Cybersecurity and the Role of ERISA Fiduciaries

“The Employee Retirement Income Security Act of 1974, as amended (ERISA), protects plan participant benefits and account balances by imposing high standards of care on the plan’s fiduciaries. Fiduciaries who do not follow these standards – most notably, the protection of participant personal and plan information – may be personally liable to restore losses to […]

By | 2017-01-19T10:26:41+00:00 October 5th, 2016|2016 News, News|

Big Changes for Small Group Health Plans Proposed Form 5500 Changes & the New Schedule J

“The US Department of Labor (DOL) has proposed changes to the Form 5500 and schedules that will affect ERISA Title I group health plans of all sizes, but small group health plans should be especially aware of the changes. Certain small group health plans (fewer than 100 participants) are currently exempt from filing the Form […]

By | 2017-01-19T10:37:34+00:00 September 15th, 2016|2016 News, News|

2016 Deadline for Medicare Part D Creditable/Non-Creditable Coverage Notices Nears

“Plan sponsors that offer prescription drug coverage must provide notices of creditable or non-creditable coverage to Medicare-eligible individuals. The required notices may be provided in annual enrollment materials, separate mailings or electronically…. Plan sponsors … must provide the required disclosures no later than October 14, 2016.” (Xerox HR Services)

By | 2017-01-19T10:40:46+00:00 September 8th, 2016|2016 News, News|

Key Evidence Needed to Prove the Intoxication Exclusion 10/01/16

“You know that many insurance policies and ERISA-governed plans exclude from coverage disabilities ‘resulting from, or related to…any accident related to the voluntary influence of any drug, narcotic, intoxicant or chemical….’ The next time you are enjoying a fine beer or wine, a single malt scotch or even a Kamikaze, ponder this question… Is it […]

By | 2017-01-19T10:42:27+00:00 September 1st, 2016|2016 News, News|

Marketplace Subsidy Notices: What Employers Need to Know“As promised by the Centers for Medicare & Medicaid Services (CMS) in late-2015, the Federally-Facilitated Marketplaces (FFMs) have started sending notices informing employers that employees have enrolled in a FFM and were determined eligible for premium subsidies. Because the employer shared responsibility penalties set forth in Sectioni […]

By | 2017-01-19T11:41:26+00:00 August 15th, 2016|2016 News, News|

Justice Department and State Attorneys General Sue to Block Anthem’s Acquisition of Cigna, Aetna’s Acquisition of Humana

“The U.S. Department of Justice and attorneys general from multiple states and the District of Columbia sued on July 21st to block Anthem’s proposed acquisition of Cigna and Aetna’s proposed acquisition of Humana, alleging that the transactions would increase concentration and harm competition across the country, reducing from five to three the number of large, […]

By | 2017-01-19T11:44:35+00:00 August 8th, 2016|2016 News, News|

Health Savings Accounts: How and When a Participant Should Make a Contribution

  • Learn before the beginning of the plan year the amount and timing of your employer contribution so that you can plan your personal contributions accordingly.
  • Plan to make pre-tax payroll contributions if your employer offers a Cafeteria Plan. You should begin the discipline of regular HSA deposits. Check to see whether your employer has […]
By | 2017-01-19T11:48:45+00:00 August 1st, 2016|2016 News, News|

ACA’s Affordability Contribution Percentages Increased for 2017

“Several ACA provisions measure the ‘affordability’ of employer-sponsored health coverage. ‘Affordability’ is defined differently depending on the specific ACA provision. Employers subject to the ACA’s employer shared responsibility provisions may be subject to penalties if the coverage offered to full-time employees is unaffordable. The different measurements of affordability are summarized and compared in this article..” […]

By | 2017-01-23T08:15:02+00:00 July 24th, 2016|2016 News, News|