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Covering Coronavirus: Risk Considerations Volume 1, Issue 4

… track the event and note dates, describe actions, and summarize expenses and lost revenue to help organize data and memorialize the event. The tabs that follow provide tools to capture actual numbers to track all cancelled events, reservations, orders, services, products, etc., as well as tracking invoices for the repair and replacement of covered property and extra expenses. Employee Benefits Update Self-Funded Health Plans: Gauging the Impact of Coronavirus Many employers, particularly those in self-funded arrangements (in some cases with little or no aggregate stop-loss protection), are wondering how coronavirus pandemic will impact their healthcare programs …

https://www.epicbrokers.com/insights/covering-coronavirus-risk-considerations-volume-1-issue-4/

EPIC Adds Matthew Marmorek as National Practice Leader, Global (Non-US) Employee Benefits

EPIC Insurance Brokers and Consultants, a retail property, casualty insurance brokerage and employee benefits consultant, announced today that Matthew Marmorek has joined the firm as National Practice Leader, Global (Non-U.S.) Employee Benefits. Marmorek has worked in the international employee benefits industry for almost two decades. He specializes in developing innovative solutions to help multinational organizations meet their global employee benefit needs. He has extensive experience guiding clients through the implementation of financing vehicles such as multinational pooling, global underwriting, and captive arrangements, both on and off-shore, including medical, non-medical, and pension coverage. Marmorek brings deep carrier …

https://www.epicbrokers.com/insights/epic-adds-matthew-marmorek-as-national-practice-leader-global-non-us-employee-benefits/

Can ICHRAs Be Used to Make Healthcare a Defined Contribution Benefit?

The Affordable Care Act (ACA) limited employers’ ability to use Health Reimbursement Arrangements (HRAs) to fund individual premiums, except for Qualified Small Employer HRAs which had limited applicability due to legislative restrictions. Legislators were fearful that employers would use these programs to dump bad risk on the individual marketplace, which under ACA now has a pre-existing condition ban. Makes sense – large claims make up a disproportionate share of an organization’s total claims, and an employer would get a windfall if it could remove those individuals from its plan. In 2017, the Trump administration directed the U.S. Treasury …

https://www.epicbrokers.com/insights/can-ichras-be-used-to-make-healthcare-a-defined-contribution-benefit/

The Road Not (Yet) Taken: Surrogacy Benefits

… third party. While an employer plan can elect to extend a host of surrogacy services under its group medical program, it would need to remain cognizant of the cost of these services and ensure the plan is appropriately recognizing those services as taxable components of the program, and that they could give rise to taxable income for the employee. It’s also worth noting that some states have passed laws that expressly prohibit surrogate contract arrangements – including New York – and as such, employers must be careful not to inadvertently transgress any applicable laws by allowing for surrogate coverage or reimbursements.

https://www.epicbrokers.com/insights/the-road-not-yet-taken-surrogacy-benefits/

Compliance Alert: DOL Reveals Higher Health Plan Violation Penalties

… example, employers should make sure they are complying with ERISA’s reporting and disclosure rules, including Form 5500, annual CHIP notice and SBC requirements. ADJUSTMENTS FOR 2020 The increased amounts shown below apply to penalties assessed after January 15, 2020. Edit Requirement2019 Adjusted Penalty Amounts2020 Adjusted Penalty Amounts Failure or refusal to file an annual report (Form 5500) with the DOL (unless a filing exemption applies)Up to $2,194 per dayUp to $2,233 per day Failure of a multiple employer welfare arrangement (MEWA) to file an annual report (Form M-1) with the DOLUp to $1,597 per

https://www.epicbrokers.com/insights/compliance-alert-dol-reveals-higher-health-plan-violation-penalties/

Don’t Let Out-of-Network Balance Billing Happen to Your Team

… a nasty balance-billing surprise, and while some states have protections in place against surprise balance billing, these are limited by federal law. Most of our clients don’t have an issue finding in-network care but it has the potential to be very problematic if gone unaddressed. Typically, alternative arrangements can be made when an in-network provider is not available to an employee, and their provider will be treated as in-network for a service or series of treatments. This applies if the employee truly cannot find a provider – not that they just don’t like any of …

https://www.epicbrokers.com/insights/dont-let-out-of-network-balance-billing-happen-to-your-team/

Compliance Alert: IRS Announces Increased Limits for Certain Employee Benefits

The Internal Revenue Service (IRS) has released Revenue Procedure 2019-44 in which it has updated many key employee benefit limits that it adjusts annually to account for inflation. Effective for tax years beginning in 2020, the following limits will apply: IRC Section 125 health flexible spending arrangements (HFSA): $2,750/year IRC Section 132 qualified transportation fringe benefits: $270/month IRC Section 137 adoption assistance program expenses: $14,300/year (subject to phase out for individuals with adjusted gross income in excess of $214,520) IRC Section 9831 qualified small employer health reimbursement arrangement (QSEHRA): $5,250/year ($10 …

https://www.epicbrokers.com/insights/irs-announces-increased-limits-for-certain-employee-benefits/

Equipment Maintenance Program

Managing each of your organization’s individual equipment service contracts is a tall task! Let’s consolidate these contracts into our Equipment Maintenance Program with: ONE contract and renewal date ONE number to call to choose your service provider ONE portal to manage maintenance history Our Preferred Equipment Maintenance Program provides a unique alternative to the traditional Original Equipment Manufacturer (OEM) and third-party service contracts. By consolidating existing electronic equipment service contracts into one comprehensive program, we reduce the cost of individual OEM arrangements by 10 to 25%. One agreement that costs less and is more flexible is the …

https://www.epicbrokers.com/equipment-maintenance-program/