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
Employers often wonder how long they are required to retain certain records relating to their employee health and welfare benefit plans. For plans subject to the Employee Retirement Income Security … Continued
At the beginning of the pandemic last spring, the IRS and DOL released extensions and relief for certain benefit plan deadlines. This relief targeted participant deadlines with respect to HIPAA, … Continued
On June 10, 2020, the Internal Revenue Service (IRS) issued proposed regulations concerning payments made to direct primary care arrangements, health care sharing ministries, and certain other medical care arrangements … Continued
ERISA requires that group health plans comply with qualified medical child support orders (QMSCO). A QMCSO is a court order issued by a state administrative agency requiring an alternate beneficiary … Continued
On April 28, 2020, the Departments of Labor (DOL) and the Treasury (USDT) issued a final rule extending the required deadlines for various health and benefit plan requirements such as: … Continued
At the outset, employers should have two main objectives regarding their group health plan’s eligibility provisions: (1) drafting clear plans and policies to reflect their intended eligibility rules, and (2)administering … Continued
Employers offer wellness plans for a number of reasons, but the main reasons are often to contain health care costs and to encourage employees to improve their health and prevent … Continued
Forty years ago, Congress passed the Revenue Act of 1978 and added a single paragraph marked “(k)” to another wise yet obscure section of the Internal Revenue Code. The real … Continued
The attached Benefits Bulletin provides a high-level overview of the Employee Retirement Income Security Act of 1974 (ERISA) Form 5500 filing process.