Archive by tag: CMSReturn
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Last week, the Centers for Medicare & Medicaid Services (CMS) issued the final rule (Final Rule) on Market Stabilization under the Affordable Care Act (ACA). The Final Rule aims to lower insurance premiums, stabilize individual and small group markets, reduce fraud, waste and abuse, promote continuous coverage, empower states, reduce duplication of efforts between the states and federal government and increase the number of health insurance plans and plan choices available to consumers in the M...
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Categories: Health Care Reform, Compliance, Health Care in General | Tags: CMS , Market Stability , ACA , Affordable Care Act , AV Calculator , qualified health plan , stabilization , health insurance , Marketplace
The Centers for Medicare & Medicaid Services recently issued a proposed rule for 2018 which would institute new reforms aimed at stabilizing the individual and small group health insurance markets.
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Categories: Health Care Reform | Tags: CMS , health insurance

CMS and HHS Releases Final Rules and Guidance

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On December 16, 2016, the Centers for Medicare and Medicaid Services (CMS) finalized the Benefit and Payment Parameters rule for 2018 and posted a fact sheet that summarizes some of the key details.
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Categories: Health Care Reform, Compliance, Health Care in General | Tags: ACA , HHS , OOP Limits , CMS

Transitional Reinsurance Fee Deadlines Approaches

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For 2016, the enrollment count submission is due by Tuesday November 15. In addition, for Plan Sponsors making the second of two installments for 2015, the fee is due Tuesday November 15.
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Categories: Health Care Reform, Compliance | Tags: Transitional Reinsurance Fee , Fee , CMS , ACA

Medicare Part D Notice Deadline Approaching Soon

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Prior to the Medicare Part D annual enrollment period and no later than October 14, 2016, employers that provide prescription drug coverage must provide a notice of creditable or non-creditable coverage to Medicare-eligible individuals.
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Categories: Compliance, Health Care in General | Tags: Medicare Part D , CMS , DOL , Notice

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
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
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