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HSA, FSA & HRA Updates for 2024

​Annual health savings account (HSA) contribution limits for 2024 are increasing in one of the biggest jumps in recent years: The annual limit on contributions for self-only coverage will be $4,150 (a 7.8% increase from the $3,850 limit in 2023) and for family coverage, the contribution limit will jump to $8,300 (up 7.1% from $7,750)…. Read More

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“Affordability” Changes for 2024

Each year, the Internal Revenue Service (IRS) adjusts the percentage that is used to determine affordability under the Affordable Care Act (ACA). The IRS has just announced that for plan years starting on or after January 1, 2024, the affordability rate will be set at 8.39%. This represents a significant reduction from the current rate of 9.12%. Employers subject… Read More

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Gag Clause Prohibitions under the CAA

New compliance obligations that the Consolidated Appropriations Act of 2021 (CAA, 21) created for employer-sponsored plans can seem endless at times. One of the lesser-known parts of the CAA, 21 is the prohibition on “gag clauses” within provider agreements that restrict access to price and quality information. Under the CAA, 21, these gag clauses have… Read More

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NJ Temporary Workers Bill of Rights

New Jersey has passed a bill of rights for the state’s temporary workers requiring staffing agencies and their customers to provide several notifications to temporary workers. Under the law, a temporary worker is anyone who contracts employment with a temporary help service firm. It excludes agricultural crew leaders, secretaries, or administrative assistants. Still, it does… Read More

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UPDATED DEADLINE FOR THE END OF THE COVID-19 NATIONAL EMERGENCY

On April 10, 2023, President Biden signed a resolution ending the COVID-19 national emergency that had been in place since 2020. The Biden administration had previously announced a May 11, 2023 end date to both the national emergency and the public health emergency (PHE), but the signing of the bipartisan legislation terminates the national emergency as of April 10, 2023…. Read More

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End of Year Compliance Reminders!

Below is an overview of several items and deadlines plan sponsors should be mindful of as the year comes to a close: The Affordable Care Act’s Employer Mandate Premium Tax Credits and Cafeteria Plan Changes The Consolidated Appropriations Act (CAA) & COVID-19 Relief

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RxDC Reporting Deadline Extended + Other Limited Reporting Relief

On December 23, 2022, the Biden Administration issued Affordable Care Act FAQ #56, giving a little holiday gift to group health plans and issuers nationwide. The guidance establishes limited deadline and enforcement relief for the 2020 and 2021 Prescription Drug Data Collection (RxDC) submissions that were due by December 27, 2022, announcing a compliance safe harbor… Read More

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Medicare Part B and D Premiums and Other CMS Updates for 2023

For the first time in a decade, the Centers for Medicare and Medicaid (CMS) announced that premiums for Medicare Part B beneficiaries and the Part B deductible will both be lower than the previous year. Each year the Medicare Part B premium, deductible and coinsurance rates are determined according to the Social Security Act. The… Read More

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Medical Loss Ratio Rebates under the Affordable Care Act

Over the next month, health insurance carriers will distribute approximately $1B in medical loss ratio (MLR) rebates from 2021 to individual and group health insurance consumers.  The following provides an overview of a employer plan sponsor’s obligation for handling these MLR rebates. The MLR is the percentage of premium dollars received by a health insurance… Read More

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2023 Health Savings Account (HSA) and High-Deductible Health Plan (HDHP) Limits Announced

The Internal Revenue Service (IRS) has announced the inflation-adjusted 2023 minimum deductibles, out-of-pocket maximums, and contribution limits for heath savings accounts (HSAs) and qualified high-deductible health plans (HDHPs). Self-only coverage refers to plans for one individual, while family coverage refers to plans for two or more individuals. The out-of-pocket maximum includes copayments, deductibles, and coinsurance… Read More