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The New Healthcare Landscape: Policy Shifts in the Post-Election Era and Their Impact on Employee Benefits

… increase contribution limits to HSAs and to expand their usability, allowing users to purchase insurance premiums and cover co-pays and deductibles. This approach aligns with Trump’s broader philosophy of promoting individual choice and reducing government intervention in healthcare. For this reason, there could be further support for Individual Coverage Health Reimbursement Arrangements (ICHRAs), short-term medical plans, and association plans. 3. Lowering Drug Prices Another significant focus of Trump’s healthcare policy during his previous administration was lowering prescription drug prices. In his prior term, Trump was particularly vocal about the high costs of medications in the …

https://www.epicbrokers.com/insights/the-new-healthcare-landscape-post-election-era/

Compliance Matters Newsletter | October 2024

… 4980H(b) monthly penalty for a full-time employee receiving a subsidy. The employer contribution for employees who enroll in the employer’s plan may be more than the employer would be required to pay as a penalty under §4980H(b). IRS Private Letter Ruling Allows Employee Allocation of Funds Outside the Cafeteria Plan In private letter ruling (PLR) PLR 202434006, the Internal Revenue Service (IRS) concluded that an employer may allow employees to allocate non-elective, discretionary employer contributions among a 401(k) plan, retiree health reimbursement arrangement (HRA), health savings account (HSA) or educational assistance program (EA Program)

https://www.epicbrokers.com/insights/compliance-matters-newsletter-october-2024/

Compliance Matters Newsletter | July 2024

… constituent requesting to retrieve unused funds because the pandemic prevented her from commuting, and changed her routine so she no longer had reimbursable commuting expenses. The letter reminds readers that qualified transportation fringe benefits are not qualified benefits under a cafeteria plan and are not part of a flexible spending arrangement, and further explains that unused salary reduction amounts under an employer’s qualified transportation plan can be carried over to subsequent periods and used for future qualified transportation fringe benefits offered under the plan, so long as the employee does not receive benefits that exceed the maximum excludable amount …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-july-2024/

Compliance Matters Newsletter | June 2024

… Washington, D.C. invalidated portions of the final rule, removing the expanded AHP option. Recently, agencies released clarifying regulations, along with a Department of Labor announcement, that formally rescind the 2018 AHP rules and confirmed that in most cases, when unrelated entities offer shared benefits via a multiple employer welfare arrangement (MEWA), the coverage available for a participating member will be based on that particular member’s size, and each participating member will be seen as sponsoring their own separate group benefit plan(s). For the vast majority of employers, these rules will not have any impact, and employers participating …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-june-2024/

Compliance Matters Newsletter | May 2024

Let our team help you navigate the ever-changing benefits compliance landscape each month. Check out this month’s latest alerts, additional updates, and resources hot off the press: Employee Benefits Compliance Alerts This month’s Compliance Matters newsletter provides a comprehensive review of the following topics. To obtain your copy, please use the form below to download. DOL Releases Final Rules for STLDI & Fixed Indemnity Plans IRS Revisits Tax Treatment for Certain “Wellness” Arrangements New IRS Guidance for Work-Life Programs CMS Final Rule Limits Medicare Advantage Compensation for Brokers & Agents Change Healthcare Cyber Attack: Update & Next Steps 2024 …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-may-2024/

Compliance Matters Newsletter | April 2024

… 65, a news alert to remind taxpayers and health plan spending account administrators that personal expenses for “health and wellness” are not medical expenses as defined by the Internal Revenue Code (IRC). This means that these types of expenses are not reimbursable under health flexible spending accounts (FSAs), health reimbursement arrangements (HRAs) or health savings accounts (HSAs). In the alert, IRS commissioner Danny Werfel states, “Legitimate medical expenses have an important place in the tax law that allows for reimbursements…But taxpayers should be careful to follow the rules amid some aggressive marketing that suggests personal expenditures on things like …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-april-2024/

UnitedHealthcare-Owned Change Healthcare’s Ransomware Attack Has Widespread Implications

… reported a 15% to 20% reduction in claims over the past few weeks. Workarounds are being developed, but there is no doubt that providers’ cashflows are being pinched. Self-insured employers are feeling a short-term reprieve from claims, but no doubt these will return, and complex discount and repricing arrangements are at an increased risk of calculation error. Cashflow expectations need to be adjusted. Is your advisor keeping you informed of the latest news on Change Healthcare? If not, you should contact EPIC. We have your back. EPIC offers this material for general information only. EPIC does not intend …

https://www.epicbrokers.com/insights/change-healthcare-ransomware-attack/

The Well Newsletter | January 2024

Move the needle on your population wellbeing and health. Keep your most valuable asset – your employees – engaged with practical, actionable topics covering the total wellbeing spectrum. Simplify the Complicated Web of Benefits Understanding health insurance can be overwhelming. You hear about it on the news, at work and through friends and family. But do you really understand how to make the most of it? What about the pitfalls your employees need to look out for when arranging for care? Share the information below with your employees to help simplify the complicated web of benefits for your population. This month’s …

https://www.epicbrokers.com/insights/the-well-newsletter-january-2024/