Recent Department of Labor penalties highlight the risks of improper tobacco-use surcharges in group health plans.
Tobacco-use Surcharges Result In DOL Investigation,
Mental Health Parity Final Rules Released: What Group Health Plans Need to Know
Explore the recently released Final Rules under the Mental Health Parity and Addiction Equity Act (MHPAEA) for 2025.
IRS Releases ACA Affordability Rates for 2025
The ACA affordability threshold for 2025 rises to 9.02%, impacting employer penalties and employee contributions for health coverage.
Massachusetts Health Plan Coverage & Reporting Requirements: What Employers Need to Know
Employers with Massachusetts residents must provide Form 1099-HC and complete HIRD reporting by the state’s deadlines to avoid penalties.
Group Health Plan Gag Clause Attestation 2024 Submission Reference Guide
Employers must submit their 2024 Gag Clause Prohibition Compliance Attestation by December 31 to avoid penalties.
HHS Increases Penalties
for 2024
HHS has announced inflation-adjusted penalties for HIPAA and Medicare Secondary Payer violations, effective August 8, 2024.
Medicare Part D
Creditable Coverage –
Changes & Challenges for 2025
The Inflation Reduction Act of 2022 (IRA), includes several cost-reduction provisions affecting Medicare Part D plans.
Pregnant Workers Fairness Act (PWFA) Final Rule Highlights
The EEOC’s final rule for the Pregnant Workers Fairness Act, effective June 18, 2024, offers detailed guidance for employer compliance.
New Group Health Plan Fiduciary Lawsuit
Draws Attention
Explore landmark health plan fiduciary litigation as class action targets Johnson & Johnson for ERISA breach. Learn more here:
Updated CMS Instructions Released for 2023
RxDC Reporting
The Centers for Medicare and Medicaid Services (CMS) recently released updated RxDC reporting instructions for the 2023 reference year.