Affordable Care Act, Compliance, Employer Group Health Plans

Key updates on the US health benefits and reimbursement landscape

McDermott Will & Schulte on 7/28/2025

The world of health benefits is constantly evolving. Recent policy shifts and legislative developments are expected to impact the economic landscape and have significant implications for employer plan sponsors, insurers,...more

The GLP-1 Coverage Conundrum: Managing Costs for Group Health Plans

Verrill on 3/20/2025

Many employers are facing challenges in incorporating high-cost GLP-1 medications, such as Mounjaro, Ozempic, Rybelsus, Trulicity, and Wegovy, into their group health plans, as they must balance the cost to the group health...more

Trump on Transparency: Making America Healthy Again Through Executive Order 14221; How Plan Sponsors Can Respond

Saul Ewing LLP on 3/7/2025

One mandate under the PPACA required health care providers, non-grandfathered health insurance issuers and self-insured group health plans to provide consumers with access to information about the cost of services before they...more

IRS Releases ACA Reporting Relief Guidance

Warner Norcross + Judd on 2/27/2025

At the end of last year, we told you about new legislation that provides employers with a little Affordable Care Act (ACA) reporting relief. Specifically, under the Paperwork Burden Reduction Act, applicable large employers...more

ESOPs, Benefits & Compensation Q4 2024 Client Update

Kaufman & Canoles on 1/8/2025

We hope you enjoyed the holidays and are settling back in refreshed and recharged for 2025. With a new year comes new rules; please find our thoughts on some of them below....more

2025 ACA Compliance Updates: Essential Insights for Employers

Ogletree, Deakins, Nash, Smoak & Stewart,... on 1/7/2025

As we turn the page to 2025, employers and HR professionals are turning their attention to ensuring compliance with the reporting and disclosure requirements of the Affordable Care Act (ACA). ...more

Annual Employee Benefits Compliance Checklists: Plan Administrators of Governmental and Church Plans

Williams Mullen on 11/21/2024

Administrators of governmental plans and church plans that are not subject to the Employee Retirement Income Security Act of 1974 (ERISA) should review the following actions to be taken before the end of 2024 and address what...more

Year-End Compliance Considerations for Employee Benefit Plans

Schwabe, Williamson & Wyatt PC on 10/18/2024

Open enrollment is right around the corner (at least for employers that run calendar-year health benefit plans), so many employers will be updating their benefit communication plans. Though not comprehensive, the following is...more

10th Birthday Wishes to the Affordable Care Act’s Employer Mandate

Genova Burns LLC on 10/14/2024

The Patient Protection and Affordable Care Act (“ACA”) was signed into law by President Obama on March 23, 2010. ACA affected health insurance coverage, costs and preventive care. It also established the Health Insurance...more

Recent Health Plan Litigation Puts Family Building Benefits in Focus

Proskauer - Employee Benefits & Executive... on 8/19/2024

Family building benefits continue to be top of mind as employers and plan sponsors implement new benefit programs to support family building journeys for their employees. At the same time, there have been a few recent...more

ACA-Required Coverage of Contraceptive Care Remains Agency Focus

Ogletree, Deakins, Nash, Smoak & Stewart,... on 3/7/2024

Once again, the U.S. Departments of Labor, Health and Human Services, and the Treasury have issued guidance on the Affordable Care Act’s (ACA) required coverage of contraception without cost sharing, clarifying the permitted...more

IRS Reduces 2024 Affordability Percentage

Williams Mullen on 9/28/2023

The Internal Revenue Service (IRS) decreased the Affordable Care Act (ACA) affordability percentage for 2024 to 8.39%. This percentage is used to assess whether an applicable large employer’s (ALE) lowest-premium health plan...more

Preventive Care in a Post-Braidwood World: Agencies Release Guidance on Preventive Services Coverage Requirements

Proskauer - Employee Benefits & Executive... on 4/26/2023

The Departments of Labor, Treasury, and Health and Human Services (the “Departments”) recently released guidance for group health plans on required preventive services coverage. The guidance was issued in response to a...more

Employer Checklist for New Health Plan Price Transparency Rules and CAA

Foley & Lardner LLP on 12/1/2021

The effective date is fast approaching for certain provisions of the Consolidated Appropriations Act of 2021 (“CAA”) and related regulations, and the Transparency in Coverage Rule. You can access previous articles written...more

Mental Health Parity Compliance Returns To Forefront for Group Health Plan Sponsors

Jackson Lewis P.C. on 5/3/2021

The Consolidated Appropriations Act, 2021 (CAA) amended the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) to include substantial new compliance requirements. The Department of Labor (DOL), Health and Human...more

[Webinar] Update on Preparing for the Trump Administration – What Employers May Expect - February 16th, 10:00am PST

Davis Wright Tremaine LLP on 2/2/2017

If recently signed executive orders by President Trump are any indicator, changes are in store for employers in 2017. With current legislation and regulations under scrutiny and the future of ACA uncertain, employers are...more

IRS Provides Updated Guidance on Electronic Filing of ACA Information Returns

Franczek P.C. on 9/15/2015

As 2016 approaches, the IRS is issuing more detailed guidance on how employers will need to comply with the upcoming ACA information reporting requirements. As a reminder, the ACA information reporting rules require employers...more

The Affordable Care Act’s Reporting Requirements for Carriers and Employers (Part 1 of 24)

Mintz - Employment, Labor & Benefits... on 7/20/2015

Alden Bianchi, Chair of the our Employee Benefits & Executive Compensation Practice, will provide a weekly installment on the complex reporting obligations outlined by the Affordable Care Act for health insurance carriers and...more

Agencies Issue Final Regulations on the Summary of Benefits and Coverage (SBC) Requirements

Proskauer - Employee Benefits & Executive... on 7/13/2015

As promised in the FAQ issued on March 30, 2015, the U.S. Departments of the Treasury, Labor and Health and Human Services (the Departments) have issued final regulations regarding the summary of benefits and coverage (SBC)...more

Midyear Check on Health Plan Compliance

Ballard Spahr LLP on 7/15/2014

If you sponsor or administer a group health plan, you are almost certainly taking steps to prepare for legal requirements that will become effective on or before January 1, 2015. New rules under HIPAA, the Affordable Care Act...more

The Affordable Care Act—Countdown to Compliance for Employers, Week 43: Coordinating the 3-Month Delay under Employer Shared...

Mintz - Employment, Labor & Benefits... on 3/4/2014

So much attention has been paid to the issuance of the final employer shared responsibility regulations that some might have missed the news that final regulations were recently issued under another of the Affordable Care...more

Start Counting! Employers and Group Health Plans Must "Count" Themselves into Compliance with the Affordable Care Act in 2013 and...

BakerHostetler on 6/6/2013

One theme weaving its way through the multitude of Affordable Care Act (ACA) guidance released over the past few years is this: Employers and group health plans must learn to count, and they must learn to count the "ACA way."...more

The Benefits Game - Playbook for Compliance with the Health Care Reform’s Pay or Play Rules for Employers

Saul Ewing LLP on 6/5/2013

The Affordable Care Act’s (ACA’s) employer shared responsibility provisions (commonly called “pay or play”) impact “large” employers and go into effect in 2014. Although effective in 2014, employers must plan NOW. Advance...more

The Employer's Playbook for ACA Compliance: Are You In The 2014 "Pay Or Play" Game?

Saul Ewing Arnstein & Lehr LLP on 5/22/2013

For better or worse, the ACA or Health Care Reform is still with us. If you do not want to end up in the penalty box in 2014, you must know whether you are subject to the employer shared responsibility provisions of the ACA...more

Staffing Industry Compliance with the Employer Shared Responsibility (aka “Pay-or-Play”) Provisions of the Affordable Care Act:...

Mintz - Employment, Labor & Benefits... on 5/3/2013

Under the Patient Protection and Affordable Care Act (the “Act”), the federal government, state governments, insurers, employers, and individuals all share responsibility to make affordable health insurance coverage widely...more

Patient Protection and Affordable Care Act (PPACA) › Compliance › Employer Group Health Plans

"My best business intelligence, in one easy email…"