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Quick Facts A recent Blue Cross Blue Shield antitrust lawsuit resulted in a proposed settlement of $2.67 billion dollars. The final hearing on the settlement will be held on October 20, 2021. Multiple different damages classes including fully insured and self-funded plans are eligible to receive payment under the settlement. Individuals and plans who wish to seek payment must take action to file a claim or opt out to retain the right to sue. Introduction Many individuals and employers have recently received a postcard informing them of a proposed $2.67 billion settlement stemming from a 2012 class …

… the comparative analysis is requested and found to be insufficient by a federal or state agency, the agency will suggest corrective action be taken within 45 days. Recent legislation prioritizes enforcement efforts for existing rules that require parity for group health plan coverage of mental health and substance use disorder benefits. Group health plans that provide coverage for mental health or substance use disorder benefits and are therefore subject to mental health parity rules will soon be required to prepare a comparative analysis and have it available upon request. The carrier will handle this responsibility on behalf of fully insured …

Quick Facts Starting April 1, 2021 through September 30, 2021, certain COBRA beneficiaries will be given the opportunity to participate in COBRA continuation coverage at no cost. Employers will cover the cost of the subsidies and request a refund for the COBRA premiums not paid against the employer’s Medicare portion of the payroll taxes. The DOL has provided three new COBRA model notices and a summary of the subsidy rules that must be provided to qualified beneficiaries. Introduction To help clients better navigate the complexities of the recently announced Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidies under the American …

Overview To help clients better navigate the complexities of the recently announced Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy under the American Rescue Plan Act (ARPA), EPIC, through our partner Benefit Comply, has put together the following guide. We hope this document aids with the basics of the requirements and provides some meaningful direction while we await further guidance from the agencies. Congress passed the $1.9 trillion COVID relief bill on March 11, 2021. The bill includes a federal subsidy that will cover 100% of the cost of COBRA continuation coverage for up to 6 months for individuals who …