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Compliance Matters Newsletter | January 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 Disclosure to CMS Due Soon for Calendar Year Plans §4980H Employer Mandate Requirements & Penalties Review Requirement Reminder for Summary of Benefits & Coverage (SBC) Download this month’s alerts “*” indicates required fields First Name*Last Name*Company*Job Title*Email …

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

Compliance Matters Newsletter | December 2023

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 Review of Medicare Secondary Payer Requirements Medicare Secondary Payer (MSP) rules significantly limit any differentiation in benefit offerings for individuals who are eligible for Medicare coverage and determine rules that dictate which plan is the primary payer for individuals enrolled in both Medicare and employer-sponsored coverage. When the employer’s group health plan is the primary payer to Medicare the MSP rules prohibit the group health …

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

Long-Term Care Insurance: Value-Added Benefit or New State Payroll Tax?

… an important topic that can quickly make some of the most seasoned benefits professionals feel not quite up to the task. The only other barrier is your perspective about it, and the proper education can replace fear and hesitation with clarity and a sense of empowerment. A Different Perspective on Benefits Are you ready for a discussion that has the potential to positively impact your employees’ lives long into the future? The idea of long-term care insurance requires thinking differently because it’s about a long journey for the whole family. If your employee is struggling to find resources …

https://www.epicbrokers.com/insights/long-term-care-value-add-payroll-tax/

Compliance Matters Newsletter | November 2023

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 Gag Clause Prohibition Attestation Due Soon The Consolidated Appropriations Act of 2021 (CAA) prohibits group health plans and health insurance carriers from entering into agreements with providers, third-party administrators (TPAs), or other service providers that include language that constitutes a “gag clause.” The gag clause prohibition became effective on December 27, 2020, but the gag clause prohibition compliance attestation (attestation) requirement was delayed pending the release …

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

Understanding & Addressing Social Determinants of Health (SDoH)

The workplace environment and employee benefits play no small part in an employee’s health and wellbeing. In fact, employers have the potential to play a significant role in offering their population resources and assistance to manage—and even improve—their mental, physical, financial, and emotional wellbeing. EPIC Brokers recently conducted a research study of employers to delve into their experience beyond health insurance—to understand how wellness programs are being leveraged. Read on for key findings of the survey in our recently published 2023 Trends in Workplace Wellness report. Our Trends Report shows that most employers believe wellness in …

https://www.epicbrokers.com/insights/social-determinants-health-wellbeing/

World Mental Health Day: Feel Empowered About Your Mental Health… Every Day

Viewpoints from Erin Milliken and Kerry Connor Mental health and emotional wellbeing are two terms that are used interchangeably in our day-to-day lives. Though both are related, it is important to understand the differences and techniques to improve both. Mental health involves overall psychological wellbeing – which includes a person’s emotional wellbeing and is based on how a person feels, acts, and thinks through life’s challenges. Emotional wellbeing refers to an individual’s ability to handle and express emotions when facing challenges. For instance, when a person faces a mental health struggle like anxiety or stress (typically …

https://www.epicbrokers.com/insights/world-mental-health-day-feel-empowered/

There Are Options When Your Healthcare Premium Blows Up

Viewpoints from Craig Hasday With record-breaking general inflation rates, the specter of significant medical insurance cost increases has been looming over employers and individuals alike. This comes in the wake of Kaiser Permanente’s high-teen renewal increases released recently. The good news is that it seems these increases may be significantly lower than initially expected. Nevertheless, many employers are still grappling with medical insurance cost increases that are dramatically higher than what they experienced during the years of COVID-driven cost suppression. It is crucial for employers that are facing unaffordable increases in their medical insurance costs to …

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

Compliance Matters Newsletter | October 2023

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 IRS Employer Health Plan Coverage Affordability Considerations Recently, the Internal Revenue Service (IRS) significantly decreased the affordability percentage from 9.12% in 2023 to 8.39% in 2024. Under the Affordable Care Act (ACA) employers must offer coverage to employees that is “affordable” or risk facing penalties. Employers have the option to use one of three IRS affordability safe harbors to provide more predictability when determining whether …

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