2021 MLR Rebate Checks Recently Issued to Fully Insured Plans (Downloadable PDF)
As a reminder, insurance carriers are required to satisfy certain medical loss ratio (“MLR”) thresholds. This generally means that for every dollar of premium…
Medicare Part D Notification Requirements
Employers sponsoring a group health plan with prescription drug benefits are required to notify their Medicare-eligible participants and beneficiaries as to…
IRS Announces 2022 ACA Affordability Indexed Amount (Downloadable PDF)
The IRS recently announced in Revenue Procedure 2021- 36 that the Affordable Care Act (“ACA”) affordability indexed amount under the Employer Shared…
Some Transparency in Coverage and CAA Deadlines Delayed (Downloadable PDF)
On August 20, 2021, the Departments of Health and Human Services (“HHS”), Labor (“DOL”), and the Treasury (collectively called “the Departments”) jointly…
More Employers May Be Required to Electronically File Some IRS Forms (Downloadable PDF)
On July 23, 2021, the IRS issued proposed rules that would significantly expand the number of employers required to electronically file information returns…
HHS Extends Public Health Emergency until October 18, 2021 (Downloadable PDF)
On July 19, 2021, the Secretary of Health and Human Services (“HHS”), announced that the administration will renew the COVID-19 pandemic Public Health…
Additional Guidance Issued on the 2021 COBRA Subsidy (Downloadable PDF)
On July 26, 2021, the IRS released Notice 2021-46 providing additional guidance on the 2021 COBRA premium assistance (or “COBRA subsidy”). The 2021 COBRA…
ARPA Subsidy: New Notice Required for Small New Jersey Employers (Downloadable PDF)
The New Jersey Department of Banking and Insurance recently issued Bulletin No. 21-08, which establishes a new notice requirement for small employers of fully…
Request for Information on Pharmacy Transparency (Downloadable PDF)
The Consolidated Appropriations Act, 2021 (“CAA”) imposes new reporting requirements related to pharmacy benefits and prescription drug costs that apply to…
Supreme Court Dismisses Latest Challenge to the ACA (Downloadable PDF)
Background The “individual mandate” provision of the ACA as originally enacted in 2010 required most U.S. residents to obtain minimum essential health…