupons Until Further Notice

The DOL, HHS, and IRS have jointly issued an FAQ addressing whether health plans must count drug manufacturers’ coupons toward the annual cost-sharing limits under the Affordable Care Act (ACA). (Note:  these limits apply to non-grandfathered group health plans, including self-insured and insured small and large group market health plans.) Regulations that announced the 2020 […]

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HHS 2020 Benefit Limits and Updates

HHS 2020 Benefit Limits and Updates The Department of Health and Human Services (HHS) has released final regulations with the benefit and payment parameters for plan years beginning on or after January 1, 2020, along with a few other insurance market and Exchange-related final regulations. Although largely aimed at insurers and state regulators, the regulations […]

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Upcoming Filing Deadlines: Annual Prescription Drug Notice, HIPAA Breach Report & ACA Reporting

As we head into the last couple days of February, we want to take this opportunity to remind employers about the following upcoming filing deadlines: Annual Prescription Drug Notice Group health plans must notify the Centers of Medicare and Medicaid Services (CMS) each year regarding whether the group health plan’s prescription drug coverage offered to […]

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Reference Charts for ACA-Healthcare Reform, HSAs, FSAs and PCORI/CERF Fees

Healthcare Reform Timeline – Perpetual timeline of all healthcare reform updates from 2010 to 2020 (and 2022-when the Cadillac Tax is scheduled to “begin”). Consumer-Driven Healthcare Options – Medical Savings Account (MSA), Health Savings Account (HSA), Flexible Savings Account (FSA) and Health Reimbursement Arrangement (HRA) – descriptions, details, pros and cons of each plan type, […]

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Mental Health Parity Updated Guidance from DOL, HHS & Treasury

Mental Health Parity and Addiction Equity Act Guidance Issued by Departments In an effort to encourage compliance with the MHPAEA (Mental Health Parity and Addiction Equity Act), the departments (DOL, HHS and Treasury) released a regulatory package that includes examples of mental health parity violations, as well as a new disclosure template used to request […]

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2019 Final Regulations for EHBs, OOPMs and Marketplace Updates

Update, May 21, 2018:  ACA Affordability Threshold – Adjustments 2014 through 2019 2014 Affordability 9.5% 2015 Affordability 9.56% 2016 Affordability 9.66% 2017 Affordability 9.69% 2018 Affordability 9.56% This is the first time since the implementation of the ACA rules that the affordability contribution percentages have been reduced. Guidance: https://www.apbenefitadvisors.com/2017/06/12/irs-reduces-2018-affordability-percentages/ 2019 Affordability percentage – 9.86% (see […]

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