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Compliance Recap – November 2019
November was a busy month in the employee benefits world. The Internal Revenue Service (IRS) released draft 2019 instructions for Forms 1094-B, 1095-B, 1094-C, and 1095-C. The IRS also released health plan limits and various compensation, benefit, and contribution levels under qualified retirement plans for 2020. The Department of Health and Human Services (HHS) released […]
Read moreIRS Releases Draft Forms and Instructions for 2019 ACA Reporting
Background Under the Patient Protection and Affordable Care Act (ACA), applicable large employers (ALEs) are required to offer health benefits to their full time employees and individuals are required to have health insurance, although the penalty is $0 for failing to have minimum essential coverage starting in 2019. Reporting is required by employers with 50 […]
Read moreProposed Rules on Coverage and Transparency and Final Rules on Hospital Price Transparency
On November 15, 2019, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments) released proposed rules on coverage transparency. The proposed rules seek to give an estimate of plan participants’ potential cost-sharing liability for covered items and services they might receive from a particular […]
Read moreSummary of Benefits and Coverage Highlights and Frequently Asked Questions
A Summary of Benefits and Coverage (SBC) is a four-page (double-sided) communication required by the federal government. It must contain specific information, in a specific order and with a minimum size type, about a group health benefit’s coverage and limitations. For fully insured plans, the insurer is responsible for providing the SBC to the plan administrator […]
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