Compliance Notices

The IRS has issued Notice 2023-70 to increase the PCORI fee amount for plan years ending on or after Oct. 1, 2023.

Federal agencies are gathering input from the public on requiring group health plans and health insurance issuers to cover OTC preventive products without cost sharing even when they are not prescribed by a health care provider.

Beginning in 2024, group health plans and health insurance issuers must expand the internet-based price comparison tool they make available to participants, beneficiaries and enrollees so that it includes all covered items, services and drugs.

The IRS has released draft instructions for 2023 Affordable Care Act (ACA) reporting under Internal Revenue Code Sections 6055 and 6056.

When a plan participant or beneficiary has Medicare and other health insurance, such as group health plan insurance, retiree coverage or Medicaid, there can often be confusion as to which insurance pays first on claims. Coordination of benefits (COB) rules, …

Internal Revenue Code Section 129 allows employers to provide dependent care assistance benefits for their employees on a tax-free basis. These benefit plans are referred to as dependent care assistance programs (DCAPs) or dependent care flexible spending accounts.

This Compliance Overview summarizes a number of the notice and disclosure requirements that apply to group health plans and employers under federal laws.

On Feb. 23, 2023, the Departments of Labor, Health and Human Services and the Treasury (Departments) issued FAQs on the prohibition of gag clauses under the transparency provisions of the Consolidated Appropriations Act, 2021 (CAA).

Employers who sponsor high deductible health plans (HDHPs) often contribute to employees’ HSAs to help offset their out-of-pocket medical expenses. These contributions are generally excluded from employees’ gross income and are not subject to income or employment tax withholding. However, …

Two timely updates: Deadline for Medicare Part D Notices is Oct. 15, 2023 and Employer Mandate Penalties Will Increase for 2024

Employers that sponsor group health plans should provide certain benefit notices in connection with their plans’ open enrollment periods. Some of these notices must be provided at open enrollment time, such as the summary of benefits and coverage (SBC).

IRS Notice 2020-32 provides guidance to employers regarding the Federal income tax deductibility of expenses incurred in a taxpayer’s trade or business when the taxpayer receives a covered loan under the Paycheck Protection Program.