Categorized as: Blog

Voluntary Benefits: Choosing the Right Fit

Join Crawford Advisors’ (an AssuredPartners Company) Director of Voluntary Benefits, Stephen Ivey, for this HRCI* and SHRM** pre-approved, complimentary, one-hour webinar as he explores how to design, communicate and administer voluntary plans. Listen in on how these benefits are customized specifically to an employer’s core benefits program instead of the more common one-carrier-fits-all approach in the market. Topics include: Primary vs Supplemental State of the Market Employer Risks/Concerns Communication & Enrollment Strategies Administrative Platforms Register Now! This webinar is pre-approved for HRCI & SHRM Credits!

Drug Deals: Understanding the Intricacies of PBM Contracts, Language, & Opportunities

Drug Deals: Understanding the Intricacies of PBM Contracts, Language, & Opportunities Join us for a webinar on July 27, 2017 at 1:00 PM EDT. Register now! https://register.gotowebinar.com/register/7095557936309516291 PBM contracts are notorious for being confusing and vague, yet, extremely important. Join Crawford Advisors’ (an AssuredPartners Company) Director of Data Analytics, Scott Mayer, for this HRCI* and SHRM** pre-approved, complimentary, one-hour webinar as he discusses how Pharmacy Benefit Management contracts can vary, even within the same PBM. With pharmacy spend now accounting for 20-25% of total healthcare spend, and growing, understanding these details has become more important than ever. Topics include: Contract Definitions…

Repeal & Replace Efforts Fail Again

Less than five days after the Senate released the second version of its Better Care Reconciliation Act (BCRA), GOP efforts to repeal and replace the Affordable Care Act (ACA) have failed once again. If the BCRA had any chance of passing, Republicans could lose only two votes. With this difficult number to maintain, there was doubt that the BCRA would have the necessary votes to pass, since two senators, Rand Paul (R-KY) and Susan Collins (R-ME), publicly stated they would vote against BCRA-2 from its onset. In addition, rumors surfaced that at least eight, if not ten, other Republican senators…

2nd Quarterly Newsletter of 2017

Below please find our Compliance Observer Newsletter for the second quarter of 2017. This newsletter contains information on many employee benefits compliance issues. The following articles, information, and important reminders are contained in this Newsletter: Current Status of the Employer Mandate REMEMBER – PCORI Fees are Due July 31st! New Expiration Date for Exchange Notices Assessment of 2015 ‘Pay or Play’ Penalties Expected in 2017 New Draft Model Form For Mental Health Parity Requests 5500 Deadline – July 31, 2017 for Calendar Year Plans Medicare Secondary Payer Rules Failure to Provide Life Insurance Conversion Information Costs Employer $750,000 Compliance Observer Newsletter- Quarter 2…

IRS Begins Large Employer ACA Reporting Penalty Process

As the American Health Care Act (AHCA) has not been signed into law yet, the Affordable Care Act (ACA) is still in effect and the IRS is currently issuing notices to large employers to disclose whether they complied with the ACA reporting duties or not. Large employer ACA reporting was required for 2015 and 2016 (even if transition relief was applied for 2015). Penalties can be up to $500 per each 2015 Form 1095-C statement ($250 for not providing the form to the employee and $250 for not filing with the IRS) and up to $3 million total for an…

IRS Reduces Affordability Percentages for 2018

In Revenue Procedure 2017-36, the IRS announced that for plan years beginning in 2018, employer-sponsored health plan coverage will be considered affordable if the employee’s required contribution for self-only coverage does not exceed 9.56% of the employee’s household income for the year (down from 9.69% for 2017). This percentage is considered for both the ACA’s employer shared responsibility or “pay or play” rules and premium tax credit eligibility. For purposes of an individual mandate exemption, the cost of coverage must not exceed 8.05% of an employee’s household income for the year (down from 8.16% for 2017) (adjusted under separate guidance)….

2017 PCORI Fees

Applies to: Self-Insured Health Plans, including HRAs & FSAs In Notice 2016-64, the IRS provided that the PCORI fee (Patient-Centered Outcomes Research Institute fee) also called the CER fee (Comparative Effectiveness Research Fee) for plan years ending on or after October 1, 2016, and before October 1, 2017, is $2.26 per individual covered under an applicable health plan. The PCORI fees generally apply to insurance policies providing accident and health coverage and self-insured group health plans. The final regulations contain some exceptions to this general rule and also clarify how the PCORI fees apply to certain types of health coverage…

IRS Announces HSA/HDHP Limits for 2018

OVERVIEW On May 5, 2017, the Internal Revenue Service (IRS) released Revenue Procedure 2017-37 to announce the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2018. These limits include: The maximum HSA contribution limit; The minimum deductible amount for HDHPs; and The maximum out-of-pocket expense limit for HDHPs. These limits vary based on whether an individual has self-only or family coverage under an HDHP. The IRS limits for HSA contributions and HDHP cost-sharing will all increase for 2018. The HSA contribution limits will increase effective Jan. 1, 2018, while the HDHP limits will increase…