DOL Targeting Health and Welfare Plans

“The Department of Labor (DOL or the Department) has made it clear, in no uncertain terms, that its sights are set on health and welfare plans for increased scrutiny going forward. At a recent International Foundation of Employee Benefit Plans (IFEBP) conference in San Francisco, the DOL reported that it is actively seeking out health […]

By | 2017-08-12T19:12:45+00:00 September 15th, 2015|2015 News, News|

2016 Limits for HSAs and HDHPs

The IRS has released the 2016 limits affecting Health Savings Accounts (HSAs) and High Deductible Health Plans (HDHPs).

The HSA contribution limit for an individual with self-only HDHP coverage remains at $3,350 for 2016; however the contribution limit for an individual with family coverage will increase to $6,750. These limits do not include the additional annual […]

By | 2017-08-12T19:23:47+00:00 August 15th, 2015|2015 News, News|

Same-Sex Marriage: A Practical Guide for Employers

In its June 26 decision in Obergefell v. Hodges, the Supreme Court held that the Fourteenth Amendment requires states to license marriages between two people of the same sex and to recognize marriages between two people of the same sex when their marriage was lawfully licensed and performed out-of-state. … For employers and benefit providers, […]

By | 2017-08-12T19:28:42+00:00 August 5th, 2015|2015 News, News|

Crediting Employees for Hours of Service When No Work is Performed and Keeping Employees on Your Health Plan When They No Longer Work

In our last Newsletter we explained how an employee could move from full[-time] to part-time employment status and still remain on your benefits for as long as a year and a half under PPACA. In this post we take a deeper look at:

  1. which hours count as hours of ‘work’ or ‘service’ under PPACA; […]
By | 2017-08-12T20:07:18+00:00 July 15th, 2015|2015 News, News|

Supreme Court Rules in Favor of ACA on Subsidies

IRC Section 36B (added by the ACA) provides that tax credits are available to individuals who purchase health insurance only on exchanges “established by the state.” Only 13 states and the District of Columbia have established state exchanges, while 37 states have federal exchanges. Loss of the subsidies for 6.4 million enrollees that purchased insurance […]

By | 2017-08-12T20:29:57+00:00 July 2nd, 2015|2015 News, News|

An Employee Moving from Full-Time to Part-Time Status May Have to Stay on Your Health Plan for More Than a Year Under ACA Rules

“Most employers are using the IRS’s ‘look-back’ method to determine which employees are full-time… In some cases, an employer may have to keep a part-time employee on benefits for the remainder of their current stability period or the remainder of the current one and the subsequent one. This can be up to a year and […]

By | 2017-08-12T19:47:57+00:00 June 15th, 2015|2015 News, News|

Drugs Cost Over $50,000/Year for 500,000 Americans

“The latest drug spending trend report from pharmacy benefit manager Express Scripts shows 576,000 Americans with annual medication costs of $50,000 or more. That’s a 63% increase in 2014 from 2013 when 352,000 Americans had such high costs. While the number of patients with annual spending above $50,000 was just 0.2% of patients, the amount […]

By | 2017-08-12T19:52:26+00:00 June 10th, 2015|2015 News, News|

Two Wrongs Don’t Make a Right

Richard Thomas embezzled nearly $20,000,000 from his employer. The employer then kept Thomas’s profit sharing account of about $21,000 as an offset against the embezzled amount. Of course, this violated ERISA’s anti-alienation provisions. Thomas sued his former employer for the money and won. Although this case involves a qualified retirement plan, a similar principle generally […]

By | 2017-08-12T19:56:50+00:00 June 5th, 2015|2015 News, News|