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The IRS has published a Q&A clarifying why insurers are requesting the Social Security numbers of covered participants and their spouses and dependents. The Q&A states that if an individual fails to provide the SSNs that are requested by the insurer that the participant could receive a notice from the IRS that they are liable for the individual shared responsibility payment for not having health coverage.
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Categories: Health Care Reform, Compliance | Tags: Reporting , CMS , 1095-B
Section 1411 of the Affordable Care Act (ACA) establishes the procedures for determining an individual’s eligibility for subsidies from the Health Insurance Marketplace (aka Exchange). Under Treasury Department regulation, a Section 1411 Certification is the certification to an employer that an employee has enrolled in a qualified health plan through the Exchange and been provided a subsidy.
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Categories: Health Care Reform, Compliance | Tags: 1094-C , 1095-C , Report , penalty

CMS Clarifies Cost Sharing Limits for HDHPs

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CMS has clarified, in a Q&A, that high deductible health plans (HDHPs) cannot impose cost sharing for any individual covered by the HDHP that exceeds the individual cost sharing limits established under health care reform. For 2015, the individual cost sharing limit is $6,600.
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Categories: Health Care Reform, Compliance | Tags: HDHP , Limit , Cost Sharing

Court Finds Premium Increase is COBRA Event

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A federal court for the district of Maryland has ruled in favor of two former employees that they should have been offered COBRA when their employer charged them the entire premium to continue coverage while suspended.
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Categories: Benefits in General, Compliance | Tags: COBRA

DOL Clarifies Same-Sex Spousal FMLA Rights

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Last week, the DOL issued a Final Rule regarding the definition of "spouse" under the Family and Medical Leave Act (FMLA) effective March 27, 2015. Employers and human resources consultants will want to be aware of the changes the Final Rule makes to prior guidance on the application of FMLA for same-sex spouses.
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Categories: Benefits in General, Compliance | Tags: same sex , fmla
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