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Your 2025 benefits compliance checklist: What you need to know

WEX Inc.

ACA reporting deadlines The Affordable Care Act (ACA) mandates that employers file reports annually with the IRS and distribute 1095-C forms to employees. Employers must communicate these deadlines clearly to employees. Employers are responsible for issuing timely notices to comply with the law.

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Employer Reporting on Prescription Drug Pricing Due By 12/27

Griffin Benefits

Among the various transparency rules contained within the Consolidated Appropriations Act is a requirement for employers to provide certain plan information about prescription drugs. Additionally, account-based plans, like health reimbursement arrangements (HRAs) and health care flexible spending accounts (FSAs), are not required to report.

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2022 Health Insurance Outlook, Changes

InterWest Insurance Services

These rules were all not mandatory and employers could choose whether to relax them or not. Here are the rules that will sunset at the end of 2021: Allowing employees who had declined group health insurance for the 2021 plan year to sign up for coverage. The main focus is on incentives and if they are discriminatory to some workers.

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Best practices to avoid receipt requests

Benefit Resource Inc.

Confirm enrollment in a health plan To receive automatic approval for co-pays, certain co-insurance, and deductible expenses, make sure your employer has reported you as enrolled in the company health plan. An Explanation of Benefits (EOB) from your insurance carrier or healthcare provider gets it resolved in no time.

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Don’t enroll in COBRA until you understand these 5 questions

Benefit Resource Inc.

While you were employed, you employer may have paid some or all of the premium for you and your covered dependents. Let’s say you have a 30-day gap between when your existing plan ends and when coverage starts through a new employer. COBRA coverage is available for more than just medical insurance. 1) What does COBRA cost?

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Baby Health Insurance Playbook: 5 Steps to Plan for a Newborn

Corporate Synergies

Employers can help make the process a little easier with the right communication tools. A flexible spending account (FSA), which can be used to cover childcare and medical costs tax-free. But increasingly, doctors offer additional genetic screening and diagnostic tests that may not be covered under insurance.

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February HR News Worth Review

Higginbotham

The FAQs also address how a plan’s or issuer’s coverage of OTC COVID-19 tests impacts health flexible spending arrangements (FSAs) and similar account-based plans. Employer Takeaway. Most all insurance carriers are handling the coverage and availability requirements for their clients. Employer Takeaway.