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HORAN Health Benefits Compliance Blog

Keeping you up-to-date and on-track with health benefits compliance

Medicare Part D Notice: Due to Medicare-Eligible Individuals

 September 19 2017     Shelly Hodges-Konys and Diane Cross
Along with fall favorites like hayrides and pumpkin spice everything, this time of year also brings the annual Medicare Part D notice requirement (perhaps not as fun as the novelties of fall, but important nonetheless).  As a reminder, there are two disclosures required annually for employers sponsoring group health plans with prescription drug coverage related to Medicare Part D.  Emplo...

ACA's Health Insurance Tax Returns for 2018

 September 14 2017     Shelly Hodges-Konys and Diane Cross
Back from a brief hiatus in 2017, the Affordable Care Act’s health insurer tax (“HIT” tax) will resume as of January 1, 2018. For background, the HIT tax (also often referred to as the health insurance providers fee) began in 2014 and is an annual fee charged to certain health insurers to help fund federal and state marketplaces/exchanges. It was suspended for 2017 to help insu...

IRS Releases Draft Forms for 2017 ACA Reporting

 September 7 2017     Diane Cross
In anticipation of upcoming reporting requirements for Section 6055 and 6056 per the Affordable Care Act, the IRS has released draft forms and instructions.  Employers will notice that the 2017 forms and instructions are very similar to 2016, with clarification on some information and minor changes for items that no longer apply.  While employers should become familiar with any revisions...

Time to Reassess Applicable Large Employer (ALE) Status

 August 16 2017     Diane Cross
The future of health care reform may be uncertain, but there is one thing that remains clear - the Affordable Care Act (ACA) is the law of the land and the employer mandate is still in effect. This means it is a great time for employers who are approaching 50 employees to take a proactive approach and reassess their status as an applicable large employer (ALE) under the ACA. Remember, ALEs may be...

Healthcare Reform Update: Senate Introduces New Bill

 June 23 2017     Diane Cross
The Senate revealed their proposed legislation aimed to repeal and replace the Affordable Care Act on June 22, 2017 after drafting it behind-closed-doors.  The Senate’s proposal, the "Better Care Reconciliation Act of 2017" (BCRA), would substitute the House's House Resolution 1628, the "American Health Care Act of 2017" (AHCA).  The proposed legislation is a “discussion draf...

PCORI Fee Reminder: Due July 31st

 May 31 2017     Diane Cross
As a reminder, under the ACA, all medical plans are responsible for paying the Patient-Centered Outcomes Research Institute (PCORI) fee to the IRS. If the plan is fully-insured, the insurance carrier pays the fee on behalf of the policyholder.  However, for self-funded plans including health reimbursement arrangements, the employer/plan sponsor must file the Form 720 and pay the fee to the IR...

Taxing Wellness Incentives

 May 18 2017     Diane Cross
With wellness programs on the rise, there is plenty of opportunity for employees to receive various incentives – from t-shirts and event tickets to gift cards and cash.  As employers consider wellness program design and how to incentivize employees (if at all), they should keep in mind that many wellness incentives are not excluded from income tax.  Does that gift card Johnny recei...

Health Savings Account (HSA) 2018 Limits Announced

 May 16 2017     Diane Cross
The IRS has set the HSA annual limits for 2018, raising the maximum contributions for both self-only and family plans – increased by $50 and $150 respectively. Per the IRS Revenue Procedure 2017-37, the 2018 contribution rates are adjusted for inflation, as are the maximum out of pocket expenses and minimum deductible for the associated high-deductible health plans (HDHPs). 2018 Contribut...

Congress Moves One Step Closer to Repealing and Replacing the Affordable Care Act

 May 4 2017     Diane Cross
Earlier today, the House of Representatives voted (217-213) to pass the American Health Care Act (AHCA), a bill that repeals and replaces many facets of the Affordable Care Act (ACA). For more information on the AHCA, see our previous blog post.    The AHCA was originally pulled from voting consideration in late March, lacking support from Republicans in the House.  Since then, the...

The Summary Plan Description (SPD) Requirement

 May 1 2017     Diane Cross
When reviewing compliance matters with employers, the Summary Plan Description (SPD) requirement often creates questions and confusion. All too frequently, it is a requirement in which employers incorrectly assume they are in compliance or simply are unaware of altogether. So, what is an SPD and why is it so important? An SPD is a document that employers are required to provide to employees...
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