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Fully Insured vs Self-Insured vs Level-Funded: What Does It All Mean To The Small Employer?

Fringe Benefit Analysts

Premium Rates Because an insurance carrier must obey simple math in order to function, it needs to bring in at least as much in premiums as it costs to pay the incurred medical claims (and the employees of the insurance carrier often want to take home paychecks, too). What Is Pooling?

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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. Dependent eligibility audits are essential for maintaining adherence to insurance carrier requirements and minimizing potential litigation.

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Can an employee be terminated while on medical leave?

Business Management Daily

However, one situation that often comes with a cloud of confusion is whether an employee can be terminated while on medical leave. Medical leave-related termination is a sensitive situation because employees on medical leave receive protection by numerous laws at the federal and state level that you have to consider.

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COVID litigation, lessons for businesses from the courtroom

Business Management Daily

From risk to exposure and wrongful death claims to leave denial, the ADA, retaliation cases, and more, businesses find themselves in tricky legal situations. The American Rescue Plan Act (ARP) created a workplace exposure presumption. Some family members are filing state wrongful death lawsuits against employers if a worker dies.

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Innovation is Necessary to Meet the Challenge of COVID in 2022

Workers' Compensation

The issues will include: evaluating temporary disability benefits, delivering medical treatment, and estimating the nature and extent of disability. New sequencing testing provides hope to speed identification and treatment, and those should be rapidly deployed in the workers’ compensation medical delivery system over the next few weeks.

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June HR News Worth Review

Higginbotham

These limits vary based on whether an individual has self-only or family coverage under an HDHP. Most employers have already been contacted by their carrier or third-party administrator (TPA) and will rely on their insurance carriers or TPAs to provide the MRFs. Employer Takeaway. PCORI Fees Due Aug.

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2nd COVID-19 Relief Bill Includes Many Other Changes 2021 & 2022!

Fringe Benefit Analysts

COVID Relief, No Surprises Act, FSA and DCAP Extensions, Transparency, and HIPAA Privacy Updates. . . Features of the Consolidated Appropriations Act. . The Consolidated Appropriations Act of 2021 (The Act) was signed into law on December 28th by President Trump. The required leave ended on December 31, 2020.