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With open enrollment fast-approaching for many employers, it is a good time to review what employer notices and materials are required for distribution at open enrollment as well as other times throughout the year. Some employer notices are only provided when participants first become covered under a health and welfare plan and others have an annual distribution requirement. Make sure you are providing all required notices at open enrollment.
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Categories: Benefits in General, Compliance | Tags: Notice , Compliance , Benefits , SPD , SMM , SBC , SAR , Medicare Part D , Notice of Creditable Coverage , COBRA , HIPAA , CHIP , WHCRA , Wellness , ADA , Grandfathered Plan , Michelle's Law

COBRA Continuation and Disability

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The COBRA continuation coverage may be extended if an individual is deemed disabled by the Social Security Administration (SSA). This allows a qualified beneficiary to remain covered under COBRA until they become eligible for Medicare.
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Categories: Benefits in General | Tags: Disability , Extension , COBRA , Timing , Primary Payer , Secondary Payer , 18 months , 29 months

COBRA Continuation and Medicare

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The relationship between COBRA continuation and Medicare can often cause confusion. At times Medicare entitlement (enrollment) can trigger a need to offer COBRA, but at other times it can trigger a termination of COBRA coverage. We hope this article provides some clarification.
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Categories: Uncategorized, Benefits in General, Compliance | Tags: Medicare , Medicare Entitlement , COBRA , Timing , Primary Payer , Secondary Payer , 18 months , 36 months
While the recent focus of many organizations has been on impact to benefits based on the COVID-19 pandemic, other significant updates been released. Review this article to be sure you are staying up-to-date with other guidance, including COBRA Notices, HSA limits, and PCOR fee requirements.
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Categories: Benefits in General, Compliance | Tags: HSA , Health Savings Account , 2021 Limits , Rev. Proc. 2020-32 , PCOR fee , Patient Centered Outcome Research Fee , July 31 , IRS Form 720 , COBRA Model Notices

IRS and DOL Provide Deadline Relief

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On April 28, 2020, the U.S. Department of Labor (DOL) and Internal Revenue Service (IRS) issued a joint rule titled "Extension of Certain Timeframes for Employee Benefit Plans, Participants, and Beneficiaries Affected by the COVID-19 Outbreak". The rule provides automatic relief from a number of deadlines related to COBRA continuation coverage, HIPAA special enrollment periods, and claims and appeal filing deadlines for group health plans.
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Categories: Benefits in General, Compliance | Tags: Extension , COBRA , Claims , COVID-19 , IRS , DOL , Outbreak Period , Disaster Relief

Tips for Employees Who Lose Health Coverage

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Many employers are facing business shutdowns, closures, or reduced operations due to the COVID-19 pandemic. As a result, employers may need to reduce staff hours, or lay off or furlough employees, which may have an impact on benefit eligibility. Many of the decisions individuals will make are time sensitive and employers and brokers may want to help employees understand their options when faced with loss of health plan coverage.
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Categories: Benefits in General, Health Care in General | Tags: COBRA , Marketplace , Subsidy
With open enrollment fast-approaching for many employers, it is a good time to review what materials are necessary for open enrollment and what employer notices are required to distribute and when. Some employer notices are provided when participants first become covered under a health and welfare plan and others have an annual distribution requirement. Make sure you are providing all required notices this open enrollment.
Read More
Categories: Benefits in General, Compliance | Tags: Notice , Compliance , Benefits , SPD , SMM , SBC , SAR , Medicare Part D , Notice of Creditable Coverage , COBRA , HIPAA , CHIP , WHCRA , Wellness , ADA , Grandfathered Plan , Michelle's Law
With open enrollment fast approaching for many employers, it is a good time to review what materials are necessary for open enrollment and what employer notices are required to distribute and when. Some employer notices are provided when participants first become covered under a health and welfare plan and others have an annual distribution requirement.
Read More
Categories: Benefits in General, Compliance | Tags: Employer Notice , SPD , SMM , SAR , Medicare Part D , Notice of Creditable Coverage , COBRA , HIPAA , CHIP , Wellness , Grandfathered Status , WHCRA , Michelle's Law , ADA

When Can You Change the COBRA Rates?

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There are limited times when the employer is permitted to change the premiums for COBRA QBs during the determination period.
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Categories: Compliance, Health Care in General | Tags: COBRA , Determination Period , QB , COBRA Rates

When Do Adult Children Lose Health Coverage?

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This is a multi-faceted answer depending upon the coverage type. Effect March 30, 2010, the Affordable Care Act (ACA) mandated that group health insurance plans provide coverage for employees’ children up to the age of 26.
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Categories: Benefits in General, Health Care Reform, Compliance, Health Care in General | Tags: Adult Child , Code Section 105(b) , COBRA , Permitted Election Change , Loss of Coverage , Age 26 , Parent's Health Plan
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