HHS Adjusts Civil Monetary Penalties

Submitted by Compliance Committee Chair Joan Fusco, Chief Compliance Officer at Savoy Associates HHS has announced annual adjustments of civil monetary penalties. The latest adjustments are based on a cost-of-living increase of 2.04%. Here are the highlights: HIPAA Administrative Simplification. HIPAA administrative simplification encompasses standards for privacy, security, breach notification and electronic healthcare transactions. TheContinue reading “HHS Adjusts Civil Monetary Penalties”

Sometimes A Lack of Regulation Creates Problems

Typically, when the federal government announces that it won’t be seeking regulatory action any time soon, both brokers and employer group plan sponsors rejoice. However, in this case, a lack of federal regulatory activity may cause headaches for companies that offer certain kinds of wellness programs, and their advisors. Two federal wellness program regulations fromContinue reading “Sometimes A Lack of Regulation Creates Problems”

IRS Publishes 2018 ACA Employer Reporting Forms and Instructions

Breathe a sigh of relief that the newly published 2018 forms and instructions for employer ACA reporting include no substantive changes. As a result, employers will have a relatively easy time following the now-established routine for the forms. But, the few cosmetic changes to the forms won’t stifle the sighs – or groans – ofContinue reading “IRS Publishes 2018 ACA Employer Reporting Forms and Instructions”

Flexible Spending Accounts – Different Strokes for Different Plans

Flexible spending accounts (FSAs), also called Section 125 plans after the relevant section of the Internal Revenue Code, are commonplace benefits. But, perhaps because they are common, some employers and employees don’t understand some of the regulations that apply to these plans. IRS Publication 969 titled “Health Savings Accounts and Other Tax-Favored Health Plans” isContinue reading “Flexible Spending Accounts – Different Strokes for Different Plans”

Caution if Offering Health Coverage to Non-Employees

A frequent Compliance Corner question asks whether employers can include independent contractors in their health plans or other benefits. The answer to this question is more complicated than one might think. Most benefit experts advise against including independent contractors or other non-employees such as 1099 employees, non-employee directors or leased employees on employer’s benefit plans.Continue reading “Caution if Offering Health Coverage to Non-Employees”

Open Enrollment – Will States See the Silver Lining?

With all of the debate and squabbling about health care costs, there has been a general recognition that individuals who don’t qualify for a subsidy under the ACA have been hard hit by premium increases over the past years. In fact, CMS data released earlier this year indicated that non-subsidized enrollees saw a 20 percentContinue reading “Open Enrollment – Will States See the Silver Lining?”

A Dozen Things to know about the Final Association Health Plan Rule

With publication of the final rule, the Trump administration has breathed new life into an old concept – the association health plan. While the new rule offers a few twists, whether association plans take off may rely on actions taken by the states. Already a number of states have initiated legal action in an attemptContinue reading “A Dozen Things to know about the Final Association Health Plan Rule”

CMS Releases Reminders on Broker Use of Personally Identifiable Information (PII)

CMS released another slide deck to help brokers understand and comply with Marketplace Requirements. The newest deck is titled “Part II: Marketplace Privacy & Security Requirements for Agents and Brokers.” The slide deck addresses the use and protection of Personally Identifiable Information (PII). This latest information updates materials and guidance published last September. PII isContinue reading “CMS Releases Reminders on Broker Use of Personally Identifiable Information (PII)”