by Jay Kirschbaum | August 30, 2021 | Compliance Services, Reporting and Disclosure
We all celebrated the end of the PCORI fee [1] only to have it sneak back in under the cover of the elimination of the Cadillac tax (and some other fees on health plans) in 2019. The PCORI fee filing and payment deadline recently passed, but if you missed it or made a...
by Jay Kirschbaum | July 15, 2020 | Compliance Services, Employer Mandate, Reporting and Disclosure
The IRS has alarmed many employers over the last few years by sending 226-J letters assessing potential penalties for alleged violations of the employer mandate under the Affordable Care Act (ACA). While in most cases the employers have been able to dodge those...
by Jay Kirschbaum | May 28, 2020 | Benefits Communication, Compliance Services, ERISA, Reporting and Disclosure
Employers have struggled for years with how to comply with the ERISA mandates requiring “effective” communications of plan terms but wishing to communicate those messages electronically. While those goals are not necessarily mutually exclusive, the U.S. Department of...
by Jay Kirschbaum | April 26, 2020 | ERISA, The Coronavirus
In response to the coronavirus pandemic, state insurance departments have issued directives prohibiting insurers from canceling certain kinds of policies due to the nonpayment of premiums, requiring the insurer to provide a grace period before canceling, or strongly...
by Jay Kirschbaum | December 4, 2019 | Benefits Administration, Compliance Services, ERISA
Cross-plan offsetting is a common practice among insurance carriers and third-party administrators (TPAs) that can put employers at risk. Briefly, cross-plan offsetting occurs where the insurer or TPA overpays a healthcare provider on a claim submitted to Plan A....
