IRS Announces Excepted Benefit HRA Limit for 2026

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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…)

UnitedHealthcare Nondiscrimination, Languages, and Accessibility Notice Available for Use

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Please note: This 1557 communication and call to action does not apply to UMR, individual or standalone ancillary such as dental, vision, life. National Account customers should have already received (more…)

UPDATE: January 1 Deadline Approaching for Reporting Beneficial Ownership Information

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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

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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

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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…)

Pay-or-Play Affordability Percentage Will Increase for 2025

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On September 6, 2024, the IRS released Revenue Procedure 2024-35 to index the contribution percentage in 2025 for determining the affordability of an employer’s plan under the Affordable Care Act (more…)

Employer Action Required: Distribute Medicare Part D Notices by October 15, 2024

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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…)

UnitedHealthcare Short-Term Updates with Final Rule

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UnitedHealthcare recently announced their next steps in response to the Final Rule from this past spring, which limits the length short-term plans after September 1. Currently, short-term medical (STM) plans (more…)

PCORI Fees Due to IRS No Later Than July 31, 2024

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Fees to fund the Patient-Centered Outcomes Research Institute (PCORI) are due to the IRS no later than July 31, 2024, from employers who sponsor certain self-insured health plans, such as (more…)

Anthem Enhanced Coverage Plans to Be Discontinued Due to Final Federal Rule

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A Federal rule finalized on March 28, 2024, modifies the requirements for short-term health insurance plans. These rules limit the length of time short-term plans can remain in place with (more…)

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