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Compliance Matters Newsletter | July 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. Next Round of PCORI Fees Due July 31, 2024 Form 5500 Frequently Asked Questions Recent Updates on Pharmacy Benefit Manager (PBM) Legislation Medicare Secondary Payer Considerations for Small Employers UNUM & DOL Reach Settlement in Life Insurance Investigation 2024 State Regulation Series: State …

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

Medicare Secondary Payer & California Carriers

Recently, a client asked us to explain the rules around how much Medicare and carriers pay. They were surprised to hear from an employee that their carrier was not going to pay a claim unless the participant was enrolled in both Medicare Part A and Part B. Fortunately, the employee had reached out to the carrier prior to obtaining services and was able to avoid costly out-of-pocket expenses by enrolling in Medicare. We thought a refresher of the Medicare Secondary Payer rules might be in order. In addition, we will discuss how some of the carrier’s practices …

https://www.epicbrokers.com/insights/medicare-secondary-payer-california-carriers/

The Well Newsletter | July 2024

… harmful products in the home to keep your workforce and their families healthy. Share our low-tox household tips with your employees. This month’s The Well newsletter provides messaging and tips for you to share with your workforce. To obtain your copy, please use the form below to download. Employee-Facing Email Download the Word file, then copy and paste the graphic and text into a fresh email to deploy to your workforce. Monthly Wellness Tips Share the monthly tips PDF to your intranet, HR portal, or post it in common office areas. Download this month’s resources Dive …

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

Benefits Curve | Gear Up for 2025: Your Roadmap to Benefits Success!

… our team. Stay tuned for fresh topics every other month! Gear Up for 2025: Your Roadmap to Benefits Success! Are you prepared to revolutionize your employee benefits strategy for 2025? Our June 20 webinar was designed to equip employers like you with the tools, strategies, and insights to enhance your benefits offerings for the upcoming year. Get the strategic insights and tools you need to thrive in 2025 and beyond. Our panel of specialists – Nabil Fakhoury, Managing Principal Private Equity, Employee Benefits, and Nick Favro, Executive Managing Underwriter, Employee Benefits – was moderated by Sherry Pitcher, Senior Consultant, Employee Benefits. What …

https://www.epicbrokers.com/insights/benefits-curve-june-2024-benefits-planning/

Hype or Help? Obesity Drug Considerations for Employers

… established cardiovascular disease. Then, the CMS (Centers for Medicare and Medicaid Services) announced that health plans under Medicare Part D could cover Wegovy when deemed medically necessary. These developments underscore the growing importance of GLP-1 medications in healthcare management. While the cardiovascular and weight loss data emphasize the potential benefits of GLP-1 medications, the financial impact – exceeding $10,000 per patient annually – has made coverage decisions challenging for employers. Additionally, clinical trial data shows that continuous, chronic use is required to maintain weight loss. In people who discontinued therapy, two-thirds of their lost weight was regained after …

https://www.epicbrokers.com/insights/weight-loss-drug-glp1-employer-considerations/

EPIC Welcomes John Antvelink

Antvelink Joins the Midwest Region as Principal, Employee Benefits Consulting EPIC is thrilled to announce that John Antvelink has recently joined our firm as Principal, specializing in Employee Benefits. In this new role, he will focus on sales strategy, customer engagement and new business production in the Midwest region, with experience and a specialty in financial institutions. “We are delighted to introduce John as our first benefits advisor in the state of Michigan!” says Dan Grelecki, Sales Leader for EPIC Midwest. “His expertise will undoubtedly enhance our growing Midwest team.” Before joining EPIC, John Antvelink made significant contributions at MetLife …

https://www.epicbrokers.com/insights/epic-welcomes-john-antvelink/

Compliance Matters Newsletter | June 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. Medicare Part D Redesign May Affect Creditable Coverage Status Final HIPAA Rules for Reproductive Healthcare Departments Provide Final Rules for ACA Section 1557 Special Alert: IRS Releases 2025 Limits for HDHPs & HSAs Update on California A.B. 2200 Single-Payer System Bill …

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

Medicare Part D Redesign: Do You Know Your Creditable Coverage Status?

Medicare is a government program that provides health insurance for people 65 or older, people under age 65 with certain disabilities, and anyone with End-Stage Renal Disease (ESRD). It is administered by the Centers for Medicare and Medicaid Services (CMS), a division of the Department of Health and Human Services (HHS). Since 2006, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) prescription drug benefit (Medicare Part D, or Part D) allows all persons who are eligible for and enrolled in Medicare (due to age, disability or ESRD) to purchase Part D prescription drug coverage if they …

https://www.epicbrokers.com/insights/medicare-part-d-redesign-creditable-coverage/