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Tools and Resources

​From compliance support to online training and benefits information, we offer a range of tools and resources for businesses. Explore Tools and Resources

MEDICARE PART D DISCLOSURE NOTICE AND REPORTING REQUIREMENT

Health plan sponsors are required to provide an annual disclosure notice to all Medicare Part D-eligible individuals who are covered under an employer group health plan providing prescription drug coverage by October 15th of each year. Learn more about this requirement and the employer action required to stay in compliance in this tip.
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CONTROLLED GROUPS AND HEALTH CARE REFORM

The controlled group rules of the Employment Retirement Income Security Act (ERISA) made a popular return with the signing of the Patient Protection and Affordable Care Act (ACA). Learn more about controlled groups and their categories, here.
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PCOR PAYMENTS DUE BY AUGUST 1!

Created by the Affordable Care Act, this fee funds clinical effectiveness research studies overseen by the Patient Centered Outcomes Research Institute (PCORI). Learn more by reading a series of frequently asked questions.
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U.S. DEPARTMENT OF LABOR ANNOUNCES NEW EXEMPTION FOR OVERTIME RULES

On May 18, 2016, the U.S. Department of Labor released the final rule updating the Fair Labor and Standards Act (FLSA). The long awaited change revises the overtime exemption rules for the first time since 2004. Read about these new exemptions and their implementation, here.
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PRESIDENT SIGNS LEGISLATION DELAYING CADILLAC TAX AND SUSPENDING HIT AND MEDICAL DEVICE TAX

Previously scheduled to be effective in year 2018, the U.S. Congress formally passed legislation that delays the Cadillac Tax to year 2020. This is good news for many employers who expected the tax to impact them in 2018. Read about this and other provisions, here.
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MANDATORY REPORTING FOR SMALL EMPLOYERS SPONSORING SELF-INSURED COVERAGE

The IRS released final versions of the 2015 forms, 1094-B and 1095-B, that providers of minimum essential coverage (MEC) will use to report certain coverage information. These forms will report whether individuals were covered by MEC for each month of the calendar year. This tip will cover who is required to report, the information that must be captured in these forms and more.
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MANDATORY REPORTING FOR APPLICABLE LARGE EMPLOYERS

Applicable Large Employers will now have to report certain coverage information using recently released 2015 forms and instructions from the Internal Revenue Service. However, nothing about these reporting requirements is simple. See how to address the specific issues related to completing and submitting the 2015 Forms 1094-C and 1095-C, here.
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APPLICABLE LARGE EMPLOYERS SHOULD REVIEW HEALTH PLAN ELIGIBILITY PROVISIONS

Under the ACA’s employer mandate, applicable large employers must “pay or play” when it comes to healthcare coverage. In order to avoid unintended penalties, these employers should ensure that their health plan documents accurately reflect changes they have made or will make to their eligibility. See what you need to know.
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DELIVERING THE SUMMARY OF BENEFITS AND COVERAGE (SBC) IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER

Group health plans and health insurance issuers must make certain accommodations when delivering certain notices, like the Summary of Benefits and Coverage, to counties where 10% or more of the population is only literate in a language other than English. See how to determine if you need to make these accommodations.
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WELLNESS COMPLIANCE, PART ONE

Do you fully understand all your obligations under federal wellness rules? This tip focuses on ensuring that a wellness program complies with non-discriminatory rules and that design and terms are properly documented.
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ELECTRONIC SAFE HARBOR REQUIREMENTS

To ease the paperwork burden on Affordable Care Act plan sponsors and administrators, the Department of Labor rules allow for certain documents to be disclosed electronically under certain conditions. Learn about what it takes to qualify for electronic safe harbor of ACA documents.
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TRANSITIONAL REINSURANCE FEES

Transitional reinsurance is an Affordable Care Act program established to help stabilize premiums in the individual market from 2014 through 2016. If you are an employer sponsoring a self-insured health plan, you will have obligations under this program. This tip covers how to effect payment of the transitional reinsurance fee and answers FAQs about the program.
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THE COST OF NON-COMPLIANCE

Is your health plan prepared for a Department of Labor audit? The penalties of non-compliance can be very costly to your business. Learn about penalties associated with certain provisions of ERISA, ACA and other areas of law impacting employee benefit administration.
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