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For purposes of the Health Care Flexible Spending Account (FSA), medical expenses are incurred when the employee (or the employee’s spouse or dependents) is provided with the medical care that gives rise to the medical expenses, and not when the employee is billed, charged for, or pays for the medical care. The only exception to this rule is orthodontia expenses that are reimbursed based upon contract payments for ongoing service. This means we have to pay special attention to dates when expens...
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Categories: Benefits in General, Compliance | Tags: Health FSA , Medical Expense , IRS Code Section 1.125-6 , Substantiation , Incurred Date , FSA , Flexible Spending Account

Consumer Driven Health Care Activity on the Hill

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The House Ways and Means Committee marked up several bills mid-July that would raise contribution limits for health savings accounts (HSAs) and expand the allowable uses of these accounts, at a cost of $41 billion over ten years, the Joint Committee on Taxation (JCT) estimates. Collectively all the bills would cost an estimated $92 billion over the next ten years.
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Categories: Benefits in General, Health Care Reform, Compliance, Health Care in General | Tags: HSA , Health Savings Accounts , FSA , Flexible Spending Account , OTC , Internal Revenue Code , Medicare and HSA eligibility , Premium Tax Credit , Medical Device Tax , Cadillac Tax , IRS , ACA , HDHP

Health Savings Account (HSA) Eligibility Rules

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HSAs continue to grow in popularity. So why doesn’t everyone open an HSA? To be HSA eligible, you must meet certain requirements. So exactly who is eligible to establish an HSA account and make an HSA contribution or have a contribution made on his/her behalf (e.g., by an employer)?
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Categories: Benefits in General, Compliance | Tags: HSA , Health Savings Account , FSA , Flexible Spending Accout , HSA eligibility , IRS , Disqualifying coverage , Permitted Coverage , Minimum Deductible , Maximum OOP , 2019 HSA limits , 2018 HSA Limits
Failure to file or failure to file required Form 5500s on time can prove to be costly for an employer as daily penalties are assessed for late or missing filings.
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Categories: Benefits in General, Compliance, Health Care in General | Tags: IRS , Form 5500 , Form 5558 , DFVCP , Delinquent Filers , Penalties

5500 Filing Season Heating Up

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July is a big month for Form 5500 filing. An employer that has health and welfare benefit plans that have 100 or more participants on the 1st day of the plan year will have a filing deadline seven months from the end of the plan year, which is July 31st for calendar year plans.
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Categories: Benefits in General, Compliance, Health Care in General | Tags: Form 5500 , Form 5558 , IRS , ERISA

Final Rule on Association Health Plans Released

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June 19, 2018, the Department of Labor (DOL), after considering over 900 comments on the proposed rule released a final new rule for association health plans (AHPs) and launched a webpage on AHPs. AHPs are group health plans that employer groups and associations offer to provide health coverage for their members’ employees. This new rule will provide additional ways for employers to get health coverage from AHPs.
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Categories: Benefits in General, Health Care in General | Tags: AHP , Health Plan , Association Health Plans , Executive Order

Workplace Benefit Surveys Released

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The Employee Benefit Research Institute (EBRI)/Greenwald & Associates Health and Voluntary Workplace Benefits Survey recently released “studies a wide array of topics related to employee benefits including employees’ knowledge of their benefits, confidence in making benefit decisions and satisfaction with their benefits package.”
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Categories: Benefits in General, Health Care Reform, Health Care in General | Tags: EBRI , National Health Interview Survey for 2017 , HSA , Consumer directed healthcare , employer sponsored health plan , health plan , voluntary benefits , workplace benefits , satisfaction survey

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

HHS Finalizes Several 2019 ACA Plan Parameters

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The Department of Health and Human Services (HHS) has finalized maximum out of pocket limits for in-network essential health benefit (EHB) services covered by a health plan for 2019 at $7,900 for single coverage and $15,800 for any coverage other than single plan.
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Categories: Health Care Reform, Compliance, Health Care in General | Tags: ACA , Employer Shared Responsibility , Affordability , HDHP , Out of pocket maximum , EHB , Essential Health Benefits

IRS Releases Updated Form 720 for PCOR Fees

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The IRS has released a revision to the IRS Form 720 and Form 720 instructions that can be used for the PCOR fees due by July 31, 2018.
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Categories: Health Care Reform, Compliance | Tags: PCOR Fee , Patient Centered Outcome Research Fee , July 31 , IRS Form 720 , HRA