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Employer health plan surcharges pose litigation risks

Many employers implement wellness programs into their employee health plan offering. Wellness programs have varying designs but commonly offer premium discounts to participants who are tobacco-free or achieve certain...more

New HIPAA privacy standards for reproductive health care — action required by employer health plans

Earlier this year, the U.S. Department of Health and Human Services (HHS) issued new regulations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The rules impose new restrictions on the use and...more

How changes to the “family glitch” affect workplace health plans

The IRS finalized new rules that change eligibility requirements for the premium tax credit (PTC) created under the Affordable Care Act. It is now easier for an employee’s family members to enroll in subsidized health...more

Big surprises in the No Surprises Act

In one of the biggest attempts by the federal government to combat surprise medical billing, Congress in late 2020 passed the No Surprises Act (NSA), which imposes a host of new transparency and coverage requirements for...more

Employer health plans must pay the cost of a COVID-19 vaccine

As many have likely heard, multiple COVID-19 vaccine candidates have rapidly reached the final stages of development and are showing extraordinary effectiveness. The vaccines are beginning to be submitted to the FDA for...more

IRS announces relief for certain Form 1094/1095 reporting requirements

In a similar move as in previous years, the IRS has issued relief from certain Form 1094-C and 1095-C reporting requirements under the Affordable Care Act relating to employee health plans, as well as relief from certain...more

Coronavirus-related legislation and employee benefits

The coronavirus public health emergency has created a number of issues impacting employee benefit plans. Employers are asking numerous questions, including: What does our health plan have to cover as it relates to...more

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