2023-2024

News and Updates

Nov 13

IRS Expands List of High Deductible Health Plan (HDHP) Preventive Care and Approves Condoms as Medical Care

The IRS has issued two new Notices expanding the list of items and services that qualify as “preventive care” under health savings...

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Oct 29

Updated Indexed Dollar Limits Chart

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

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Sep 23

ACA Affordability Percentage Increases for 2025

The Affordable Care Act ("ACA”) affordability threshold typically changes every year. As is customary, the IRS has announced the 2025...

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Sep 18

Mental Health Parity Final Rules Issued

A long-awaited Mental Health Parity and Addiction Equity Act (MHPAEA) Final Rule was issued on September 9, 2024. The Final Rule...

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Aug 28

Medicare Part D Notices Due Before October 15th

Each year group health plan (GHP) sponsors that provide prescription drug coverage are required to annually disclose to Medicare ( Part D...

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May 21

IRS PCORI Fees Due by July 31, 2024

The Patient-Centered Outcomes Research Institute (“PCORI”) fee was established as part of the Affordable Care Act (“ACA”) to fund medical...

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May 20

Updated Indexed Dollar Limits Chart

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

6 views

May 15

IRS Alert: Account-Based Plans Cannot Pay for Personal Wellness Expenses

The IRS has issued an alert reminding taxpayers and health FSAs, HRAs, HSAs, and MSAs administrators that personal expenses for general...

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Apr 16

Reminder: RxDC Reporting Due June 1, 2024

The Centers for Medicare and Medicaid Services (CMS) is now accepting Prescription Drug Data Collection (RxDC) submissions for “reference...

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Mar 8

The Implications of the J&J Lawsuit

Considerations for Plan Sponsors The recent proposed class action lawsuit filed against Johnson & Johnson (J&J) related to the handling...

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Mar 5

Employer Alert – New Pennsylvania Law for Dependent Care FSA Deductions

Employer provided dependent care assistance under an Internal Revenue Code section 129 Dependent Care Assistance Program (DCAP) has...

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Feb 9

Lawsuit Poses New Challenges for Employers and Plan Sponsors

Employers and plan sponsors have a new issue to be mindful of in light of a lawsuit filed this week in a federal court in Camden, New...

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Jan 19

Creditable Coverage Online Disclosure to CMS Due by February 29, 2024 for Calendar Year Plans

Group health plan (GHP) sponsors that offer prescription drug (Rx) coverage must, at least annually, notify Medicare Part D eligible...

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Dec 1, 2023

Updated Indexed Dollar Limits Chart

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

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Nov 21, 2023

ACA Reporting: Process and Requirements for 2023

Under the Affordable Care Act (ACA), self-insured companies that provide health insurance to their employees and large businesses must...

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Oct 25, 2023

New Gag Clause Compliance Attestation Due by December 31, 2023

Since December of 2020, the Consolidated Appropriations Act, 2021 (CAA) has prohibited group health plans (GHPs) and issuers from...

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Sep 13, 2023

Medicare Part D Notices Due Before October 15th

Each year group health plan (GHP) sponsors that provide prescription drug coverage are required to annually disclose to Medicare (Part D)...

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Sep 8, 2023

Updated Indexed Dollar Limits Chart – August 2023

The various federal agencies regularly release Affordable Care Act (ACA) and other indexed dollar limits for health and group benefit...

24 views

Aug 22, 2023

Fully Insured Sponsors May Receive Medical Loss Ratio (MLR) Rebates

Plan sponsors of certain fully-insured group health plans may soon receive a medical loss ratio (MLR) rebate from their health insurance...

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May 31, 2023

ACA’s PCORI Fee Due to IRS July 31, 2023

The Patient-Centered Outcomes Research Institute (“PCORI”) fee was established as part of the Affordable Care Act (“ACA”) to fund medical...

6 views