Producers

Posted February 22nd, 2023 in Producers

Did you know that there are specific rules in place to electronically furnish plan documents and written notices that are required to be distributed by the Employee Retirement Income Security Act of 1974 (ERISA)? This includes electronic distribution of documents and notices by email or by posting to an internal company website. The general requirements are as follows:

Posted January 25th, 2023 in Producers

Reporting requirements from the Affordable Care Act (ACA) are rapidly approaching. Health Insurance Marketplaces, health insurance carriers, and employers may be subject to the reporting. The reporting is due February 28, 2023 if filing manually and by March 31, 2023 if filing electronically. Electronic filing is required for entities that are filing 250 or more forms.

Let’s get to the ABCs of the reporting.

Form 1095-A

Posted November 23rd, 2022 in Producers

The Centers for Medicare and Medicaid Services (CMS), the federal agency that largely oversees the Health Insurance Marketplace (Marketplace), has indicated that agents and brokers who assist with Marketplace enrollments must obtain client consent before assisting with enrollments and other Marketplace functions.

Posted November 16th, 2022 in Producers

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) published some new compliance rules that will impact Third-Party Marketing Organizations (TPMOs) who sell Medicare Advantage and/or Part D plans.

Posted October 4th, 2022 in Employers, Producers

On September 27, 2022, the Centers for Medicare & Medicaid Services released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. Below is a summary of those numbers:

Posted August 29th, 2022 in Employers, Producers
The Inflation Reduction Act (IRA) signed into law last week included some healthcare provisions that primarily impact Medicare and plans sold on a Health Insurance Marketplace; however, some of the provisions included in the law may indirectly impact employers and group health plans.
 
Posted August 19th, 2022 in Employers, Producers
On August 16, 2022, President Joseph Biden signed a bill into law called the Inflation Reduction Act (IRA). While its name may not imply it, there were some provisions in the bill that impact healthcare and/or health insurance. Here is a summary of some of those provisions:
 
Extension of Enhanced Marketplace Subsidies
 
Posted August 8th, 2022 in Employers, Producers
The Internal Revenue Service (IRS) recently issued Revenue Procedure 2022-34 which includes important details as it relates to Advanced Premium Tax Credits (APTCs) on Health Insurance Marketplaces and “affordable coverage” as it relates to the Employer Mandate for plan years starting in 2023.
 

Advanced Premium Tax Credits (APTCs)

 
Posted August 3rd, 2022 in Employers, Producers
Many health and welfare programs offered by employers are subject to non-discrimination testing as identified in the Internal Revenue Code (the“Code”). The non-discrimination tests are designed to ensure that certain groups of employees are not treated more favorably than other groups of employeesin terms of benefits.
 

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