This quick reference guide provides an overview of qualifying life events that allow you to change your benefits elections outside of the standard enrollment period.
Employers sponsoring group health plans have some flexibility when deciding which groups of employees and dependents will be eligible for coverage. It's important to understand and adhere to these eligibility requirements when creating plans.
Employers should be aware of the top compliance issues that impact their health plan coverage for 2024, such as plan transparency requirements, ongoing ACA litigation, possible expansion of ACA’s contraceptive coverage mandate or proposed legislation at state and federal levels to regulate pharmacy benefit managers (PBMs).
Employers subject to Affordable Care Act (ACA) reporting under Internal Revenue Code Sections 6055 or 6056 should prepare to comply with reporting deadlines in early 2024.
CAA prohibits group health plans and health insurance carriers from entering into agreements with providers, TPAs, or other service providers that include language that would constitute a “gag clause.” Plans and issuers must annually submit an attestation of compliance with these requirements. The first attestation is due December 31, 2023.
When it comes to employee benefits, proper communication helps employees recognize the true value of their benefits, which can lead to an appreciation of the company’s investment in their health and well-being.
Learn how employers can kick off open enrollment efforts, including offering competitive benefits to meet workforce needs, crafting employee messaging and effectively communicating benefits offerings.
There are many advantages to selecting an HDHP/HSA option at open enrollment time. However, many employees may not be aware of these advantages or understand how the HSA rules apply to them.
When transitioning from fully insured to a self-insured health plan, the employer takes on more financial risk and responsibility, including compliance changes, in exchange for added transparency and flexibility.
The IRS has again significantly decreased the affordability percentage from 9.12% in 2023 to 8.39% for 2024. As a result, many employers may have to substantially lower their employee contributions for 2024 to meet the adjusted percentage.
The secret to a smooth and successful open enrollment? Early and frequent communication. We've put together an ideal enrollment timeline to set you up for your best open enrollment yet.
Telemedicine allows people to seek basic care and other services all from the comfort of their own homes. Telemedicine is more convenient, efficient and often a less expensive way to receive health care.