2023-2024

News and Updates

Nov 21

ACA Reporting: Process and Requirements for 2023

Under the Affordable Care Act (ACA), self-insured companies that provide health insurance to their employees and large businesses must...

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Oct 25

New Gag Clause Compliance Attestation Due by December 31, 2023

Since December of 2020, the Consolidated Appropriations Act, 2021 (CAA) has prohibited group health plans (GHPs) and issuers from...

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Sep 13

Medicare Part D Notices Due Before October 15th

Each year group health plan (GHP) sponsors that provide prescription drug coverage are required to annually disclose to Medicare (Part D)...

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Sep 8

Updated Indexed Dollar Limits Chart – August 2023

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

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Aug 22

Fully Insured Sponsors May Receive Medical Loss Ratio (MLR) Rebates

Plan sponsors of certain fully-insured group health plans may soon receive a medical loss ratio (MLR) rebate from their health insurance...

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May 31

ACA’s PCORI Fee Due to IRS July 31, 2023

The Patient-Centered Outcomes Research Institute (“PCORI”) fee was established as part of the Affordable Care Act (“ACA”) to fund medical...

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Apr 13

COVID Emergency Periods Coming to an End: New Guidance Issued for Group Health Plans

The federal COVID-19 Public Health Emergency and National Emergency are officially coming to an end. The federal agencies have issued...

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Apr 3

Texas Judge Strikes Down Parts of ACA “Free” Preventive Care Requirement

Last week a Federal Judge in Texas struck down a key provision of the Affordable Care Act (ACA) preventive care requirement. The decision...

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Apr 3

HHS Releases Revised Instructions for RxDC Reporting Due June 1, 2023

The U.S. Department of Health and Human Services (“HHS”) has released revised instructions for group health plans and insurers to report...

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Mar 27

COVID-19 Emergency Periods Coming to an End: How Will This Impact Group Health Plans

Earlier this year, President Biden announced his intention to end the COVID-19 public health emergency (PHE) and National Emergency (NE)...

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Mar 14

Updated Indexed Dollar Limits Chart

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

20 views

Mar 6

Employer “Gag Clause” Attestation Required

The federal agencies have issued FAQ guidance addressing provisions of the Consolidated Appropriations Act, 2021 that prohibit “gag...

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Feb 7

How the End of the COVID-19 Emergency Periods Will Impact Health Plans

The Biden Administration has announced its plan to end the COVID-19 public health emergency (PHE) and National Emergency (NE) on May 11,...

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Feb 3

Proposed Federal Rule Announced Related to Religious Objection to Birth Control

The U.S. Department of Health & Human Services (HHS), Labor and Treasury have proposed a rule to strengthen access to birth control...

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Jan 27

Creditable Coverage Status Report Due to CMS by March 1, 2023, for Calendar Year Plan

Group health plan (GHP) sponsors that offer prescription drug (Rx) coverage must, at least annually, notify Medicare Part D eligible...

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