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Category: News

Wellness Rules Alert

On May 29, 2013 the Department of Health and Human Services, the Internal Revenue Service and the Department of Labor jointly issued a final rule that addresses how wellness programs must operate under PPACA beginning in 2014. In many respects the fina…

Exploring the Difference Between Common PPACA Terms

Do you know the difference between "essential health benefits" and "minimum essential coverage"? How about "minimum value coverage"? Read on and find out!

UBA Launches PPACA Resource Center

United Benefit Advisors (UBA) announces the launch of its compliance solutions aimed at helping employers understand their obligations and opportunities under the Patient Protection and Affordable Care Act (PPACA).

Agencies Propose Strict 90-Day Waiting Period

Federal agencies continue to issue details on the Patient Protection and Affordable Care Act (PPACA). The latest cover eligibility waiting periods, employee notices and claims appeals regulations.

Trusted Tools Can Help You Navigate PPACA

Need help wading through all those provisions and decisions related to the health care reform law? We have the top four resources that can put you on the right track and help you stay compliant.

DOL Issues New FMLA Forms and Notice

The U.S. Department of Labor has released revised model Family and Medical Leave Act (FMLA) forms to administer federal FMLA leave and a notice poster.

Significant Changes for Health Care Providers, Health Plans, and Their Business Associates and Subcontractors in Final HIPAA Privacy Regulations

The U.S. Department of Health and Human Services published its long-awaited final privacy and security regulations under HIPAA.

HHS Issues Proposed Rule on Exchange Liability

The IRS has released proposed rule provides some information on how employers will be notified if an employee applies for a premium subsidy / tax credit and how an employer may appeal a determination of premium subsidy eligibility that it believes is i…

IRS Proposes Regulations for Employer Penalty Under PPACA

The IRS has released proposed regulations on the health care reform employer "shared responsibility" penalty provision.

Correcting Mistakes Can Eliminate Fiduciary Liability

Over the past decade, plan sponsors have become familiar with the voluntary correction programs offered by the IRS and Department
of Labor, including the Service’s Employee Plans Compliance Resolution System (EPCRS) and the DOL’s Voluntary Fiduciary C…

DOL Begins Auditing Group Health Plans for PPACA, GINA, Wellness

The EBSA has updated its audit protocols to include a review of plans’ compliance with the Patient Protection and Affordable Care Act (PPACA), the Genetic Information Nondiscrimination Act (GINA), and wellness programs, in addition to the laundry list …

Losing By Winning: Preventable Expenses

The circumstances behind a recent court decision were typical, and their consequences painfully predictable. Although the plan administrator "won," that victory does not reflect the huge — and entirely unnecessary — cost to the plan sponso…

Failure to Timely Allocate Forfeitures Can Be Costly

Sponsors of 401(k) plans often fail to timely use or allocate forfeitures, thereby potentially disqualifying the plan. Recent IRS audits have revealed a renewed focus on the proper use of forfeitures — making compliance a top priority for plan sponsors.

Court Holds TPA as ERISA Fiduciary

In a somewhat surprising opinion, a Michigan federal trial court recently held that a third-party administrator (TPA) of two self-funded employer health plans was an ERISA fiduciary. As a result, the TPA was held liable for breaching its fiduciary dut…

Same-Sex Couples Still Not ‘Married’ For Federal Tax Purposes

The Internal Revenue Service (IRS) has recently issued guidance, through answers to frequently asked questions (FAQs), clarifying how same-sex couples who are in state-recognized domestic partnerships, civil unions, or marriages should file their feder…

HHS Issues Proposed Rule on Essential Health Benefits and Actuarial Value

The federal government has issued a proposed rule that addresses some of the questions surrounding essential health benefits and determining actuarial and minimum value.

Highlights of New Proposed PPACA Wellness Rules

The federal government has issued a proposed rule that addresses how wellness programs may operate under the health care reform law beginning in 2014.

What Does the Election Mean for Employers?

The "status quo" in Washington D.C. means that health care reform will proceed, and employers must be ready to comply.

2013 Annual Benefit Plan Amounts

Following recent announcements by both the IRS and the Social Security Administration, we now know most of the dollar amounts that employers will need to administer their benefit plans for 2013.

A Costly Mistake: Failing to Timely Offer COBRA Coverage

Sponsors of self-funded health plans often fail to offer COBRA coverage on a timely basis to employees who are placed on a leave of absence. This mistake can lead to a most unpleasant result – the denial of stop loss coverage.