Compliance Alert – PCORI Fee due July 31 – Form 720

Employer action is required if you maintain a self-funded plan and/or a standalone Health Reimbursement Arrangements (HRA) associated with a fully insured and/or self-funded plan.  If you have a fully insured health plan and do not have an HRA, you may disregard, as the insurance carrier is responsible for this reporting.   The Patient-Centered Outcomes Research […]

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Transitional Reinsurance Fee – Action may be required!

The Transitional Reinsurance Fee (TRF) applies to fully insured and self-funded major medical plans for 2014, 2015, and 2016. The purpose of the fee is to provide funds to help stabilize premiums in the individual insurance market in view of uncertainty about how the Patient Protection and Affordable Care Act (ACA) would affect claims experience. While […]

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PCORI Fee Due July 31

The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute to study clinical effectiveness and health outcomes. To finance the Institute’s work, a small annual fee — commonly called the PCORI fee — is charged on group health plans. Insurers are responsible for calculating and paying the fee for fully insured plans. Employers sponsoring […]

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Guest Blog – Three out of Four U.S. Employers To Be Hit with Cadillac Tax by 2022

Even Bronze-Level Plans Subject to Excise Tax, Finds UBA Survey Many employers falsely assume that the Cadillac tax will apply only to the richest plans. However, newly release data from the 2015 UBA Health Plan Survey shows that even the lowest quality “Bronze-level” health insurance plans on the Affordable Care Act (ACA) exchanges are at […]

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Transitional Reinsurance Forms due Nov. 15th. – Action required by Self-Funded plans

Deadline: Registration on pay.gov and submission of enrollment information must be completed by November 15th of each year. In addition, employers making two payments must complete the second payment by November 15th. INTRODUCTION The Affordable Care Act establishes a transitional reinsurance program to help stabilize premiums for coverage in the individual market during the years […]

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Compliance Recap // September 2015

Compliance Recap September 2015 After a slow summer, federal agencies picked up the pace in September, with a large assortment of guidance, proposed rules, and updated forms and instructions. Nondiscrimination regulations were proposed, a temporary safe harbor was announced for summary and benefits of coverage, and the 2015 6055/6056 reporting forms and instructions were finalized, […]

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Last Chance to Register! Seats are filling up! Penalties, Taxes, and Fines, Oh My! Webinar

Benefit Insurance Marketing is pleased to extend an invitation to attend our upcoming monthly compliance Webinar. In conjunction with our alliance with United Benefit Advisors, you have the opportunity to learn more about the latest compliance trends and regulations from one of the nations leading employment and benefit law firms, Jackson Lewis LLP. Best of all, you can […]

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