HHS Archives - Page 2 of 8 - Employee Benefits I AP Benefit Advisors

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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Annual Filing Reminders

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

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The Future of the ACA and Employee Benefit Plans

It’s been over a week since the election results came in and since then, you have likely been inundated with emails, seen many television interviews, and heard other news sources espousing predictions of what is on the horizon for employee benefit plans, and specifically, the future of the Affordable Care Act (“ACA”). Indeed, the Trump […]

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Transitional Reinsurance Fee Year 3 – Deadline Approaching Nov 15th

Deadline is Tuesday, November 15, 2016:  Your self-funded health plan must submit your enrollment count and schedule your payments for the 2016 plan year. What is it? The Reinsurance Assessment is a fee applicable to insured and self-funded major medical plans for calendar years 2014 through 2016. It will primarily be used to help cover […]

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Year End Compliance Requirements & Deadlines

Key benefit requirements and deadlines for 2016. September Summary Annual Report (SAR) – A narrative summary of your Form 5500, including a statement of the right to receive the annual report, must be distributed to plan participants by the last day of the ninth month following the end of the plan year, by September 30th […]

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HHS Releases 2018 Benefit Parameters

The U.S. Department of Health and Human Services (HHS) has released proposed regulations that include 2018 benefit parameters and payment measures. These are scheduled to be published in the Federal Register on September 6, 2016. While this grouping of proposed rules is mostly for insurance carriers, and includes risk adjustment and revised actuarial value methodology, […]

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Q&A – Nondiscrimination Regulations and Group Health Plans

Final regulations implementing section 1557 of the Affordable Care Act (ACA) were published on May 18, 2016, by the Office of Civil Rights (OCR) of the U.S. Department of Health and Human Services (HHS). This prohibits discrimination based on race, color, natural origin, sex, age, or disability in health activities and programs that receive federal […]

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Feds Propose Significant Changes to Form 5500

In today’s Federal Register the Departments released their Notice of Proposed Forms Revisions to the Form 5500 Annual Return/Report Series.  The Departments, for purposes of this notice are the DOL (Department of Labor), the IRS (Internal Revenue Service), and the PBGC (the Pension Benefit Guaranty Corporation).  This new guidance affects retirement plans, health plans, and […]

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Did You Receive an Exchange Subsidy Notice? Ready to Appeal?

Please see our Compliance Alert about the need to timely appeal subsidy notices.  If your employees incorrectly tell a federal or state exchange that you didn’t offer them coverage, or that your coverage wasn’t creditable or wasn’t affordable, then there’s a good chance that you will face a fine.  You need to appeal these subsidy […]

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