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As we enter 2022, there are a number of changes on the horizon that plan sponsors need to be aware of as they will affect group health plans as well as employeesenrolled in those plans. Here’s a list of what to expect in 2022. That comes to an end Dec. 31, 2021, and for plan years that start on or after Jan.
Typically, an employeeenrolled in a PPO will have higher premiums and a lower deductible than an employeeenrolled in an HDHP. For example, the 2022 PPO employee-only deductible averaged $1,322 and the 2022 HDHP annual deductible limit was $1,400 for an individual.
On December 15, 2022, the Internal Revenue Service (“IRS”) published final regulations that make permanent certain relief and changes relating to the Affordable Care Act (“ACA”) reporting requirements. Thus, ALEs will still have to furnish the applicable forms to full-time employees in the traditional manner.
More dental and vision Among employers with benefits administration through WEX , 68% of eligible employeesenrolled in vision and 77% of eligible employeesenrolled in dental. However, not all employees are offered these benefits. Those who are offered them told us they don’t always cover enough of their costs.
Affordability for the family tier is based on whether the employee contribution exceeds the applicable percentage of household income (9.61% for 2022 and 9.12% for 2023) – since employers don’t know household income they won’t have any insight into whether family members are eligible for subsidies unless the employee contribution towards family meets (..)
While the proposed regulations technically would become effective for coverage in calendar years beginning January 1, 2022, the IRS has indicated that reporting entities may rely on them starting with the reports due for 2021 (provided to covered individuals and employees in 2022). January 31, 2022 . March 2, 2022.
Qualifying insurance: FSAs are generally offered alongside group health plans, but employees typically aren’t required to enroll in a group plan in order to enroll in the FSA. Employers may choose to limit FSA eligibility to only those employeesenrolled in the group plan.
According to Investopedia , the maximum benefit in 2022 is $1,800. Employees may enroll in an excepted benefit HRA regardless of if they enroll in the group health plan. Manage enrollment. Excepted benefit health reimbursement arrangements are designed to cover costs that are not covered under group health plans.
For example, will an employeeenrolling in the benefits platform a month prior to their effective date cause an issue for the payroll system? If so, consider how this might impact the enrollment window you allow for your employees. Are there timing considerations or limitations with the API?
Decision Support Think your employees aren’t interested in decision support? A 2022 Harris poll found that 72% of employees said “they wish someone would tell them what the best health insurance for their unique situation is.” Think again. Be mindful that not all decision support tools are created equal.
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