Compliance Monthly Update: March 2025
A brief update on what happened the prior month in group health plan compliance at the state, local, and federal level in March 2025.
Compliance Monthly Update: February 2025
A brief update on what happened the prior month in group health plan compliance at the state, local, and federal level in February 2025.
New ERISA Class Actions Zero in on Group Health Plan Fiduciary Obligations: 10 Best Practices for Employers
ERISA class action lawsuits against retirement plan fiduciaries have become commonplace over the last few decades. See 10 best practices for what employers can do about it.
Mental Health Parity: Final Rules Expand Group Health Plan Compliance Requirements
Learn more about the DOL, HHS, and IRS final rules released, focusing on nonquantitative treatment limitations (NQTLs) and the written comparative analysis requirement that was previously established under the CAA, 2021 in this article.
Compliance Monthly Update: January 2025
A brief update on what happened the prior month in group health plan compliance at the state, local, and federal level in January 2025.
Transparency: Prescription Drug Data Collection (RxDC) Reporting
Under the Consolidated Appropriations Act (CAA) of 2021, group health plans and health insurance issuers must annually submit detailed informational reports on prescription drug and health care spending to the DOL, HHS and IRS…
State-Specific Individual Mandate Rules and Annual Information Reporting Requirements
GBS ACA Compliance State-Specific Individual Mandate Rules and Annual Information Reporting Requirements California, Massachusetts, New Jersey, Rhode Island, Vermont, and the District of Columbia (DC) have state-specific Individual Mandate requirements and associated annual reporting requirements that largely mirror the Affordable Care Act (ACA) 6055 provisions. Some of these state requirements are in response to the…
Individual Coverage Health Reimbursement Accounts (ICHRA)
Learn more about Individual Coverage Health Reimbursement Accounts (ICHRA) in this article.
Federal Agencies Withdraw More Proposed Changes to ACA’s Contraceptive Coverage Mandate
Federal Agencies withdraw more proposed changes to ACA’s Contraceptive Coverage Mandate. The Departments noted that they are withdrawing the proposed changes to focus on other matters at this time, learn more in this article.
Transparency: Gag Clause Removal & Attestations
The CAA added a significant number of new provisions and compliance obligations to insurers/group health plans to promote more transparency.
ACA: Form 1094/1095 Reporting on 2024 Calendar Year
Navigate essential end-of-year ACA Form 1094/1095 reporting with Health Benefits Compliance Attorney, Susan Grassli, as she discusses common questions, updates, pitfalls, and more.
Compliance Monthly Update: December 2024
A brief update on what happened the prior month in group health plan compliance at the state, local, and federal level in December 2024.
Two ACA 1094/1095 Changes That Impact 1094/1095 Reporting
On December 17, 2024 Congress passed two laws that would make changes to Affordable Care Act (ACA) 1094/1095 reporting rules.
Compliance Monthly Update: November 2024
A brief update on what happened the prior month in group health plan compliance at the state, local, and federal level in November 2024.
PCORI Fee is Due By July 31 Each Year
Self & Level Funded Plan Sponsors Must Submit PCORI Fee By July 31 Each Year, effective through 2029. Learn more here.