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Mandatory Notices
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New Expiration Date for Health Insurance Exchange Notices is May 31, 2020
The U.S. Department of Labor's Employee Benefits Security Administration (EBSA) has extended the effective date of its model Health Insurance Exchange Notices through May 31, 2020. Previously, these model notices were set to expire on May 31, 2017...
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New Expiration Date for Health Insurance Exchange Notices is April 30
The DOL's Employee Benefits Security Administration (EBSA) has extended the effective date of its model Health Insurance Exchange Notices through April 30, 2017. Previously, these model notices were set to expire on March 31, 2017.
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New Expiration Date for Health Insurance Exchange Notices is March 31, 2017
The U.S. Department of Labor’s Employee Benefits Security Administration (EBSA) has extended the effective date of its model Health Insurance Exchange Notices through March 31, 2017. Previously, these model notices expired on February 28, 2017. No ot
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Updated Model CHIP Notice Now Available
An updated model notice for employers to provide information on eligibility for premium assistance under Medicaid or the Children's Health Insurance Program (CHIP) is now available for download.
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New Versions of SBC Template and Related Documents for Use On or After April 1
New versions of the Summary of Benefits and Coverage (SBC) template, instructions, uniform glossary, and related documents are required for use on or after April 1, 2017. Under the Affordable Care Act, group health plans and health insurance issuers
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New Expiration Date for Health Insurance Exchange Notices is February 28, 2017
The U.S. Department of Labor's Employee Benefits Security Administration (EBSA) has extended the effective date of its model Health Insurance Exchange Notices through February 28, 2017. Previously, these model notices expired on January 31, 2017. No
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2017 Group Health Plan Notices Calendar
2017 calendar provides bottom line information on group health plan required notices and filings, including who must receive them, who must provide them, and when notices are due. At last, the notices your clients need, including...
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Reminder: Employer Responsibilities Regarding MLR Rebates
Health Care Reform require an issuer to provide rebates if its medical loss ratio (the amount of health insurance premiums spent on health care and activities to improve health care quality) falls short of the applicable standard during a reporting y
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Updated Model Employer CHIP Notice Now Available
An updated model notice for employers to provide information on eligibility for premium assistance under Medicaid or the Children's Health Insurance Program (CHIP) is now available for download.
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Reminder - Medicare Part D Notice Due by October 14
In preparation for the Medicare fall open enrollment period, employers sponsoring group health plans that include prescription drug coverage are required to notify all Medicare-eligible individuals whether such coverage is creditable. Creditable cove
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Employer Appeal Request Form Available for Employers Receiving Marketplace Notices
Marketplaces must notify employers within a reasonable timeframe following any month of the employee's eligibility determination and enrollment. Employers have 90 days from the date stated on the Marketplace notice to file an appeal.
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Certain Employers May Receive Marketplace Notices
Health Insurance Marketplaces are now sending letters to notify certain employers that one or more of their employees has been determined eligible for advance premium tax credits and cost-sharing reductions and has enrolled in a Marketplace plan.
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New FAQ on Including Additional Marketplace Coverage Information in COBRA Election Notice
A new Affordable Care Act FAQ clarifies that plan administrators may add more information about Health Insurance Marketplace coverage to the COBRA Election Notice used to inform eligible employees and dependents of the right to continue coverage and
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HHS Releases Sample Marketplace Employer Notice and Employer Appeal Request Form
Under the HHS Notice of Benefit and Payment Parameters, Marketplaces must notify employers within a reasonable timeframe following any month of the employee's eligibility determination and enrollment.
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Limited Penalty Relief for Employers Correcting Information Reporting Errors
ERs who can demonstrate good faith effort to comply with 1094/1095 reporting requirements will not be subject to penalties. This short-term relief only applies to returns filed in 2016 to report 2015 coverage.
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