Pursuant to the Affordable Care Act (“ACA”), applicable large employers (ALEs) — those with 50 or more full-time or equivalent employees — must adhere to the ACA’s annual reporting rules to remain compliant regarding group health plan offerings. Also, an employer that sponsors self-insured health insurance coverage, no matter their size and whether or not the employer is an ALE, has information reporting responsibilities as a provider of minimum essential coverage (MEC). Empl

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit plans. We have updated the chart below (last published August 2022) to reflect recently released final numbers, including the 2022 PCORI fee amount and the 2023 Health Flexible Spending Account number. *PCORI fee amounts are generally effective for plan years ending on or after October 1st of the referenced year and before October 1st of the fo

The 2021 Consolidated Appropriations Act established new transparency requirements for group health plans to report specific information about prescription drugs and health care spending. This data submission is called the “RxDC” report. The Rx stands for prescription drug and the DC stands for data collection. The first RxDC report is due by December 27, 2022, and covers data for both the 2020 and 2021 “reference years.” Plans must then submit data for the 2022 reference yea

On October 11, 2022, final regulations were released addressing the so-called “family glitch” under the Affordable Care Act (ACA) premium...

Medicare Part D Notices Due Before October 15 Medicare includes a voluntary prescription drug benefit (Part D) for “Part D eligible...

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

Determining whether employer-sponsored health plans meet the Affordable Care Act (ACA) affordability and minimum value standards remains...

Effective December 31, 2022, the City of Philadelphia will require businesses with 50 or more covered employees to offer workers either a...

Considering the U.S. Supreme Court’s recent decision to send the issue of abortion back to the states, there are various items for...

The federal Transparency in Coverage rules require group health plans to display certain health care price information via...