Feb 17, 2020 | Affordable Care Act, Announcements, Compliance, Health Care Reform, Specialty Drugs, USPSTF
Per the Affordable Care Act (ACA), employer-sponsored health plans will be required to cover the HIV specialty drugs Pruvada and Descovy at 100% beginning their first plan year following June 19, 2020. The requirement follows a United States Preventive Services Task...
May 3, 2019 | Billing, Compliance, Government, Health Care Reform, Self-funding, Third party administration
MedBen Senior Vice President Caroline Fraker visited Washington, D.C. with fellow members of the Society of Professional Benefit Administrators (SPBA) Board of Directors on April 23, to speak with House Committee on Education and Labor officials on the subject of...
Apr 4, 2019 | Affordable Care Act, Health Care Reform, Regulatory
While the legal future of the Affordable Care Act (ACA) recently made the headlines, another legal decision related to the ACA also has a direct bearing on self-funded employers. On March 28, a federal judge struck down the Department of Labor’s expansion of...
Apr 3, 2019 | Affordable Care Act, Compliance, Health Care Reform, News, Self-funding
There’s been a flurry of news lately regarding the fate of Affordable Care Act (ACA), but for self-funded employers, it adds up to business as usual… at least for the moment. On March 25, the Justice Department informed the 5th Circuit Court of Appeals that it...
Feb 8, 2019 | Affordable Care Act, Compliance, Health Care Reform, IRS
Following the recent government shutdown, the question has arisen, “Have the IRS filing deadlines changed for my Employer Shared Responsibility Provision reporting?” The answer, regretfully: “No.” The health coverage data you collected during...
Jan 11, 2019 | Affordable Care Act, Claims Management, Health Care Reform, Plan Design, Plan Language, Reporting, Research, Third party administration
The latest Employee Benefits Survey by the International Foundation of Employee Benefit Plans (IFEBP) revealed that just one in five employers (20.1%) use spousal surcharges or carve-outs for health care coverage when other employer-provided health insurance is...
