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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/

Five Reasons Why Captives Can Be Your Saving Grace in Funding Employee Benefits

… reservations about change. We get it if you’re skeptical or you feel as if you’re too busy to explore this option. We really do. But playing it safe is sometimes the riskiest choice when it comes to serious business, like finance and healthcare. If you would like to lower your costs by increasing your purchasing power, and if transparency is important to you, a captive arrangement is your is your way to smooth risk and reduce the effects of inflation. Your EPIC broker was made for this. We have the expertise – and the data and analytics – to …

https://www.epicbrokers.com/insights/captives-funding-employee-benefits/

Compliance Matters Newsletter | December 2023

… cautious not to differentiate benefits design or eligibility due to Medicare entitlement or eligibility, nor should employers incentivize employees to take Medicare over the group health plan. Special Alert: IRS Releases 2024 FSA Limits On November 9, 2023, the Internal Revenue Service (IRS) released updated limits for health flexible spending arrangements (FSAs) and commuter benefits. These limits are adjusted annually for inflation. Limits for Dependent Care Assistance Programs (DCAP) are set by statute and not adjusted annually for inflation. Considerations for Compliant Family-Building Benefits Family-building programs, also commonly referred to as fertility or infertility benefit programs, are becoming …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-december-2023/

There Are Options When Your Healthcare Premium Blows Up

… those where maximum costs are capped. Under these programs, the employer is not responsible for paying excessive amounts if these projected costs do not materialize, yet there is downside protection if they do. Captive Insurance programs can also mitigate individual client risk. Another alternative is using Individual Coverage Health Reimbursement Arrangements (ICHRAs). These plans allow employers to provide employees with a fixed amount of money to purchase individual health insurance coverage. This empowers employees to choose a plan that best suits their needs while potentially reducing costs for both employers and employees. However, these plans are administratively complex, and selecting …

https://www.epicbrokers.com/insights/healthcare-premium-options/

Compliance Matters Newsletter | August 2023

… ACA), even if those services would otherwise be considered out-of-network. As a reminder, services subject to the prohibition against balance billing are air ambulance claims, emergency services, and services provided by an out-of-network provider at an in-network facility.    Additionally, the FAQs clarify that any contractual arrangement with an air ambulance provider, direct or indirect, makes the air ambulance provider a “participating provider” for purposes of the NSA. Separately, the FAQs indicate that facility fees fall under the definition of “items and services” which are protected under the NSA (and subject to in-network cost-sharing …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-august-2023/