Apr 12, 2024 | Announcements, Centers for Medicare & Medicaid Services (CMS), Compliance, Medicare, News, Regulatory
On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the “Rate Announcement”). The Rate Announcement...
Feb 2, 2024 | Announcements, Compliance, Form 1094, Form 1095, IRS, News, Regulatory
Last year, the IRS finalized rules requiring all employers filing ten (10) or more returns to make those filing electronically, via the IRS’ e-File system. The 10-form threshold is determined based on the total number of forms the employer is required to file with the...
Jan 8, 2024 | Affordable Care Act, Compliance, Deadlines, Forms, IRS, Medicare, PCORI, Reporting
To keep you “in the know” about mandatory regulatory due dates for health plan sponsors, the MedBen Compliance team has again compiled a “Self-funded Plan Sponsors Annual Compliance Deadlines” list. MedBen clients can contact their Account...
Dec 21, 2023 | Announcements, Compliance, Independent Dispute Resolution (IDR), No Surprises Act (NSA), Regulatory
This past August, a federal court in the Eastern District of Texas vacated certain portions of regulatory guidance establishing the fees charged under the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process. In response to the court’s Order, on...
Dec 12, 2023 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Regulatory
An important reminder: Group health plans are required to attest that they are in compliance with the Consolidated Appropriations Act’s gag clause prohibition no later than December 31, 2023. The 2021 federal law requires that all group health plan sponsors file an...
Dec 8, 2023 | Affordable Care Act, Announcements, Compliance, Form 1094, Form 1095, IRS, Regulatory
It is that time of year when self-funded employers need to start preparing for a critical health care reform mandate: Providing the IRS with an accurate accounting of health coverage for full-time employees via IRS Forms 1094 and 1095. Per the Affordable Care Act,...
