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Health Plan Continuation for Those Taking EPSLA or EFMLEA Protected Leave

 April 2 2020     Shelly Hodges-Konys
Originally authored by Lyndsey Barnett at Graydon Law and posted here. Under the FMLA, an employer is required to continue an employee’s group health plan coverage at active employee rates during the length of the FMLA leave.  Therefore, it came as no surprise that the DOL temporary regulations that were released yesterday on the Emergency Paid  Sick Leave Act (“EPSLA”...

The CARES Act Provides Clarity for Health Benefits Plans Amongst Relief for Individuals and Businesses

 March 30 2020     Shelly Hodges-Konys
The Coronavirus Aid Relief and Economic Security (CARES) Act was signed by the President on Friday afternoon, March 27th, 2020.  The new legislation brings welcome clarity to several unanswered questions left looming under the Families First Coronavirus Response Act (FFCRA) signed earlier this month.  In addition to answering questions related to telehealth and COVID-19 testing, the new ...

What Makes a Carrier Offered Enrollment Special?

 March 27 2020     Shelly Hodges-Konys
Many health insurance carriers are responding to the COVID-19 pandemic by offering employees who chose to waive their employer health insurance coverage an opportunity to enroll now.  But, what makes this event “special”? Well, a pandemic makes this a special event because this is not a Special Enrollment in accordance with the Health Insurance Portability and Accountability Act (...

Ohio Order to Give Employers Premium Flexibility During State of Emergency

 March 22 2020     Shelly Hodges-Konys
On Friday, March 20, 2020, Lieutenant Governor Jon Husted on behalf of the Ohio Department of Insurance (ODOI) announced a requirement for insurers in the state to provide flexibility for employers and employees as they navigate the challenges presented by the current state of emergency due to the COVID-19 pandemic.  These regulations are temporary and intended to take effect immediately and ...

FMLA Changes Impact Your Health Plan

 March 20 2020     Shelly Hodges-Konys
Originally authored March 19, 2020 by Lyndsey Barnett at Graydon Law and posted here. If you have fewer than 500 employees and provide health insurance, you need to read this post.  This impacts even those small employers who are not otherwise subject to the FMLA.   These new changes apply to all employers with fewer than 500 employees. This means even those companies that hav...

Coronavirus Relief Expands Coverage Under Group Health Plans

 March 19 2020     Shelly Hodges-Konys
Just when you thought you were getting your arms around administering your group health plans in accordance with the Affordable Care Act, a global pandemic has us all on our toes again. Congress acted quickly to pass the Coronavirus Family Relief Act with little time to contemplate the downstream effects. But, a little time and patience will provide more clarity. One of the changes in this new le...

New in 2020: The end of the year brings changes for the next

 December 23 2019     Shelly Hodges-Konys
While this is not an exhaustive list, these are a few welcome changes expected in 2020.   ACA Cadillac Tax Repeal The 2019-2020 Spending bill will repeal the Cadillac Tax.  The Cadillac Tax was intended as a tax on high cost health plans originally intended to take effect in 2018.  It was first delayed until 2020 and then delayed again until 2022. Generous employers can now breath...

2019 ACA Reporting: Draft Forms Now Available

 November 18 2019     Shelly Hodges-Konys
Once again, it’s time for applicable large employers (ALEs) and employers who sponsor self-funded group health plans to prepare for reporting requirements under the Affordable Care Act (ACA). On November 13th, the IRS released draft 2019 forms and instructions: Draft 1094-B Form (Transmittal to IRS for self-funded plan sponsors under 50) Draft 1095-B Form (Statement to Individuals for sel...

Update from the IRS: FSA Contribution Limit Increase for 2020

 November 7 2019     Shelly Hodges-Konys
As anticipated, the 2020 maximum contribution limit for health flexible spending accounts (FSAs) is increasing to $2,750 (up $50 from $2,700 in 2019). Yesterday, the IRS released annual inflation adjustments via Revenue Procedure 2019-44, which included an adjustment for FSAs (among other benefits). For 2020, employees can elect up to a $2,750 salary reduction for contributions to their FSAs ...

COBRA Rate Setting & Wellness Incentives

 October 31 2019     Diane Cross
For employers with a wellness program that offers a premium discount as a reward, there is often confusion when it comes to COBRA rate setting. Specifically, how does such premium discount impact the COBRA rate? If you are confused already, you are not alone – we discuss the issue further below. Background: COBRA Rate Setting Before explaining further, understanding basics about COBRA...
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