PCORI Fee Filing Deadline | PA Employee Benefits Group

The Patient-Centered Outcomes Research Trust Fund fee, often referred to as the PCORI fee, can be a source of confusion for employers offering health insurance plans. This article aims to simplify what the PCORI fee is, why it exists, and how it impacts your business. What is the PCORI Fee? The PCORI fee is an … Continued

Form 5500: What You Need To Know | PA Employee Benefits Firm

Attention Employers: Don’t Miss Your Form 5500 Deadline! Here’s a simplified breakdown of what you need to know about filing your employee benefit plan report: Who Needs to File? Employers subject to ERISA (Employee Retirement Income Security Act) with employee benefit plans, unless exempt. What to File? Form 5500 (annual report) for each employee benefit … Continued

Benefits Check-up: 6 Compliance Issues Affecting Your Clients’ Health | PA Employee Benefits Agency

A health plan is more than a product or service; it’s a relationship. All productive and healthy relationships—especially in the benefits space—rely on trust. When an employer extends trust in a broker or insurance carrier to purchase something as critical as healthcare—for people as critical as their workers and families—we’re obligated to raise all factors … Continued

Compliance Recap July 2023 | PA Employee Benefits Group

PROPOSED CHANGES TO SHORT-TERM, LIMITED-DURATION INSURANCE On July 7, 2023, the U.S. Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Department of the Treasury proposed changes to modify the definition of short-term, limited-duration insurance (STLDI) and the conditions for fixed indemnity insurance to be considered an excepted benefit. The … Continued

Compliance Recap – May 2023 | PA Employee Benefits Team

CLAIMS SUBSTANTIATION FOR PAYMENT OR REIMBURSEMENT OF MEDICAL AND DEPENDENT CARE EXPENSES A memorandum released by the IRS Chief Counsel responds to a request for assistance regarding the reimbursement of medical and dependent care expenses. Addressed is whether reimbursements of medical expenses from a health flexible spending arrangement (FSA) provided in a cafeteria plan should … Continued

Compliance Recap – April 2023 | PA Employee Benefits Group

2024 BENEFIT PARAMETERS FOR MEDICARE PART D CREDITABLE COVERAGE DISCLOSURES ANNOUNCED The Centers for Medicare and Medicaid Services (CMS) released a Fact Sheet announcing the 2024 benefit parameters for Medicare Part D. These factors are used to determine the actuarial value of defined standard Medicare Part D coverage under CMS guidelines. Each year, Medicare Part D requires … Continued

Compliance Recap – March 2023 | PA Employee Benefits Agency

IRS RELEASES 2024 EMPLOYER SHARED RESPONSIBILITY PROVISION PENALTIES The dollar amount used to calculate the employer shared responsibility provision penalties (ESRP) has been provided for 2024. As background, the penalties can be assessed under Code § 4980H(a) if an applicable large employer (ALE) fails to offer minimum essential coverage to the required number of full-time … Continued

Compliance Recap | February 2023

February saw the start of Affordable Care Act (ACA) reporting for health coverage provided in 2022. The ACA reporting deadlines range from February 28 to March 31, 2023, and the state deadlines range from January 31,2023 to April 30, 2023. PREPARING FOR THE END OF THE COVID-19 NATIONAL EMERGENCY AND PUBLIC HEALTH EMERGENCY President Biden … Continued

Compliance Recap – January 2023 | PA Employee Benefits Group

2023 began quietly as the dust settles around open enrollment and the plan changes that can come with it. PROPOSED END TO THE PUBLIC HEALTH EMERGENCY AND THE COVID-19 NATIONAL EMERGENCY In a statement made through the Office of Management and Budget on January 30, President Biden announced his intention to end both the Public Health Emergency … Continued

Transparency Rules Require Plan Sponsors to Act Now Before July 1 Deadline | Pennsylvania Benefits Group

The Departments of Health and Human Services, Labor, and Treasury (the Departments) released Transparency in Coverage (TiC) rules in late 2020 that will require fully insured and self-funded plan sponsors of non-grandfathered group health plans to make important disclosures about in-network and out-of-network rates beginning July 1, 2022. To be ready to meet that deadline, … Continued

 

Fairmount Benefits Company

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Radnor, PA 19087
610-567-0175
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