Updated Guidance on Drug Manufacturers’ Coupons – Enforcement Delay

Author: Cindy Niesen, Associate Director: Research & Compliance, Hays Companies Last week, the US Departments of Health and Human Services (HHS), Treasury and Labor jointly issued an FAQ stating that for 2020 they will not enforce new guidelines (which were incorporated into HHS’s Notice of Benefit and Payment Parameters for 2020) regarding drug manufacturers’ assistance […]

2020 ACA Out-Of-Pocket Maximums and Health Savings Account Limits

As the Hays Research and Compliance team looks towards the new year, we want to inform our clients that there will be two plan design changes to consider for 2020: Affordable Care Act out-of-pocket maximum dollar limits, and, High Deductible Health Plan limits. Affordable Care Act Out-Of-Pocket Maximum Dollar Limits This April, the U.S. Department […]

Issues to Consider for 2020 Renewals

Affordability Safe Harbors The safe harbor percentage for 2019 is 9.86% (IRS per Rev. Proc. 2018-34). The safe harbor percentage for 2020 is 9.78% (IRS per Rev. Proc. 2019-29). Employer Shared Responsibility Tax (employer mandate) – applicable to the 2018 plan year 4980(a) tax for not offering minimum essential coverage to at least 95% of […]

Compliance Webinar | HIPAA: Protecting Your PHI and Protecting You From Penalties

In this 1-hour webinar, presented by Hays Companies Research and Compliance Department, we present an overview of HIPAA Privacy and Security rules applicable to group health plans, as well as the latest requirements for the privacy and security of protected health information (PHI) and the role of the employer as plan sponsor. Other topics include: […]

Final Regulations Expand Options for HRAs

On Thursday, June 13, the combined agencies of the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services (“the agencies”) released final rules allowing for the reimbursement of premiums for individual coverage through an employer sponsored HRA.  These changes also allow for some HRAs to qualify as excepted […]