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…)

IRS Releases HSA Limits for 2025

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This update was originally published by Larry Grudzien. Recently, the IRS issued Revenue Procedure 2024-25, which provides the 2025 cost-of-living contribution and coverage adjustments for HSAs, as required under Code (more…)

Important: Updates to Short-Term Health Insurance Plans Coming Soon

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The Departments of Health and Human Services, Labor, and the Treasury recently announced a change to the federal definition of Short-Term, Limited-Duration Insurance (STLDI) that imposes nationwide plan duration limits (more…)

Aetna Plan Sponsor Notice: Data Collection Requirement for Prescription Drug Data Collection Reporting Submission

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Aetna has developed a process to support their plan sponsors in the submission of their Prescription Drug Data Collection (RxDC) reports for reference year 2023. In 2024, Aetna will require (more…)

UnitedHealthcare RxDC Reporting Portal Opening and Deadline Moved

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A technical issue impacted access to UnitedHealthcare’s Request for Information (RFI) tool on February 1, 2024. This has resulted in moving the opening of the RFI tool to February 14, (more…)

DOL Updates Model Employer CHIP Notice

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The U.S. Department of Labor (DOL), through its Employee Benefits Security Administration (EBSA), has released a new model Employer CHIP Notice with information current as of January 31, 2024. Key (more…)

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