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Coverage of Preventive Services Without Cost-Sharing

Quick Facts The Affordable Care Act’s (ACA’s) Public Health Service Act (PHSA) §2713 contains a list of items considered preventive healthcare which must be covered with no cost-sharing. The list continues to be updated by designated departments/agencies based on newly available medical treatments and best practices. In 2020, the Families First Coronavirus Response Act (FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) required additional diagnostic testing and related services with no cost-sharing. Background Non-grandfathered group health plans are required to provide the following preventive services without imposing any copayments, coinsurance …

https://www.epicbrokers.com/insights/coverage-of-preventive-services-without-cost-sharing/

What Happens to Unused Health FSA Funds?

Quick Facts The Internal Revenue Service’s (IRS’s) Use-or-Lose rule states that Flexible Spending Account (FSA) funds must be spent by the participant within the FSA’s plan year. Unused funds at the end of the plan year are forfeited to the plan. Exceptions to the rule include a carryover or grace period feature. Funds left in an FSA from a carryover will impact Health Savings Account (HSA) eligibility. There are four IRS and Employee Retirement Income Security Act (ERISA) approved options for utilizing forfeited funds. Background FSAs are subject to the Use-or-Lose rule, meaning …

https://www.epicbrokers.com/insights/what-happens-to-unused-health-fsa-funds/

Derek Poirier Joins EPIC

Poirier Strengthens West Region’s Employee Benefits Operations We are pleased to announce that Derek Poirier has joined the firm as Senior Principal. In his new position with EPIC, Poirier is responsible for new business development, and the design, placement, and management of employee benefits insurance programs and solutions for mid-market and large clients. Reporting to Matt Clemo, Executive Managing Principal and Southern California Employee Benefits leader, he will be based in the firm’s Newport Beach office. “We are happy to have Derek join our rapidly growing Orange County practice,” noted Clemo. “His vast experience and industry expertise …

https://www.epicbrokers.com/insights/derek-poirier-joins-epic/

EPIC Welcomes Juliet Lucero

Lucero joins as Director of California Charter School Practice In her new position with EPIC, Lucero will work hand in hand with schools to identify the benefits strategies that will meet both short-term and long-term goals, while establishing fiscally responsible programs that address the evolving needs of school employees. Reporting to Matt Clemo, Executive Managing Principal and Southern California Employee Benefits leader, she will be based in the firm’s Newport Beach office. “We are pleased to welcome Juliet to the team,” noted Clemo. “Her hands-on Charter School experience will contribute to the provision of best-in …

https://www.epicbrokers.com/insights/epic-welcomes-juliet-lucero/

Alex Jerez Joins EPIC

Jerez Joins as Director, Northeast Charter School Practice In his new position with EPIC, Jerez will work hand in hand with schools to develop plans and programs that protect schools and their most valuable assets. His focus will be creating strategies that provide coverage for school property, children, teachers, course of construction, and active assailant threats. Reporting to Joffrey Clark, Charter School Practice Leader, he will be based in the firm’s Melville, New York office. “We are pleased to welcome Alex to the team,” noted Clark. “His hands-on Charter School experience will contribute to the provision of best …

https://www.epicbrokers.com/insights/alex-jerez-joins-epic/

EPIC Adds Cori Simpson

… a track record of leveraging data analytics to develop benefits strategies that achieve business imperatives and improve her clients’ population health and productivity. Cori brings a unique perspective to her consulting role: Cori has led consulting engagements with Fortune 100 clients encompassing human resources strategy, mergers and acquisitions, and broad benefits strategy including health and welfare, financial security and work/life issues. Cori held several positions focusing on strategies to optimize the balance between controlling company costs and providing the optimal compensation and benefits value to employees. During her time in the carrier business, Cori’s work achieved high service …

https://www.epicbrokers.com/insights/epic-adds-cori-simpson/

It’s Never Too Early to Amp Up Your Open Enrollment Game!

Once again, I’ve made it through another open enrollment cycle relatively unscathed. A round of applause to all of my human resources collaborators who were in the trenches with me and the rest of the EPIC Communications & Engagement team. Right now, most of us are at the point in the employee benefits plan year cycle where we can enjoy a reprieve and take a few calming breaths before we jump into next year’s planning. Viewpoints from Jodi Perry I like to take this time to reflect on changes I saw in terms of employee communications and trends. The …

https://www.epicbrokers.com/insights/never-too-early-open-enrollment-game/

Employer Health Plan Medicare Part D Disclosure to CMS

Quick Facts Employers with group health plans that provide prescription drug coverage to individuals who are eligible for Medicare Part D must disclose to the Centers for Medicare & Medicaid Services (CMS) certain information about the coverage. The disclosure must be submitted to CMS on an annual basis and at certain other designated times. The disclosure to CMS is due within 60 days after the start of each plan year (March 1, 2022, for calendar year plans). The CMS disclosure is different than the notices of creditable or non-creditable coverage that plan sponsors must issue to Medicare-eligible individuals annually …

https://www.epicbrokers.com/insights/employer-health-plan-medicare-part-d-disclosure-cms/