Archive for ERISA’ Category

Health Plan PCORI Fees Are Due July 31 | Houston Benefit Advisors
May

29

2018

Health Plan PCORI Fees Are Due July 31 | Houston Benefit Advisors

Do you offer coverage to your employees through a self-insured group health plan? Do you sponsor a Health Reimbursement Arrangement (HRA)? If so, do you know whether your plan or HRA is subject to the annual Patient-Centered Research Outcomes Institute (PCORI) fee? This article answers frequently-asked questions about the PCORI fee, which plans are affected, and what you need to do as the employer sponsor….

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DOL Fiduciary Rule Overturned | TX Benefits Broker
Mar

29

2018

DOL Fiduciary Rule Overturned | TX Benefits Broker

In its March 15, 2018, decision, the U.S. Court of Appeals for the Fifth Circuit overturned the U.S. Department of Labor’s (DOL) Fiduciary Rule that expanded the definition of an investment advice fiduciary under the federal Employee Retirement Income Security Act (ERISA). Under the Fiduciary Rule, investment brokers were going to be required to put the interest of their clients before their own when advising…

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Electronic Delivery of ERISA Notices | Houston Employee Benefits Advisors
Mar

27

2018

Electronic Delivery of ERISA Notices | Houston Employee Benefits Advisors

Q. Can we provide summary plan descriptions (SPDs) electronically? A. Yes. However, just sending them is not enough to meet ERISA requirements; you must ensure the intended recipients are actually getting them. Specifically, ERISA requires SPDs to be furnished using “measures reasonably calculated to ensure actual receipt of the material” via “methods likely to result in full distribution.” Electronic delivery is one way to meet…

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October 2017 Executive Order on Healthcare | Houston Benefit Advisors
Oct

13

2017

October 2017 Executive Order on Healthcare | Houston Benefit Advisors

On October 12, 2017, the White House released an Executive Order, signed by President Trump, titled “Promoting Healthcare Choice and Competition Across the United States.” It is important to note that the Executive Order (EO) does not implement any new laws or regulations, but instead directs various federal agencies to explore options relating to association health plans, short term limited-duration coverage (STLDI), and health reimbursement…

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Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors
Sep

22

2017

Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors

On August 22, 2017, the United States District Court for the District of Columbia held that the U.S. Equal Employment Opportunity Commission (EEOC) failed to provide a reasoned explanation for its decision to adopt 30 percent incentive levels for employer-sponsored wellness programs under both the Americans with Disabilities Act (ADA) rules and Genetic Information Nondiscrimination Act (GINA) rules. The court declined to vacate the EEOC’s…

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Jun

1

2017

Qualified Small Employer Health Reimbursement Arrangements and ERISA | Houston Benefit Advisors

Certain small employers have the option to reimburse individual health coverage premiums up to a dollar limit through Qualified Small Employer Health Reimbursement Arrangements (QSE HRAs) under the 21st Century Cures Act (Cures Act). The Cures Act amends the Employee Retirement Income Security Act of 1974 (ERISA) to exclude QSE HRAs from the ERISA definition of group health plan; however, the Cures Act does not…

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Discovery for Health and Welfare Benefit Plans: Required ERISA Reporting—Form 5500 | Houston Benefit Advisors
Apr

24

2017

Discovery for Health and Welfare Benefit Plans: Required ERISA Reporting—Form 5500 | Houston Benefit Advisors

Most companies are fully aware of Form 5500 reporting requirements related to their 401(k) plans, but are less familiar with the Form 5500 reporting requirements for their health and welfare benefit plans. Requirements: Most employer-sponsored health and welfare benefit plans, including, but not limited to, group health, dental, vision, life insurance, disability insurance, voluntary worksite benefits (typically, but not always), and health flexible spending account…

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Medicare Part D: Creditable Coverage Disclosures | Houston Benefit Advisors
Mar

23

2017

Medicare Part D: Creditable Coverage Disclosures | Houston Benefit Advisors

Entities such as employers with group health plans that provide prescription drug coverage to individuals that are eligible for Medicare Part D have two major disclosure requirements that they must meet at least annually: Provide annual written notice to all Medicare eligible individuals (employees, spouses, dependents, retirees, COBRA participants, etc.) who are covered under the prescription drug plan. Disclose to the Centers for Medicare and…

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Cafeteria Plans: Qualifying Events and Changing Employee Elections | Houston Benefit Advisors
Feb

18

2017

Cafeteria Plans: Qualifying Events and Changing Employee Elections | Houston Benefit Advisors

Cafeteria plans, or plans governed by IRS Code Section 125, allow employers to help employees pay for expenses such as health insurance with pre-tax dollars. Employees are given a choice between a taxable benefit (cash) and two or more specified pre-tax qualified benefits, for example, health insurance. Employees are given the opportunity to select the benefits they want, just like an individual standing in the…

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Implications of the 21st Century Cures Act | Houston Benefit Advisors
Feb

7

2017

Implications of the 21st Century Cures Act | Houston Benefit Advisors

On December 13, 2016, former President Obama signed the 21st Century Cures Act into law. The Cures Act has numerous components, but employers should be aware of the impact the Act will have on the Mental Health Parity and Addiction Equity Act, as well as provisions that will impact how small employers can use health reimbursement arrangements (HRAs). There will also be new guidance for…

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