Employer Action Required: Distribute Medicare Part D Notices by October 15, 2025

This post is continually updated with the latest carrier information. Please be sure to check back for any additions. Group health plan sponsors must provide Medicare Part D “creditable coverage” (more…)

U.S. Supreme Court Upholds ACA’s Mandate for Free Preventive Care

On June 27, 2025, the U.S. Supreme Court upheld a key component of the Affordable Care Act’s (ACA) preventive care mandate (Kennedy v. Braidwood Management, Inc.). The Court’s decision requires (more…)

PCORI Fees Due to IRS No Later Than July 31, 2025

Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2025, from employers who sponsor certain self-insured health plans, such as (more…)

HSA/HDHP Limits Will Increase for 2026

On May 1, 2025, the IRS released Revenue Procedure 2025-19 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2026. The IRS (more…)

IRS Announces Excepted Benefit HRA Limit for 2026

On May 1, 2025, the IRS released the inflation-adjusted limit for excepted benefit health reimbursement arrangements (EBHRAs) for plan years beginning on or after Jan. 1, 2026. Effective for 2026 (more…)

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…)

IMPORTANT: ACA 1094/1095 Reporting Requirements for 2024

The Affordable Care Act (ACA) has been in effect for more than a decade now and there continue to be changes. There are two new employer coverage reporting bills that (more…)

UPDATE: January 1 Deadline Approaching for Reporting Beneficial Ownership Information

This update was originally published by Larry Grudzien. A federal court recently ordered a nationwide preliminary injunction halting enforcement of a law requiring the filing of private business ownership information with (more…)

IRS Releases New PCOR Fee for Policy or Plan Years Ending On or After October 1, 2024 and Before October 1, 2025

This update was originally published by Larry Grudzien. The IRS recently announced in Notice 2024-83 that the adjusted applicable amount for the Patient-Centered Outcomes Research (PCOR) Fees is $3.47 for policy (more…)

Gag Clause Attestations are Due December 31! Here is Your How-To Guide

The annual Gag Clause Prohibition Compliance Attestation (GCPCA) is a new requirement from the Consolidated Appropriations Act (CAA) that prohibits group health plans and health insurance issuers offering group health (more…)

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