Compliance Recap // January 2017

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January was a significant month in the employee benefits world because the new U.S. administration issued an Executive Order announcing its intent to repeal the Patient Protection and Affordable Care Act (ACA). However, January was a relatively inactive month for new laws and administrative rulemaking because the new administration placed a freeze on rulemaking until […]

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Qualified Small Employer Health Reimbursement Arrangements and ERISA

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Starting on January 1, 2017, certain small employers have the option to reimburse individual health coverage premiums up to a dollar limit through Qualified Small Employer Health Reimbursement Arrangements (QSE HRAs) under the 21st Century Cures Act (Cures Act). The Cures Act amends the Employee Retirement Income Security Act of 1974 (ERISA) to exclude QSE […]

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21st Century Cures Act

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On December 13, 2016, President Obama signed the 21st Century Cures Act into law. The Cures Act has numerous components, but employers should be aware of the impact the Act will have on the Mental Health Parity and Addiction Equity Act, as well as provisions that will impact how small employers can use health reimbursement […]

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Enforcement Relief Extension for Higher Education Institutions Offering Student Premium Reduction Arrangements

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On October 21, 2016, the Department of Labor (DOL), Department of Health and Human Services (HHS), and Department of the Treasury (Treasury) released an FAQ to extend enforcement relief for higher education institutions offering premium reduction arrangements to its students. Background The Patient Protection and Affordable Care Act (ACA) prohibits group health plans from having […]

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Reporting Minimum Essential Coverage

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Minimum essential coverage (MEC) is the type of coverage that an individual must have under the Patient Protection and Affordable Care Act (ACA). Employers that are subject to the ACA’s shared responsibility provisions (often called “play or pay”) must offer MEC coverage that is affordable and provides minimum value. In the fall of 2015 the […]

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PCORI Fee Due July 31

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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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