Look Back Method and COVID-19

The Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer affordable, minimum value health coverage to their full-time employees or possibly pay a penalty. The evolving coronavirus crisis has raised questions on how employers should determine what a full-time employee is during periods of layoff, furlough, and COVID-19 …

CMS & IRS Take Action

CMS Issues FAQ’s on Essential Health Benefit Coverage & the Coronavirus To remove barriers and financial disincentives to COVID-19 diagnosis and treatment, the Centers for Medicare & Medicaid Services (CMS) recently issued frequently asked questions (FAQ’s) on essential health benefit (EHB) coverage. EHB is a core set of items and …

Medicare Part D Disclosures Due By February 29

Group health plan sponsors who provide prescription drug coverage to individuals who are eligible for coverage under Medicare Part D, are required to complete an online disclosure form with the Centers for Medicare & Medicaid Services (CMS). The plan sponsor must complete the online disclosure within 60 days after the …

HHS Increases Civil Penalties for HIPAA Violations

The Department of Health and Human Services (HHS) published a final rule increasing the civil monetary penalties for violations of laws enforced by HHS, including the Health Insurance Portability and Accountability Act’s (HIPAA) privacy and security rules. Each year, HHS is required to adjust these penalties for inflation to improve …

ACA Reporting Deadlines Are Approaching

Affordable Care Act (ACA) reporting deadlines are approaching soon under Section 6055 and Section 6056 for the 2019 calendar year. Reporting entities must: File returns with the Internal Revenue System (IRS) by February 28, 2020 if filing on paper (or March 31, 2020 if filing electronically); and Furnish 2019 Forms …