HcTrends RSS Article Feed https://www.hctrends.com/rss/rss.aspx HCTrends.com - Resource Postings en-us All materials © Copyright 2002 - 2017, HCTrends.com 3946 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=A1C9BAB8-8974-41E4-B45B-F91B54415FD9 webmaster@hctrends.com IRS Reverses Policy on Certifying Individual Mandate Compliance On October 13, 2017, the IRS reversed a recent policy change on how it monitors compliance with the ACA's individual mandate. For 2017 tax returns, the IRS will not accept electronic tax returns, and may suspend paper returns, that do not certify compliance with the individual mandate. This ACA Compliance Bulletin provides an overview of this change. 2017-10-27T04:43:07-05:00 3945 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=8160C9BF-2AE5-4AF5-9F16-CDE117D76DC2 webmaster@hctrends.com IRS Increases Health FSA Contribution Limit for 2018, Adjusts Other Benefit Limits (10/17) On October 20, 2017, the Internal Revenue Service (IRS) released Revenue Procedure 2017-58, which raises the health Flexible Spending Account (FSA) salary reduction contribution limit by $50 to $2,650 for plan years beginning in 2018. The Revenue Procedure also contains the cost-of-living adjustments that apply to dollar limitations in certain sections of the Internal Revenue Code. The following summarizes other adjustments relevant to individuals and employer sponsors of welfare and fringe benefit plans. 2017-10-23T10:37:36-05:00 3944 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=F2324AF3-BDA6-43BB-8CDB-D9D0C2F14762 webmaster@hctrends.com Trump Administration Releases Guidance on ACA’s Contraceptive Coverage Mandate On October 6, 2017, The U.S. Departments of Health and Human Services (HHS), Treasury, and Labor (the “Departments”) released interim final regulations allowing employers and insurance companies to decline to cover contraceptives under their health plans based on a religious or moral objection. The new rules – which are effective immediately – scale back Obama-era regulations under the Affordable Care Act (ACA) that require non-grandfathered group health plans to cover women’s contraceptives with no cost-sharing, with limited exceptions for non-profit religious organizations or closely-held for-profit entities. 2017-10-10T08:47:51-05:00 3943 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=3236B0C3-166D-411F-B07F-8FCF80B121B6 webmaster@hctrends.com Federal Agencies Relax Contraceptive Coverage Mandate Effective as of October 6, 2017, two companion interim final rules issued by the U.S. Departments of Health and Human Services, Treasury, and Labor expand exemptions related to the Affordable Care Act requirement that non-grandfathered group health plans provide coverage without cost-sharing for contraceptive services (referred to as the "contraceptive mandate"). Previously, the contraceptive mandate was subject to exemptions for religious employers and accommodations for certain other non-profit religious organizations and closely held for-profit entities with sincerely held religious beliefs against certain contraceptives. 2017-10-09T11:19:21-05:00 3942 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=0E5CBAA8-058E-4FB8-BD13-9830969E9C06 webmaster@hctrends.com Final 2017 Instructions for Forms 1094 and 1095 Now Available Used for Reporting in Early 2018 The IRS has released the final 2017 Instructions for Forms 1094-B, 1095-B, 1094-C, and 1095-C to help employers prepare for calendar year 2017 Affordable Care Act (ACA) information reporting. Employers will use the final versions of the forms and instructions in early 2018 to report on health coverage offered (or not offered) in the 2017 calendar year. 2017-10-06T05:55:12-05:00 3941 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=B3EE9320-E415-4E44-BDFE-5C594FB92092 webmaster@hctrends.com Medical Loss Ratio (MLR) Rebates and Employer Responsibilities (9/2017) A medical loss ratio (MLR) is the amount of health insurance premiums that an insurer spends on health care and activities to improve health care quality. It is expressed as a percentage: for example, an MLR of 90% means 9 out of 10 of all premium dollars the insurer receives are spent on health care and quality improvement, with the other dollars spent on overhead, profits, and administrative costs. Starting in 2012, an insurer that does not spend enough of its premium dollars on health care must provide a rebate to the insured individual or to the policyholder, which may be the employer that purchased the insurance. Note: Due to the complexity of the law in this area, it is necessary for employers receiving rebates to consult with legal counsel to ensure full compliance with all applicable requirements. You may also wish to check with your carrier as there may be additional guidance available specific to your plan. These rules do not apply to employers who operate self-insured plans. 2017-09-13T06:59:27-05:00 3940 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=638B04D2-C758-477C-8F09-9054B4EE091D webmaster@hctrends.com Court Requires EEOC to Substantiate 30% Limit on Wellness Program Incentives (9.2017) On August 22, 2017, a federal court in the District of Columbia ordered the Equal Employment Opportunity Commission (EEOC) to reconsider the limits it placed on wellness program incentives under final regulations the agency issued last year under the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act (GINA). As part of the final regulations, the EEOC set a limit on incentives under wellness programs equal to 30% of the total cost of self only coverage under the employer’s group health plan. The court found that the EEOC did not properly consider whether the 30% limit on incentives would ensure the program remained “voluntary” as required by the ADA and GINA and sent the regulations back to the EEOC for reconsideration. 2017-09-11T12:43:07-05:00 3939 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=CC9CF4D5-AC22-46B0-97CC-C6C18E2A1F62 webmaster@hctrends.com FORM TO REQUEST DOCUMENTATION FROM AN EMPLOYER-SPONSORED HEALTH PLAN OR AN INSURER CONCERNING TREATMENT LIMITATIONS Background: This is a tool to help you request information from your employer-sponsored health plan or your insurer regarding limitations that may affect your mental health or substance use disorder benefits. You can use this form to request general information about coverage limitations or specific information about limitations that may have resulted in denial of your benefits. Your plan is required by law to provide you this information in certain instances, and the information will help you determine if the coverage you are receiving complies with the law. 2017-06-30T08:22:16-05:00 3938 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=63C43457-9E8C-4E69-B395-0EFC97B84C26 webmaster@hctrends.com Affordable Care Act Implementation FAQs Set 38 (6/16/2017) This set of FAQs addresses mental health and substance use disorder parity implementation and the 21st Century Cures Act. 2017-06-30T08:18:12-05:00 3937 https://www.hctrends.com/library/lib_article_display_by_id.aspx?id=A08672DD-11CF-4D2D-AC19-950B1B228E04 webmaster@hctrends.com BETTER CARE RECONCILIATION ACT (Section Summary) SECTION BY SECTION SUMMARY BETTER CARE RECONCILIATION ACT [LYN17343] 2017-06-28T06:06:47-05:00