Earlier this morning the US Supreme Court issued a decision overturning Roe v Wade. The initial read of the decision is that the Court...

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

The federal Transparency in Coverage rules require health plan sponsors to provide pricing disclosures via separate sets of...

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

The Biden Administration announced a proposed rule released on April 5 to fix the Affordable Care Act (ACA) “family glitch”. If this...

The Departments of Labor (DOL) and Health and Human Services (HHS) have released their 2022 inflation-adjusted civil monetary penalties...

Congress recently passed a $1.5 trillion governmental funding package that included a provision to permit employers and plan sponsors...

On January 10th, various federal agencies issued guidance in the form of Frequently Asked Questions (FAQs) around the Biden administration’s mandate that group health plans must cover over-the-counter (OTC) COVID-19 tests. On February 4th, additional FAQ guidance was issued providing some flexibility and clarification for plans and insurers. The mandate took effect on January 15th and stipulates that there be no member cost share or copays when purchasing an OTC test. In a nu

Group health plan sponsors should be aware of the Mental Health Parity and Addiction Equity Act (“MHPAEA”) compliance requirements since...

Group health plan sponsors that offer prescription drug coverage must, at least annually, notify Medicare Part D eligible individuals and...