Mar 10, 2025 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory, RxDC report
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
Jan 13, 2025 | Announcements, Compliance, Form 1094, Form 1095, IRS, Regulatory
As we enter 2025, all group health plan sponsors are facing the daunting task of preparing and filing 1094 and 1095 forms. But there’s good news: Starting this year, employers are no longer required to automatically mail copies of individual 1095 forms to their...
Jan 9, 2025 | Affordable Care Act, Compliance, Deadlines, IRS, Medicare, PCORI, Regulatory
The MedBen Compliance team has prepared the 2025 “Self-funded Plan Sponsors Annual Compliance Deadlines” list to help you stay current with all mandatory health plan regulatory requirements. MedBen clients can acquire this valuable reference document...
Dec 9, 2024 | Affordable Care Act, 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. And there’s an important...
Nov 25, 2024 | Compliance, Mental health parity, Mental Health Parity and Addiction Equity Act (MHPAEA), Non-quantitative treatment limitations (NQTLs), Regulatory
On September 23, 2024, the Department of Labor, Health and Human Services, and Treasury collectively published the Requirements Related to the Mental Health Parity and Addiction Equity Act (MHPAEA) Final Rules. These Final Rules include plan coverage clarifications as...
Oct 25, 2024 | Affordable Care Act, Cancer, Compliance, Mastectomy, Regulatory, USPSTF, Women's health
On October 21, 2024, the Tri-Agencies (HHS, DOL, and Treasury) jointly issued FAQs About Affordable Care Act and Women’s Health and Cancer Rights Act Implementation Part 68. The document provides clarification of preventive service coverage of pre-exposure prophylaxis...
