Employers that operate wellness programs in conjunction with their group health plans must comply with wellness program requirements and laws and regulations that apply to group health plans, including the federal Patient Protection and Affordable Care Act (PPACA) and the federal Health Insurance Portability and Accountability Act (HIPAA). For example, if workplace wellness programs are Read more →

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The Affordable Care Act (ACA) requires non-grandfathered health plans to include an annual limit on total enrollee cost sharing for essential health benefits (EHB). This annual limit is often referred to as an “out-of-pocket maximum” or “maximum out-of-pocket” (MOOP). Recent guidance from the Department of Health and Human Services (HHS) and the Department of Labor Read more →

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In 2013, there were 4,062 accidents that involved 560 deaths, 2,620 injuries and approximately $39 million of damage to property as a result of recreational boating accidents. Where the cause of death could be established, “77% of fatal boating accident victims drowned”. Of those drowning victims, a staggering 84% were not wearing a life jacket. Read more →

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Over the past several months we have sent two HR Clinics that provide an overview of IRS Section 6055 and 6056 requirements. This month we elaborate on the administrative challenges of compiling the data that is required for reporting. If you need a copy of the previous HR Clinics on this topic please email [email protected] Read more →

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On Feb. 27, 2015, the Department of Health and Human Services (HHS) published its final Notice of Benefit and Payment Parameters for 2016. This final rule describes benefit and payment parameters applicable to the 2016 benefit year, including standards relating to: • The reinsurance program’s annual contribution rate for 2016; • The 2016 open enrollment Read more →

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