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2017 Benefit and Payment Parameters: Final Rule

By   /  May 22, 2016  /  Exchanges, Health Care Reform, Health Insurance Marketplaces, Insurance Market Reforms, Marketplaces, Small Employers  /  No Comments

health and human services - HIPAA audit

The 2017 Benefits and Payments Parameters Final Rule rule is 538 pages and covers numerous topics. This article highlights some that may be of particular interest to employers, such as 2017 maximum OOP limits, continued “no minimum participation requirements” special enrollment for small employers, numerous exchange issues, and others.

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IRS Publishes HSA Limits for 2017

By   /  May 5, 2016  /  Health Care Reform, HRAs & HSAs  /  No Comments

IRS-building-NY

On April 29, 2016, the Internal Revenue Service (IRS) released Revenue Procedure 2016-28 to announce the inflation-adjusted limits for health savings accounts (HSAs) for calendar year 2017. The IRS announced the following limits for 2017: The maximum HSA contribution limit; The maximum deductible amount for high deductible health plans (HDHPs); and The maximum out-of-pocket expense […]

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ACA FAQS 31: MHPAEA, Reference-Based Pricing, Preventive Services and More

By   /  April 21, 2016  /  Cost-Sharing (Reductions), Health Care Reform, Mental Health Parity & Addiction Equity Act, Preventive Services  /  No Comments

faqs

On April 20, 2016, the DOL, HHS and IRS issued Affordable Care Act Frequently Asked Questions, Part XXXI (ACA FAQs 31), addressing specific implementation issues under numerous provisions of the ACA and other laws.  This article summarizes the information in each of the 12 questions and answers, on: preventive services, rescissions, several disclosure obligations, coverage […]

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H.S.A. Advisors Subject to DOL’s Final Rule on “Fiduciary”

By   /  April 18, 2016  /  Health Care Reform, HRAs & HSAs  /  No Comments

piggy-bank

The Department of Labor (DOL) final rule on the definition of “fiduciary” expands the definition not only for retirement accounts such as 401(k)s, 403(b)s and IRAs, but also as applied to non-retirement accounts such as Health Savings Accounts (HSAs) and other accounts.

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Agencies Finalize Newest Version of SBCs

By   /  April 6, 2016  /  Health Care Reform, Summary of Benefits and Coverage  /  No Comments

sbc

On April 6, 2016, the Department of Health and Human Services (HHS) and other federal government agencies announced key enhancements to the Summary of Benefits and Coverage (SBC) template and Uniform Glossary that the Agencies issued on February 26, 2016. This article summarizes these changes and includes links to all the final documents and instructions. Group health plans and health insurance issuers must use these new final forms as of the first open enrollment on or after April 1, 2017.

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IRS-CMS Data Match Letter: Be sure to Respond!

By   /  April 4, 2016  /  Health Care Reform  /  No Comments

notice-letter

If you receive a letter from the IRS-SSA-CMS Data Match program, be sure to respond to it, within 30 days! Potential penalties apply if you don’t. In many cases it is not that difficult to provide the information requested in the Data Match letter! So save yourself a future headache and respond to the Data Match letter now.

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HIPAA Audits 2016: Phase 2 of OCR Audit Program

By   /  March 31, 2016  /  Health Care Reform, HIPAA  /  No Comments

health and human services - HIPAA audit

The HHS Office for Civil Rights (OCR) announced that it has begun Phase 2 of its HIPAA audit program. Audits will be conducted of covered entities and their business associates.

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Late or Inaccurate 1095-Cs or Bs? Consider the Penalties

By   /  March 31, 2016  /  Health Care Reform, Penalties, Reporting Requirements  /  4 Comments

penalties

Today (March 31, 2016) is the due date by which “applicable large employers” (ALEs) must furnish 1095-Cs to employees who were full-time in 2015. For some employers, today’s question is:
What are the penalties for furnishing 1095-Cs/or Bs) late (after March 31, 2016), or for furnishing incorrect 1095-Cs/Bs and then sending corrected forms in the next week?

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ACA FAQ 30: Use New SBC Templates in April 2017

By   /  March 11, 2016  /  Health Care Reform, Summary of Benefits and Coverage  /  No Comments

question

On March 11, 2016, the Agencies (Dept. of Labor, HHS and IRS) issued ACA FAQ 30, to clarify the intended implementation date by which health plans and insurers should start using the new Summary of Benefits and Coverage templates (SBCs) that the Agencies issued on February 26, 2016.

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2016 Q2 Deadlines & Reminders for Group Health Plans

By   /  March 11, 2016  /  Health Care Reform, Reporting Requirements  /  No Comments

reminder

This is Leavitt’s Quarterly Update of Deadlines and Reminders for group health plans. This is for second quarter of 2016. Leavitt provides this quarterly list to help group health plan sponsors identify significant due dates in the upcoming quarter.  This is not intended to identify ALL due dates or compliance obligations.  Also, information is subject […]

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