Changes for 2021 Summary of Benefits and Coverage
There are new Summary of Benefits and Coverage notice requirements for health plans starting with the 2021 coverage year. The requirements, released by the Department of Labor, have new model templates, new instructions and new information that affects the coverage examples
COVID-19 Relief Bill Extends Unemployment Benefits, PPP and More
The $900 billion COVID-19 relief bill, passed by Congress and signed into law on Dec. 27, includes a number of provisions that affect employers and their workers in terms of paid sick leave and Emergency Family and Medical Leave Act
Leveraging HSAs to Help Your Staff Manage Health Care Costs
With the COVID-19 pandemic weighing on employers and employees alike, businesses can help their staff by leveraging health savings accounts to pay for out-of-pocket expenses. Congress in 2020 untethered HSAs and flexible spending accounts by changing the rules that prohibited account
New Law Bans Surprise Billing
Part of the COVID-19 relief package that Congress passed in late December includes a notable provision that bans surprise medical bills when out-of-network doctors work on insureds at in-network hospitals. This so-called “balance billing” occurs when an out-of-network provider is involved
New Rules Require Health Plans to Cover COVID-19 Vaccines, More
The Trump administration has issued new interim final rules that set out accelerated coverage requirements for COVID-19 preventative services and covering out-of-network testing for the coronavirus. There are two parts to the interim final rules: One requires that COVID-19 preventative services
New Rule Requires Greater Health Plan Transparency
The Trump Administration has issued a new rule that will require greater price transparency on the part of health insurers, including the rates charged by in-network physicians and copays and costs of drugs. The final rule requires health plans and health
The Big Question: Can Employers Require Workers to Vaccinate?
As the COVID-19 pandemic rages on and more employers bring staff back to the workplace, many businesses are considering implementing mandatory vaccination policies for seasonal flus as well as the coronavirus. A safe and widely accessible vaccine would allow businesses to
How to Distribute Group Health Plan Rebates to Your Staff
Group health plan insurers are paying out $689 million in rebates to plan sponsors this year, as required by the Affordable Care Act's "medical loss ratio" provision. The provision requires insurance companies that cover individuals and small businesses to spend at
Helping Your Older Workers Transition to Medicare
As health insurance costs rise and our workforce ages, fewer employers are providing retiree health insurance benefits to their older workers, and are instead asking them to sign up for Medicare. It's a delicate situation as some older workers may resent
Final Rule Paves Way for Drug Imports to Reduce Patient Costs
The Department of Health and Human Services and the Food and Drug Administration have issued a final rule and guidance that paves the way for states to allow pharmacists and wholesalers to import prescription drugs in order to reduce costs for patients. The