Blog

  • Medical Loss Ratio Rebates Coming Soon To Plan Sponsors

    08/08/2018 | ProSential

    BLOG-MLR-8-8-18-(1).jpgThe Affordable Care Act's medical loss ratio (MLR) rules require group health insurance issuers to provide rebates if their MLR—the percentage of health insurance premiums spent on health care and activities to improve health care quality—falls short of the applicable standard during a reporting year. Each year's rebates must be issued to plan sponsors by September 30 of the following year. As a result, plan sponsors should be looking for these rebates to arrive in the coming weeks.


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  • Form I-9 Audits Up Dramatically Since October

    07/19/2018 | ProSential

    101862862.jpgFrom October 1, 2017-May 4, 2018, U.S. Immigration and Customs Enforcement (ICE) conducted 2,282 Form I-9 audits, up from 1,360 audits from October 1, 2016-September 30, 2017. Given this dramatic increase, employers should take a moment to ensure that their Form I-9 compliance practices meet federal requirements. Businesses that fail to comply with these requirements are subject to penalties of up to $2,236 per violation.


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  • Form 5500 Filing Deadline for Many Health Plans is July 31st

    07/19/2018 | ProSential

    104351920.jpgGroup health plan administrators are reminded that Form 5500 must be filed with the U.S. Department of Labor (DOL) by the last day of the seventh month after the plan year ends. For calendar-year plans, that due date falls on July 31.


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  • IRS Releases 2019 HSA Contribution Limits and HDHP Deductible and Out-of-Pocket Limits

    07/11/2018 | Marathas Barrow Weatherhead Lent

    In Rev. Proc. 2018-30, the IRS released the inflation adjusted amounts for 2019 relevant to HSAs and high deductible health plans (HDHPs). The ACA’s out-of-pocket limits for in-network essential health benefits have also been announced and have increased for 2019.


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  • 9 Things in the Farm Bill That Affect (Almost) Every American

    07/11/2018 | U.S. News

    DIGEST-6-18-Farmers-Bill-Wellness.jpgTrying to watch what you eat? Keep an eye on the New Farm Bill drafted by the House. This legislation aims to change organic food regulations, reduce sugar reform, roll back Obama-era school lunch laws and allow higher levels of pesticides on our foods.


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  • Active Shooter Coverage Making Its Way to the Marketplace

    07/11/2018 | Amanda Ede

    According to The Gun Violence Archive, 346 mass shootings occurred in 2017, causing the issue to catch the attention of risk managers as more entities scramble to deal with the aftermath, states Caroline McDonald, a writer for Risk Management Magazine. While there are many different insurance products that could potentially provide coverage after a shooting—Workers Compensation, General Liability, and Property, for example—companies may still face devastating gaps in their coverage.


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  • IRS Issues Affordability Percentage Adjustment for 2019

    07/11/2018 | Marathas Barrow Weatherhead Lent

    In Rev. Proc. 2018-34, the IRS released the inflation adjusted amounts for 2019 relevant to determining whether employer-sponsored coverage is “affordable” for purposes of the Affordable Care Act’s (“ACA’s”) employer shared responsibility provisions and premium tax credit program. As shown in the table below, for plan years beginning in 2019, the affordability percentage is 9.86% of an employee’s household income or applicable safe harbor.


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  • PCORI Fees Due By July 31, 2018

    07/11/2018 | Marathas Barrow Weatherhead Lent

    BLOG-6-18-PCORI-(1).jpgEmployers that sponsor self-insured group health plans, including health reimbursement arrangements (HRAs), should keep in mind the upcoming July 31, 2018 deadline for paying fees that fund the Patient-Centered Outcomes Research Institute (PCORI).


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  • IRS Addresses Complications with HSA and Male Sterilization/Contraceptives

    05/30/2018 | United Healthcare

    By 2020, the IRS stated that in certain states where the state requires coverage of male sterilization or male contraceptives, men will not be able to contribute to an HSA. This is because the plans that cover these services won’t meet the definition of a High Deductible Health Plan (HDHP). For more information on male sterilization’s impact on HSAs, click on the link below.


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  • Agencies Issue Guidance on Mental Health Parity Issues, Signal Enhanced Enforcement

    05/23/2018 | ProSential

    Washington-DC-(3).jpegOn April 23, 2018, the Departments of Labor, Treasury, and Health and Human Services released several pieces of guidance on issues arising under the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), including 2017 enforcement actions, guidance on mental health parity implementation, and an action plan for enhanced enforcement in 2018.
     


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