Creditable Status Disclosure Due to CMS within 60 Days of Start of Plan Year
The Medicare Modernization Act requires all employers to complete an Online Disclosure to the Centers of Medicare and Medicaid Services (CMS) to report the…
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5th Circuit Declines to Decide Whether Entire ACA is Unconstitutional
On December 18, 2019, the 5th Circuit Court of Appeals ruled that the Affordable Care Act (ACA) individual mandate was unconstitutional. However, unlike the…
ACA Updates: HIT and Cadillac Tax Repealed, PCORI Fee Extended
On December 19, 2019, Congress passed the 2020 Further Consolidated Appropriations Act (“Act”), which makes the following Affordable Care Act (ACA) changes…
State-Mandated Short Term Disability Benefits: 2020 Rates
California, Hawaii, New Jersey, Rhode Island, New York and Puerto Rico have mandated short-term disability programs which provide wage replacement to eligible…
Massachusetts Individual Mandate: Employer Reporting and Distribution Due January 31, 2020
The Massachusetts individual mandate requires most residents over the age of 18 to have minimum creditable health care coverage (MCC) or pay a penalty through…
Massachusetts Paid Family and Medical Leave Private Plan Exemption Update
Background: Beginning January 2021, most workers in Massachusetts will be eligible to receive up to 12 weeks of paid family leave and up to 20 weeks of paid…
SF HCSO: Employers with Self-Insured Plans Must Submit any “Top Up” Expenditures by February 29, 2020
San Francisco Health Care Security Ordinance (HCSO) requires Covered Employers to spend a certain amount on Covered Employees’ healthcare. The HCSO has a…
Proposed Regulations for the Electronic Disclosure of Retirement Plan Documents
In October, the Department of Labor (DOL) released proposed regulations that would allow plan sponsors (i.e. employers) to furnish retirement plan disclosures…
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[UPDATED] State Individual Mandates: Summary of Employer Obligations
Updated May 11, 2020 with additional guidance on the California employer reporting requirement. Updated April 24, 2020 with updated deadlines. Massachusetts…
Transparency in Coverage Rule – Proposed New Requirements for Group Health Plans
On November 15th the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (collectively the “Departments”’)…
PCORI Fee Renewal
UPDATE 12/19/19: On 12/19/19 Congress passed the Further Consolidated Appropriations Act, which extends the PCORI Fee to 2029. This means that employers with…
CA Supreme Court Agrees to Hear Dynamex Retroactivity Question
On November 20th, the California Supreme Court agreed to take on a question that will be important to employers that have relied (or are relying) on the…
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