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HORAN Health Benefits Compliance Blog

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

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...

ACA Individual Market Stabilization: Final Regulations

 April 27 2017     Diane Cross
Recently, the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) issued its final rule to help increase stability in the individual health insurance market for 2018. The final regulations, effective June 19, 2017, are intended to provide immediate relief by helping to stabilize the Health Insurance Marketplace, providing more flexibility to states and ...

Summary of Benefits and Coverage (SBC) – New Template in Effect

 April 11 2017     Diane Cross
As employers plan for their next open enrollment, the updated Summary of Benefits and Coverage (SBC) template is now in effect. The Affordable Care Act remains the “law of the land” for the employee benefits industry and as such, employers must continue to adhere to the SBC requirement. Notably, the finalized template must be used for health insurers and plan years that have open enr...

House Proposal to Repeal and Replace the Affordable Care Act

 March 8 2017     Shelly Hodges-Konys
Monday, March 6, 2017, the House Ways and Means Committee and the Energy and Commerce Committee released separate legislation with intention to repeal and replace key components of the Affordable Care Act (ACA) through the budget reconciliation process. The budget reconciliation process allows Republicans to propose and pass legislation reducing federal spending, reducing the deficit and streamlin...

Transition Policy Extended for Non-ACA Compliant Health Plans

 March 6 2017     Diane Cross
Once again, the Department of Health and Human Services (HHS) has extended the transition policy for certain small employer health plans that do not comply with the Affordable Care Act (ACA) for an additional year. Health insurance issuers can renew non-ACA compliant coverage through 2018 for those plans that have so far avoided community rating and other ACA provisions if the state chooses to ex...

Model Notice for Health Insurance Marketplace Coverage

 February 28 2017     Diane Cross
Employers are required to provide a written notice to each employee about the Health Insurance Marketplace per the Affordable Care Act (ACA).  Model notices are provided by the Department of Labor (DOL) for both employers that offer a health plan and employers that do not offer a health plan. Each model notice provides an OMB expiration date at the top right corner, which creates confusion o...

Medicare Part D Creditable Coverage Disclosure Due to CMS

 February 24 2017     Diane Cross
As a reminder, there are two disclosures required annually for certain employers related to Medicare Part D.  Employers with group health plans that provide prescription drug coverage to individuals that are eligible for Medicare Part D must disclose whether their drug benefit is creditable coverage to (1) individuals eligible for Medicare Part D and (2) to the Centers for Medicare & Medi...

President Trump's Executive Order and its Impact on the ACA

 January 23 2017     Diane Cross
As he promised, President Trump is continuing to demonstrate his commitment to repeal and replace the Affordable Care Act (ACA).  Shortly after his inauguration on January 20, 2017, one of President Trump’s first acts as president was signing an executive order, Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal.  What does this exactly...
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