Health Care Reform

Health care reform is complicated. Our resources help employers stay informed and manage changes in benefits compliance and labor laws.

The COBRA Payment Process

The COBRA payment process is subject to various rules in terms of grace periods, notification, premium payment methods, and treatment of insignificant shortfalls.

What You Need to Know about Dependent Care Flexible Spending Accounts

A dependent care flexible spending account (DCFSA) is a pre-tax benefit account used to pay for eligible dependent care services.

What You Need to Know about Health Flexible Spending Accounts

A health flexible spending account (FSA) is a pre-tax account used to pay for out-of-pocket health care costs for a participant as well as a participant's spouse and eligible dependents.

Determining COBRA Premiums

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) allows qualified beneficiaries who lose health benefits due to a qualifying event to continue group health benefits.

Senate Releases Proposed Healthcare Bill

On June 22, 2017, the U.S. Senate released a “Discussion Draft” of the “Better Care Reconciliation Act of 2017” (BCRA), aimed at "repealing and replacing" the Patient Protection and Affordable Care Act (ACA).

DOL Asks for MHPAEA Related Comments

The Department of Labor is requesting comment on a draft model form to request information regarding nonquantitative treatment limitations.

ACA Market Stabilization Final Rule

The rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market.

SBC Template and REquired Addendums for Covered Entities under ACA SEction 1557

A Summary of Benefits and Coverage (SBC) is four page (double-sided) communication required by the federal government. It must contain specific information, in a specific order, and with a minimum size type, about a group health benefit's coverage and limitations.

Medicare Part D: Creditable Coverage Disclosures

Entities such as employers with group health plans that provide prescription drug coverage to individuals that are eligible for Medicare Part D have two major disclosure requirements that they must meet at least annually.

CMS' Proposed Rule on ACA Market Stabilization

On February 17, 2017, the Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to stabilize the health insurance market and address risks to the individual and small group markets.