Feb 26

DOL Increased Penalties for Employers

The U.S. Department of Labor (DOL) has increased penalties for violating federal minimum wage, overtime, and posting and safety requirements, effective January 23, 2019. The increased monetary fines apply to penalties assessed under Fair Labor Standards Act (FLSA), Family and Medical Leave Act (FMLA), and Occupational Safety and Health Act... read more →
Feb 07
Jan 24

“Cadillac Tax” Delayed until 2022

Implementation of the "Cadillac Tax," the Affordable Care Act's excise tax on high-cost employer-sponsored health coverage, has been delayed until 2022. Previously, this tax—which would impose a 40% tax on plans that cost more than $10,200 (for self-only coverage) and $27,500 (for family coverage)—was set to become effective in 2020. An... read more →
Jan 12

Individual Medical Updates for NJ, NY, and PA for 2018

Important information for prospective individual medical enrollees who did not enroll at open enrollment: Amerihealth (NJ): Coverage effective dates can only be 1st or 15th of the month. For when coverage is ending mid-month, Amerihealth will enroll 1st of that month month, if the application is received prior to the... read more →
Dec 19
Jun 30

NJ Employer Group Size Determination

Effective January 1, 2017, the New Jersey Small Employer Health Coverage Program (SEH Program) aligned its definition of a "Small Employer" for health insurance coverage purposes with the federal definition. This means that the methodology used to determine a small employer’s group size now looks to the total number of full-time... read more →
Jun 13
May 09
Apr 18

Reporting Rules for Employers, Plans and Carriers under the Affordable Care Act (ACA) Codes 6055 and 6056 (also known as 1094/1095 reporting)

The ACA created Internal Revenue Code (IRC) Sections 6055 and 6056 which require employers, insurers, and other reporting entities report health insurance information to the IRS for purposes of enforcing the Individual Responsibility (aka “Individual Mandate”) and Employer Shared Responsibility (aka “Play or Pay”) provisions of the ACA. Section 6055 requires reporting... read more →
Mar 21

New “SBC” Template and Glossary Must Be Used as of 4/1/17

Employers and health insurance issuers must provide the Summary of Benefits and Coverage (SBC) and Glossary to all employees who are offered and who enroll in group coverage, per the ACA. The SBC is a standard document that explains all of a health plan’s basic coverage terms and cost-sharing requirements using... read more →