United Benefit Advisors Insight and Analysis Blog

District Court Vacates Parts of ACA Section 1557 Nondiscrimination Rule

Posted by: Karen Hsu    Nov 21, 2019 8:29:00 AM

As background, the Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation in, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department of Health and Human Services (HHS), on the basis of race, color, national origin, sex, age, or disability. The current rule applies to any program administered by HHS or any health program or activity administered by an entity established under Title I of the ACA. These applicable entities are “covered entities” and include a broad array of providers, employers, and facilities. On May 13, 2016, the Department of Health and Human Services (HHS) issued a final rule (current rule) implementing Section 1557, which took effect on July 18, 2016.

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Topics: ACA, HHS, ACA Section 1557, compliance recap

DOL, HHS, and Treasury Release Final FAQs on Mental Health / Substance Use Disorder Parity

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

The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”) released final FAQs About Mental Health and Substance Use Disorder Parity Implementation and the 21st Century Cures Act Part 39. The Departments respond to FAQs as part of implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), as amended by the Patient Protection and Affordable Care Act (ACA) and the 21st Century Cures Act (Cures Act). The FAQs contain a model disclosure form that employees can use to request information from their group health plan or individual market plan regarding treatment limitations that may affect access to mental health or substance use disorder (MH/SUD) benefits.

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Topics: ACA, HHS, DOL, mental health, compliance recap, MHPAEA

IRS Releases Information Letter on Employer Shared Responsibility Penalties under the ACA

Posted by: Karen Hsu    Nov 7, 2019 9:45:00 AM

The Internal Revenue Services (IRS) released an information letter responding to an inquiry of whether employer shared responsibility penalties (ESRPs) may be waived or reduced based on hardship or other factors and whether the IRS will extend the transition relief for employers with fewer than 100 employees.

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Topics: ACA, IRS, compliance recap, ESRPs

IRS Announces Health Insurance Providers Fee to Resume in 2020

Posted by: Karen Hsu    Oct 29, 2019 9:12:00 AM

As background, the Patient Protection and Affordable Care Act (ACA) imposes a fee on each covered entity (for example, health insurers or a non-fully insured MEWA) engaged in the business of providing health insurance for United States health risks.

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Topics: ACA, IRS, ACA fees, compliance recap

IRS Releases Indexed PCORI Fee

Posted by: Karen Hsu    Jan 10, 2019 1:00:00 PM

The Patient Protection and Affordable Care Act (ACA) imposes a fee on insurers of certain fully insured plans and plan sponsors of certain self-funded plans to help fund the Patient-Centered Outcomes Research Institute (PCORI). The PCORI fee is due by July 31 of the year following the calendar year in which the plan or policy year ends.

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Topics: ACA, IRS, PCORI Fee

6 Reasons Self-Funded Plans Are Gaining Popularity

Posted by: Bill Olson    Aug 16, 2018 1:02:56 PM

Since the ACA was enacted eight years ago, many employers are re-examining employee benefits in an effort to manage costs, navigate changing regulations, and expand their plan options. Self-funded plans are one way that's happening.

In 2017, the UBA Health Plan survey revealed that self-funded plans have increased by 12.8% in the past year overall, and just less than two-thirds of all large employers’ plans are self-funded.

Here are six of the reasons why employers are opting for self-funded plans:

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Topics: ACA, self-funding, Self-Funded, self funded health plans, small business, white paper, UBA white paper, small business health care options

Understanding W-2 Reporting under the ACA

Posted by: Danielle Capilla    Dec 21, 2017 9:30:00 AM

The ACA requires employers to report the cost of coverage under an employer-sponsored group health plan. Reporting the cost of health care coverage on Form W-2 does not mean that the coverage is taxable.

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Topics: ACA, Affordable Care Act, employer-sponsored health insurance, W-2 reporting

Latest IRS ACA Round Up (Including 2018 Cost-of-Living Adjustments)

Posted by: Danielle Capilla    Nov 16, 2017 9:30:00 AM

Recently, the Internal Revenue Service (IRS) issued the instructions for Forms 1094/1095 for the 2017 tax year, announced PCORI fees for 2017-18, and announced cost-of-living adjustments for 2018. The IRS provided additional guidance on leave-based donation programs' tax treatment and released an information letter on COBRA and Medicare. Here’s a recap of these actions for your reference.

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Topics: ACA, COBRA, PCORI, Affordable Care Act, tax law, leave-based donation program

Agencies Issue Proposed Rules and Plans

Posted by: Danielle Capilla    Nov 14, 2017 9:30:00 AM

October was a busy month in the employee benefits world. President Trump announced a new Acting Secretary for the U.S. Department of Health and Human Services (HHS). Eric Hargan fills the position vacated by Tom Price, who resigned in late September 2017. The U.S. Department of Labor (DOL) issued a proposed rule to delay a disability claims procedure regulation's applicability date and HHS released its proposed rule on benefits and payment parameters for 2019. The U.S. Department of the Treasury (Treasury) issued its Priority Guidance Plan for projects it intends to complete during the first half of 2018.

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Topics: ACA, Affordable Care Act, Benefit Payment and Parameters rule, Qualified Small Employer HRA, disability claims procedures

October 2017 Executive Order on Healthcare

Posted by: Danielle Capilla    Oct 13, 2017 10:59:15 AM

On October 12, 2017, the White House released an Executive Order, signed by President Trump, titled "Promoting Healthcare Choice and Competition Across the United States."

It is important to note that the Executive Order (EO) does not implement any new laws or regulations, but instead directs various federal agencies to explore options relating to association health plans, short term limited-duration coverage (STLDI), and health reimbursement arrangements (HRAs), within the next 60 to 120 days.

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Topics: ACA, health reimbursement arrangements, Affordable Care Act, association health plans