United Benefit Advisors Insight and Analysis Blog

DOL Issues Updated Medicaid / CHIP Model Notice

Posted by: Karen Hsu    Oct 10, 2019 10:36:48 AM

The Department of Labor (DOL) issued an updated Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP) Model Notice. Employers should distribute the updated model notice before the start of the plan year if they have any employees in a state listed in the notice.

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Topics: DOL, CHIP, compliance recap

CMS Requires Prescription Drug Coverage Reporting under Section 111 MSP Reporting

Posted by: Karen Hsu    Oct 3, 2019 9:18:00 AM

The Centers for Medicare and Medicaid Services (CMS) revised its Section 111 Medicare Secondary Payer (MSP) User Guide and issued FAQs that require responsible reporting entities (RREs) to submit primary prescription drug coverage information as part of their Section 111 MSP Mandatory reporting requirements effective January 1, 2020.

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Topics: prescription drug coverage, compliance recap

IRS Releases Private Letter Ruling Regarding Section 213(d) Medical Care Expenses

Posted by: Karen Hsu    Sep 24, 2019 10:15:00 AM

The Internal Revenue Service (IRS) released a private letter ruling (Letter) regarding whether the price of a DNA collection kit – specifically services and reports related to a person’s health that are generated from analyzing the collected DNA – qualify as Section 213(d) medical care expenses.

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Topics: IRS, compliance recap, DNA Collection Kit, Medical Care Expenses

DOL Issues Advisory Opinion on Intermittent FMLA Leave

Posted by: Karen Hsu    Sep 13, 2019 11:00:00 AM

The Department of Labor (DOL) issued an advisory opinion regarding whether an employee may take intermittent leave under the Family and Medical Leave Act (FMLA) to attend special education meetings with a speech pathologist, school psychologist, and occupational therapist to discuss the employee’s children’s individualized education programs.

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Topics: FMLA, compliance recap, Individualized Education Programs

Treasury, DOL, and HHS Issue FAQs on Enforcement of Final 2020 Benefit and Parameters Rule

Posted by: Karen Hsu    Sep 6, 2019 3:52:44 PM

On August 26, 2019, the Treasury, Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, the Departments) issued FAQs About Affordable Care Act Implementation Part 40 (FAQs) regarding enforcement of the final rule.

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Topics: HHS, DOL, compliance recap

IRS Releases the Indexed 2020 Affordability Percentage

Posted by: Karen Hsu    Aug 28, 2019 3:30:00 PM

The IRS released Notice 2019-29 that adjusts the affordability percentage for 2020.

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Topics: IRS, Internal Revenue Service, compliance recap

IRS Expands Benefits That Can Be Provided Before HDHP Annual Minimum Deductible Is Met

Posted by: Karen Hsu    Aug 20, 2019 8:30:00 AM

The Internal Revenue Service (IRS) released a notice, effective on July 17, 2019, that expanded the list of preventive care benefits that a high deductible health plan (HDHP) can provide without a deductible or with a deductible below the annual minimum deductible.

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Topics: Internal Revenue Service, compliance recap

USPSTF Issues a Final Recommendation Giving PrEP an “A” Rating

Posted by: Karen Hsu    Aug 14, 2019 9:30:00 AM

The U.S. Preventive Services Task Force (USPSTF) published a final recommendation that gives an “A” rating to preexposure prophylaxis (PrEP) treatment. This means that the USPSTF recommends offering PrEP with effective antiretroviral therapy to people at high risk of HIV acquisition.

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Topics: compliance, HR compliance, compliance recap

IRS Issues Specifications for Employer-Provided Substitute ACA Forms

Posted by: Karen Hsu    Dec 20, 2018 12:52:11 PM

The Internal Revenue Service (IRS) issued Publication 5223 General Rules and Specifications for Affordable Care Act Substitute Forms 1095-A, 1094-B, 1095-B, 1094-C, and 1095-C that describes how employers may prepare substitute forms to furnish ACA reporting information to individuals and the IRS.

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Topics: IRS Form 1095, IRS Form 1094, IRS reporting, compliance recap

IRS Extends Due Date to Furnish ACA Forms to Participants and Provides Good Faith Penalty Relief

Posted by: Karen Hsu    Dec 11, 2018 1:12:23 PM

The Internal Revenue Service (IRS) issued Notice 2018-94 to extend the due date to furnish 2018 Forms 1095-B and 1095-C to individuals. The due date moves from January 31, 2019, to March 4, 2019.

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Topics: extended, Form 1095-B, Form 1095-C, compliance recap