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The Equal Employment Opportunity Commission released final rules on May 17, 2016 amending both the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act of 2008 (GINA) to further clarify the effect of those laws on workplace wellness programs. This guidance provides welcome assistance to the increasing number of employers that are offering wellness programs to promote health and reduce health care costs for their employees.
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Categories: Compliance, Health Care in General | Tags: HHS , Wellness , EEOC , ADA , GINA

Medicare Entitlement Affects HSA Eligibility

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Medicare entitlement (covered by Medicare) affects an individual’s eligibility to make or receive health savings account (HSA) contributions. Understanding the difference between being eligible for Medicare and being entitled to Medicare is critical to understanding when the individual can no longer make or receive HSA contributions.
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Categories: Compliance | Tags: HSA , Medicare
The IRS recently issued three Information Letters that confirm three fundamental rules pertaining to reimbursements made to participants in a Code Section 125 cafeteria plan.
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Categories: Compliance | Tags: IRS , FSA , Premium

IRS Announces 2017 HSA and HDHP Limits

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In IRS Revenue Procedure 2016-28, the IRS has announced the annual HSA contribution limits and HDHP minimum deductible and maximum out-of-pocket limits that will apply in 2017.
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Categories: Health Care Reform, Compliance | Tags: IRS , HHS , HDHP , HSA

DOL Publishes Guide and Poster for FMLA

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The Department of Labor (DOL) has announced two new documents for employers to use regarding their obligations under and administration of the Family and Medical Leave Act (FMLA); an Employer’s Guide to FMLA and a new FMLA General Notice poster.
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Categories: Benefits in General, Compliance | Tags: FMLA , DOL

2017 Affordability Safe Harbor Announced

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The IRS has announced that applicable large employers (ALEs) can use 9.69% of any of the three safe harbors when calculating the affordability of their group health plan for their full time employees when reporting 2017 coverage in early 2018.
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Categories: Health Care Reform, Compliance | Tags: IRS , ALE , Affordable , Reporting , Affordability , Play or Pay

What Should an ALE do with a Marketplace Notice?

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Applicable Large Employers (ALEs) should familiarize themselves with the steps to take if they receive a Section 1411 notice from the Health Insurance Marketplace (aka Exchange) that an employee has received a premium tax credit (subsidy) for the health insurance they purchased through the Marketplace.
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Categories: Health Care Reform, Compliance | Tags: Play or Pay , Penalty , 1411 , CMS , IRS

HIPAA Audits Phase 2 Rolled Out by OCR

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The Health and Human Services (HHS) Office for Civil Rights (OCR) recently announced it has begun Phase 2 of HIPAA audit. OCR has begun releasing initial emails looking for contact information to identify covered entities and business associates of various types. Once contact information is obtained, OCR will then transmit a pre-audit questionnaire to gather data about the size, type, and operations, which will be used to create the pool used to select who will be audited.
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Categories: Compliance, Health Care in General | Tags: HIPAA , HHS , Health Care , OCR

Agencies Announce New SBC Effective Date

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The comment period on the new Summary of Benefits and Coverage (SBC) in now closed. The agencies plan to move quickly to review comments and finalize the SBC template. According to the FAQs about Affordable Care Act Implementation (Part 30), the effective date of the SBC Template is as follows: “The Departments intend that health plans and issuers that maintain an annual open enrollment period will be required to use the new SBC template and associated documents beginning on the first day of...
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Categories: Health Care Reform, Compliance | Tags: SBC , IRS , ACA

Penalties Steep for Late or Incorrect 1095-C

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The deadline for applicable large employers (ALEs) to furnish a Form 1095-C to each of their full time employees is March 31, 2016. Although the IRS has granted relief from penalties for late or incorrect Forms this year, Forms that are furnished late or are incorrect for 2016 coverage are subject to a $250 penalty per late or incorrect Form to a maximum of 3 million dollars when provided in 2017.
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Categories: Health Care Reform, Compliance | Tags: IRS , 1095-C , Penalty , ALE
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