PCORI Fees Due to IRS No Later Than July 31, 2023

*Updated June 16, 2023* Please see below for the updated 720 form, as well as updated information about All Savers’ process. Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) (more…)

Aetna Prescription Drug Data Reporting Submission Due April 1

Prescription Drug Data Collection (RxDC) reporting for the 2022 reference year is required to be sent to the departments of Health and Human Services, Labor and Treasury no later than (more…)

Update: Process Change for Collecting 1095-B for Medical Mutual Fully Insured and COSE Groups

Starting February 24, 2023, Medical Mutual members must access their 1095-B forms directly from My Health Plan (MHP). Due to recent legal requirements, MMO is no longer required to send (more…)

Reminder: Medicare Part D Disclosures Due by March 1 for Calendar Year Plans

Group health plan sponsors are required to complete an online disclosure form with the Centers for Medicare & Medicaid Services (CMS) on an annual basis and at other select times, (more…)

New FAQs on the Affordability of Employer Coverage for Family Members of Employees

The Internal Revenue Service has issued a new rule fixing what was referred to as the “family glitch.” This new rule changes the definition of affordability for family members of (more…)

IRS Extends ACA Reporting Deadline for Furnishing Statements for 2022 for 30 Days

In final regulations released on December 12, 2022, the IRS permanently and automatically extends the deadline for 30 days from January 31, 2023, each year for employers and insurers to (more…)

IRS Releases New PCORI Fee for Policy or Plan Years Ending On or After October 1, 2022

This update was originally published by Larry Grudzien. The IRS recently announced in Notice 2022-59 that the adjusted applicable amount for the Patient-Centered Outcomes Research (PCORI) Fees are $3.00 for (more…)

New Expanded HDHP Safe Harbor for Insulin

This update was originally published by Larry Grudzien. On August 16, 2022, President Biden signed into law the Inflation Reduction Act of 2022. One important provision of the Inflation Reduction (more…)

UPDATES AVAILABLE: Employer Action Required! Distribute Medicare Part D Notices by October 15, 2022

Group health plan sponsors must provide Medicare Part D “creditable coverage” notices prior to October 15, the start date of the Medicare annual enrollment period for Part D, Prescription Drug (more…)

US Departments Issue Final Regulations to Clarify Federal Process to Protect Against Surprise Billing

This update was originally published by Larry Grudzien. The U.S. Departments of Labor, Health and Human Services, and the Treasury today issued final regulations concerning standards related to the arbitration (more…)

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