Medical Loss Ratio (MLR)
To lower the cost of care, the Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on health care. If an issuer doesn’t … Continued
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To lower the cost of care, the Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on health care. If an issuer doesn’t … Continued
Under the Affordable Care Act (ACA), Applicable Large Employers (ALEs) are vulnerable to one of two potential employer shared responsibility penalty assessments. The “Subsection (a) Penalty” applies where the ALE … Continued
On June 17, 2021, the U.S. Supreme Court rejected the lawsuit filed by 18 states challenging the constitutionality of the Affordable Care Act’s (ACA) individual mandate in a 7-2 ruling. … Continued
On May 5, 2021, the Department of Health and Human Services (HHS) published a second Notice of Benefit and Payment Parameters (NBPP) for 2022. The first final 2022 NBPP was … Continued
Aimed at strengthening the Affordable Care Act (ACA) and Medicaid, President Biden signed an executive order on January 28 that directs the Department of Health and Human Services (HHS) to … Continued
The Internal Revenue Service (IRS) has released the adjusted Patient-Centered Outcomes Research Institute (PCORI) fee for 2021. As such, for plan years beginning on or after October 1, 2020 and … Continued
On October 27, 2020, the Internal Revenue Service (IRS) announced the 2021 Flexible Spending Account (FSA) dollar limits. For 2021, there will be no change to the amount that an … Continued
On October 2, 2020, the Internal Revenue Service (IRS) issued Notice 2020-76 that extends the 2020 Section 6055 and 6056 filing date from February 1, 2021 to March 2, 2021, … Continued
The Affordable Care Act (ACA) establishes under Section 4980H penalties for applicable large employers (ALEs), i.e., those with 50 or more full-time employees (FTEs) who do not: Offer coverage that … Continued
Open enrollment for the 2021 plan year is fast approaching and it is important for employers to be aware of the regulatory requirements and actions that need to be followed … Continued