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Compliance Alert: SCOTUS Decision on End-Stage Renal Disease

… addition, MSP rules prohibit a group health plan from “taking into account” the individual’s Medicare eligibility or entitlement when determining eligibility and coverage under the group health plan. MSP rules apply to most group health plans, but not health flexible spending accounts (FSAs) and qualified small employer health reimbursement arrangements (QSEHRAs). For age-based and disability-based Medicare, there are exemptions for small employers and individuals whose eligibility is not tied to current employment status; however, for ESRD-based Medicare, such exemptions do not apply. For ESRD-based Medicare, the MSP rules impose two different requirements: The group health …

https://www.epicbrokers.com/insights/compliance-alert-scotus-esrd-decision/

Contact EPIC

… about certificates or identify your account team Corporate Headquarters 1140 Avenue of the Americas 8th Floor New York, NY 10036 United States Employment Verification For employment verification contact Vault Verify at www.vaultverify.com and use our EPIC Company Code 70237 to obtain verification. You may also reach out to Vault Verify with questions to , or call (407) 378-6203 option 1. Press & Media Arrange quotes, verify facts, or set up interviews Vendor Inquiries Vendors selling new products and services may write us at: 1140 Avenue of the Americas 8th Floor New York, NY 10036 United States

https://www.epicbrokers.com/about/contact-us/

Compliance Alert: PCORI Fee Reminder & Updated Form 720

… 31 falls on a Sunday. Form 720 should be filed for the 2nd quarter ending June 30th, 2022. Health insurance carriers pay the fee on behalf of fully insured plans, but employers are responsible for reporting and paying the fee for any self-funded group health plans, including health reimbursement arrangements (HRAs). The PCORI fee applies to most group health plans, but not to excepted benefits. The IRS published a chart that describes the different types of plans subject to the fee. The fee is paid using quarterly excise tax Form 720, Line 133, and must be paid by July …

https://www.epicbrokers.com/insights/pcori-fee-reminder-updated-form-720/

Special Compliance Alert: What Is the Impact of the Roe v. Wade Reversal?

… in environment, improvement of morale, or general improvement of health, even if the trip is made on the advice of a doctor are not includable. Travel Benefits to Obtain Abortion Services Travel to obtain abortion services may be provided as part of the health plan, through a Health Reimbursement Arrangement (HRA), through a Flexible Spending Account (FSA), or through a Health Savings Account (HSA) for individuals enrolled in a High Deductible Health Plan (HDHP). Providing travel and lodging expenses for abortions outside of these types of arrangements could result in the creation of a group health plan because the …

https://www.epicbrokers.com/insights/special-compliance-alert-roe-v-wade-reversal-impact/

Leverage Forward-Thinking Insurance Solutions to Boost Your Recruiting Efforts

… employee demographics while managing medical cost inflation and relieving your HR team to focus on employee recruiting and engagement. Our experienced Employee Benefits team can assist with: Managing escalating pharmacy costs to offer candidates more coverage options Identifying solutions that meet your candidates where they are (remote or hybrid working arrangements, new to the workforce, aging parents, or nearing retirement) Developing professional benefits communications to share with potential employees early in the recruiting process Navigating complex and ever-changing human resource compliance requirements. EPIC can help you stand out in a crowded space to attract and secure top talent with …

https://www.epicbrokers.com/insights/boost-your-recruiting-efforts/

Compliance Alert: Machine-Readable TiC File Requirement Is Looming

… the Departments released another set of FAQs providing technical guidance on MRFs and providing two safe harbors for group health plans and issuers who use alternative payment arrangements. Machine-Readable Files As part of the TiC, non-grandfathered group health plans and insurance issuers must make available to the public three separate machine-readable files (MRFs) related to: Negotiated rates for all covered items and services between the plan or issuer and in-network providers. Historical payments to, and billed charges from, out-of-network (OON) providers. For privacy purposes, historical payments must have a minimum of twenty entries …

https://www.epicbrokers.com/insights/compliance-alert-tic-file-requirement/

IRS Releases 2023 HSA & HDHP Limits

Quick Facts The Internal Revenue Service (IRS) updates High Deductible Health Plans (HDHP) and Health Savings Account (HSA) limits annually for inflation. In May 2022, the IRS released Revenue Procedure 2022-24 updating cost-sharing limits for HDHPs, maximum HSA contribution limits and the maximum amount that may be made available for an excepted benefit Health Reimbursement Arrangement (HRA) in 2023. Overview The IRS recently released Revenue Procedure 2022-24, which includes the 2023 inflation-adjusted amounts for HSAs, HDHPs and excepted benefit HRAs. These limits include the maximum HSA contribution limit, the minimum deductible amount for HDHPs, the maximum …

https://www.epicbrokers.com/insights/irs-releases-2023-hsa-hdhp-limits/

USERRA Benefits Requirements

… long as coverage is continued by the employee. NOTE: Even if the spouse and dependents do not have independent continuation rights under USERRA, they may qualify for independent coverage rights under COBRA. The definition of a “health plan” for this purpose is broad, including major medical plans, as well as other health plans such as health Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), dental, and vision. Coverage continuation is not required for non-health benefits. The employer responsibility for contributions is set forth in 38 United States Code (USC) §4317(a) and differs a bit depending upon the …

https://www.epicbrokers.com/insights/userra-benefits-requirements/