Tag: Compliance
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ACA Compliance for 2027: An Employer’s Guide
The Affordable Care Act (ACA) continues to impact employer-sponsored health plans through annual updates to cost-sharing limits, reporting requirements, affordability thresholds and preventive care guidelines. Use this checklist to review key ACA requirements for the 2027 plan year and update plan documents, employee communications and compliance procedures as needed. Plan Design ☐ Review Out-of-Pocket Limits…
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Compliance Recap October 2023
ADJUSTED CIVIL PENALTIES The U.S. Department of Health and Human Services (HHS) has recently announced adjustments to civil penalties related to violations of the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Secondary Payer (MSP) rules. These penalty adjustments take into account inflation and are applicable to violations…
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Compliance Recap May 2023
CLAIMS SUBSTANTIATION FOR PAYMENT OR REIMBURSEMENT OF MEDICAL AND DEPENDENT CARE EXPENSES A memorandum released by the IRS Chief Counsel responds to a request for assistance regarding the reimbursement of medical and dependent care expenses. Addressed is whether reimbursements of medical expenses from a health flexible spending arrangement (FSA) provided in a cafeteria plan should…
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Compliance Recap April 2023
2024 BENEFIT PARAMETERS FOR MEDICARE PART D CREDITABLE COVERAGE DISCLOSURES ANNOUNCED The Centers for Medicare and Medicaid Services (CMS) released a Fact Sheet announcing the 2024 benefit parameters for Medicare Part D. These factors are used to determine the actuarial value of defined standard Medicare Part D coverage under CMS guidelines. Each year, Medicare Part D requires…
