• Compliance Alert: IRS Updates Employer Mandate FAQs, Indicates that Penalty Letters are Imminent

    11/20/2017 | ProSential Group

    The Internal Revenue Service (IRS) has updated its list of frequently asked questions (FAQs) on the Affordable Care Act’s employer shared responsibility provisions – also known as the “pay or play” mandate. In particular, questions 55 through 58 provide guidance for employers who may be subject to shared responsibility payments. The FAQs indicate that the IRS will begin sending penalty letters to applicable large employers (ALEs) that owe penalties for calendar year 2015 “in late 2017.” Around this time last year, the IRS had indicated that penalty letters for 2015 would be coming “in early 2017;” however, those letters never materialized. Based on the latest update to its FAQs, it appears that the IRS has worked out the kinks in its systems and is prepared to begin sending penalty letters.

    This alert is of interest to all applicable large employers (generally, those with 50 or more full-time equivalent employees on average in the prior calendar year).


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  • Compliance Alert: IRS Increases Health FSA Contribution Limit for 2018

    11/03/2017 | ProSential Group

    On October 20, 2017, the Internal Revenue Service (IRS) released Revenue Procedure 2017-58, which raises the health Flexible Spending Account (FSA) salary reduction contribution limit by $50 to $2,650 for plan years beginning in 2018. The Revenue Procedure also contains the cost-of-living adjustments that apply to dollar limitations in certain sections of the Internal Revenue Code. The following summarizes other adjustments relevant to individuals and employer sponsors of welfare and fringe benefit plans.

    This alert is of interest to all employers that sponsor health FSAs and other welfare and fringe benefit plans.

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  • Compliance Alert: Trump Administration Releases Guidance on ACA's Contraceptive Coverage Mandate

    10/20/2017 | ProSential Group

    On October 6th 2017, The U.S. Departments of Health and Human Service (HHS), Treasury, and Labor (the "Departments") released interim final regulations allowing employers and insurance companies to decline to cover contraceptives under their health plans based on a religious or moral objection. The new rules, which are effective immediatley, scale back Obama-era regulations under the Affordable Care Act (ACA) that require non-grandfathered group health plans to cover women's contraceptives with no cost-sharing, with limited exceptions for non-profit religious organizations or closely-held for-profit entities.

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  • Compliance Alert: Trump Administration Releases Executive Order on ACA

    10/18/2017 | ProSential Group

    This alert addresses the actions taken by the Trump administration last Thursday. First, the Executive Order calling for the expanded availability of association health plans, short-term insurance plans, and health reimbursement arrangements (HRAs). It also covers the President's announcement that the government will no longer be reimbursing insurance carriers for cost-sharing reduction (CSR) payments made in connection with Marketplace plans. The Executive Order has no immediate effect as it simply directs other agencies to begin drafting rules; however, the cessation of cost-sharing reduction payments is effective immediately and will halt the upcoming October 18, 2017 payment unless a court intervenes or Congress appropriates the funding.

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  • 60 Years of Success

    09/25/2017 | The Fedeli Group

    Great Lakes Cheese partners with The Fedeli Group to offer benefits that attract and retain employees

    You may not know Great Lakes Cheese by name, but you’ve likely tasted their products. Great Lakes Cheese, based in Hiram, Ohio, supplies 25 percent of all of the packaged cheese consumed in America. 

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  • Final EEOC Employer Program Wellness Rules

    09/21/2017 | Mary Gonsowski

    On May 17, 2016, the Equal Employment Opportunity Commission (EEOC) issued final regulations on employer wellness programs in order to coordinate several federal laws, including the Americans with Disabilities Act (ADA) and Genetic Information Nondiscrimination Act (GINA).  As more and more employers implement wellness programs in an effort to control their health care costs, the EEOC has raised concerns that such programs are not truly voluntary and may negatively impact employee protections under the ADA and GINA.  According to the EEOC, the new rules “seek to ensure that wellness programs actually promote good health and are not just used to collect or sell sensitive medical information about employees and family members or to impermissibly shift health insurance costs to them.”

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  • If you have employees in New York, prepare now for New York Paid Family Leave Law

    09/13/2017 | The Fedeli Group

    Effective January 1, 2018, employers that provide the Disability Benefits Law coverage to New York-based employees will also be required to provide Paid Family Leave coverage.

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  • Reminder: PCORI Fee Due July 31

    06/01/2017 | Mary Gonsowski & Dan Mackewicz

    The PCORI Fee for the 2016 plan year is due on July 31, 2017. The fee is filed on IRS Form 720; Quarterly Federal Excise Tax Return. The fee may be filed electronically or mailed to the IRS. For fully insured plans, the health insurance issuer will pay the fee. Employers with self-funded plans are generally responsible for paying the fee themselves, although some TPAs will collect and file the fee on employers’ behalf. Fully insured employers who also have an HRA are responsible for paying the fee levied on the HRA.

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  • FMLA "To Do" Checklist - Policies, Procedures, Compliance

    05/02/2017 | Mary Kay Wagner

    The Federal Family and Medical Leave Act (FMLA) is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons. With the complexity of the administration of FMLA, now is a good time to make sure your policies and forms are up to date.

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  • House Republicans Pass American Health Care Act; Bill Heads to Senate for Further Consideration

    05/01/2017 | The Fedeli Group

    On Thursday, May 4, by a vote of 217 to 213 (with 20 Republicans voting against the bill), the U.S. House of Representatives passed an amended version of the American Health Care Act (AHCA), which repeals and replaces significant portions of the Affordable Care Act (ACA). The bill now moves to the Senate where significant changes and roadblocks are sure to happen. Under its current form, AHCA repeals the employer mandate penalties. 

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