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Category: "Health Care Reform"

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07/13/18

  09:38:00 pm, by MedBen5   , 188 words,  
Categories: Health Care Reform

Did You Know... 2019 ACA Limits

The following limitations and penalties apply as of the first day of your plan’s 2019 plan year per the Affordable Care Act (ACA): Standard Plan Out-of-Pocket Maximums $7,900 for self-only (employee-only) coverage $15,800 for other than self-only… more »

06/29/18

  09:18:00 pm, by MedBen5   , 435 words,  
Categories: News, Health Care Reform, Self-funding

DOL Rule Expands Association Health Plan Access

On June 19, 2018, the U.S. Department of Labor (DOL) released its final regulations expanding the definition of “employer” under ERISA Section 3(5). This seemingly simple change to an existing federal regulatory definition paves the way for the creation… more »

Fraker, SPBA Members Talk Transparency in D.C.

On June 19 and 20, MedBen Vice President of Compliance Caroline Fraker revisited Washington, D.C. with fellow members of the Society of Professional Benefit Administrators (SPBA) Board of Directors, to speak with government officials on matters of… more »

05/31/18

  10:43:00 pm, by MedBen5   , 265 words,  
Categories: News, Health Care Reform, Taxes, Compliance, PCORI

Reminder: PCORI Filing and Fee Deadline Approaching

As in years past, all self-funded employer health plan sponsors are required to file and pay their Patient-Centered Outcomes Research Institute (PCORI) fee no later than July 31, 2018. All self-funded plan sponsors are required to pay a fee based on the… more »

04/19/18

  10:33:00 pm, by MedBen5   , 212 words,  
Categories: Announcements, Mental Health Parity (Federal), Health Care Reform, Compliance, MedBen Employees, HIPAA

MedBen Compliance Director McNair Retiring

It is with warm wishes – and yes, understandable sadness – that MedBen announces the retirement of Director of Compliance Annette McNair on April 30, 2018. In a way, Annette’s retirement marks the end of an era at MedBen. Annette was part of the… more »

03/11/18

  10:53:00 pm, by MedBen5   , 336 words,  
Categories: Wellness, Health Plan Management, Health Care Reform, Third party administration

While Federal Government Wavers, MedBen Helps You Control Costs

In a recent Modern Healthcare editorial, writer Merrill Goozner poses the question, "Is the era of healthcare cost control ending?" With the individual mandate dead, the Independent Payment Advisory Board shuttered, and Congress in no apparently hurry… more »

01/25/18

  06:45:00 pm, by MedBen5   , 255 words,  
Categories: News, Health Care Reform, Taxes, IRS

Delayed Again . . . Cadillac Tax Postponed Until 2022

While things have been relatively quiet on the Affordable Care Act front, in recent weeks employers were starting to wonder if they needed to implement strategies to manage costs under the controversial Cadillac Tax which was set to become effective in… more »

12/03/17

  11:03:00 pm, by MedBen5   , 479 words,  
Categories: Health Care Reform, IRS

“Cash in Lieu of Benefits” Considerations

With many employers updating benefit packages effective January 1st, it is easy to overlook certain basic benefit options. Offering cash in lieu of benefits is a growing trend among employers, especially those considered Applicable Large Employers (ALE)… more »

11/30/17

  04:48:00 pm, by MedBen5   , 513 words,  
Categories: News, Health Care Reform, IRS

Coming Soon: 2015 Employer Shared Responsibility Penalty Notices

What does the IRS do while it awaits the outcome of tax reform? It works on identifying employers that are not complying with the Affordable Care Act’s (ACA’s) employer shared responsibility mandate. In April, a Treasury Inspector General for Tax… more »

11/19/17

  10:50:00 pm, by MedBen5   , 351 words,  
Categories: News, Health Care Reform, Compliance

Labor FAQ Outlines Special Enrollment Guidance

Earlier this year, the Department of Labor (DOL) issued another FAQ in its series addressing implementation of the Affordable Care Act (ACA). In addition to guidance on the 21st Century Cure’s Act and other items, the DOL’s FAQ Part 35 focuses on new… more »

10/08/17

  08:31:00 pm, by MedBen5   , 337 words,  
Categories: News, Prescription, Health Care Reform

Issue 2 Offers Uncertainty for Sponsors of Prescription Drug Plans

The Ohio Drug Price Relief Act, better known as Issue 2, has sparked plenty of debate (and earned TV stations a lot of money in ad time). If approved, the initiative would enable the state to buy prescription drugs for Medicaid and state retirement… more »

10/06/17

  10:33:00 pm, by MedBen5   , 154 words,  
Categories: News, Prescription, Health Care Reform

HHS Revises ACA Contraception Mandate

The Trump administration announced on October 6 that the Affordable Care Act’s (ACA) contraception mandate will be scaled back to allow exemptions for employers that claim a religious or moral objection to covering birth control, The Washington Post… more »

07/28/17

  08:04:00 pm, by MedBen5   , 367 words,  
Categories: News, Health Care Reform

Obamacare Lives. So Now What?

In the early morning hours of July 28, the Senate narrowly voted down a so-called "skinny repeal" of Obamacare... and in doing so, sealed the probability that the Affordable Care Act (ACA) will remain the law of the land for the foreseeable future.… more »

07/21/17

  05:36:00 pm, by MedBen5   , 327 words,  
Categories: News, Health Care Reform, Taxes, IRS

Reminder: PCORI Filing and Fee Deadline Approaching

As in years past, it's time for all self-funded employer health plan sponsors to file and pay the required Patient-Centered Outcomes Research Institute (PCORI) fee. While hope continues that payment of this fee may be suspended as part of the current… more »

05/21/17

  11:05:00 pm, by MedBen5   , 327 words,  
Categories: News, Health Care Reform, Taxes, IRS

Reminder: PCORI Filing and Fee Deadline Approaching

As in years past, it's time for all self-funded employer health plan sponsors to file and pay the required Patient-Centered Outcomes Research Institute (PCORI) fee. While hope continues that payment of this fee may be suspended as part of the current… more »

05/05/17

  11:11:00 pm, by MedBen5   , 329 words,  
Categories: News, Health Care Reform, Self-funding, American Health Care Act

AHCA Clears House Hurdle, But Faces Uphill Senate Battle

It took a lot of old-fashioned wheeling and dealing, but on May 4 the Republican block of the House of Representatives managed to pass the American Health Care Act (AHCA) with 217 "yea" votes ‒ just one vote above the minimum number required for… more »

03/31/17

  10:54:00 pm, by MedBen5   , 442 words,  
Categories: News, Health Care Reform

Revised SBC Template Required for Employer Plans

The Affordable Care Act (ACA) requires that issuers and health plans provide a Summary of Benefits and Coverage (SBC), including a description of what the health plan covers and the cost sharing responsibility of the consumer, in order to help… more »

03/26/17

  10:27:00 pm, by MedBen5   , 440 words,  
Categories: News, Health Care Reform, Compliance

AHCA Withdrawal Leave Lingering Questions about Health Care Reform's Future

On March 24, House Speaker Paul Ryan pulled the American Health Care Act (AHCA) ‒ the vaunted replacement to Obamacare ‒ from the floor, lacking the votes to pass the bill. So what happens next? And what can employers do to let their voices… more »

03/12/17

Final Reminders for MedBen University Roundtables

Two MedBen University industry-specific roundtables are just days away... so if you've been thinking of attending, now is the time to register! On Thursday, March 23, MedBen will host the 15th Annual Hospital Roundtable, sponsored by ISU Stop-Loss.… more »

03/08/17

  10:43:00 pm, by MedBen5   , 347 words,  
Categories: News, Health Care Reform, Taxes

ACA Replacement Bill Omits Employer Health Plan Tax

One of the major surprises of the Republican replacement plan to the Affordable Care Act ‒ tentatively called the "American Health Care Act (AHCA)" ‒ is not what's in it, but what House members left out: A provision eliminating or capping… more »

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