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

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

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

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

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

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

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

The federal agencies have released new proposed Mental Health Parity and Addiction Equity Act (MHPAEA) rules to help better ensure people seeking coverage for mental health and substance use disorder (MH/SUD) care can access treatment as easily as people seeking coverage for medical/surgical (M/S) treatment. This parity requirement applies to both financial quantitative treatment limitations (QTLs) like co-pay and dollar limits or limitations on the number of days of treatmen

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

The federal COVID-19 Public Health Emergency and National Emergency are officially coming to an end. The federal agencies have issued guidance in an effort to ensure that workers and their families are aware of any changes that may be coming their way due to the termination of the emergencies. The U.S. Department of Labor (DOL) has also expressed their commitment to work with employers and plan sponsors to ensure a smooth transition as the federal government unwinds some of t