Archive for Posts Tagged ‘health insurance’

CMS Publishes 2020 Benefit Payment and Parameters Final Rule | Houston Benefits Agency
Jul

31

2019

CMS Publishes 2020 Benefit Payment and Parameters Final Rule | Houston Benefits Agency

The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans: The 2020 maximum annual limitation on cost sharing is $8,150 for self-only coverage and $16,300 for other-than-self-only coverage. For fully-insured plans,…

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Ask the Experts: Executive-Only Medical Plans | Texas Benefits Advisors
Jun

26

2019

Ask the Experts: Executive-Only Medical Plans | Texas Benefits Advisors

Question: Our company offers group medical and dental plans for all employees. We also have an executive-only medical plan that covers out-of-pocket expenses that the regular group plan does not pay. Does COBRA apply to the executive-only plan? Do we have to include it in our summary plan description (SPD)? Answer: The coverage continuation requirements of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) pertain to…

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Oct

31

2018

Choosing the Right Flexible Benefit for Employees | TX Benefits Agency

Trying to decide which of the many employer-sponsored benefits out there to offer employees can leave an employer feeling lost in a confusing bowl of alphabet soup—HSA? FSA? DCAP? HRA? What does it mean if a benefit is “limited” or “post-deductible”? Which one is use-it-or-lose-it? Which one has a rollover? What are the limits on each benefit?—and so on. While there are many details to…

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Looking Backward to Plan Forward | Houston Benefits Firm
Oct

17

2018

Looking Backward to Plan Forward | Houston Benefits Firm

We have entered Open Enrollment season and that means you and everyone in your office are probably reading through enrollment guides and trying to decipher it all. As you begin your research into which plan to choose or even how much to contribute to your Health Savings Account (HSA), consider evaluating how you used your health plan last year. Looking backward can actually help you…

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Final Rule on Short-Term Limited-Duration Insurance | Houston Employee Benefits Agency
Aug

31

2018

Final Rule on Short-Term Limited-Duration Insurance | Houston Employee Benefits Agency

On August 1, 2018, the Internal Revenue Service, the Department of Health and Human Services (HHS), and the Department of Labor (collectively, the Departments) released a final rule that amends the definition of short-term, limited-duration insurance. HHS also released a fact sheet on the final rule. According to the Departments, the final rule will provide consumers with more affordable options for health coverage because they…

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Affordable Care Act Update | Jersey Village Benefit Advisors
Aug

21

2018

Affordable Care Act Update | Jersey Village Benefit Advisors

Recently, the President signed a bill repealing the Affordable Care Act’s Individual Mandate (the tax penalty imposed on individuals who are not enrolled in health insurance). While some are praising this action, there are others who are concerned with its aftermath. So how does this affect you and why should you pay attention to this change? First, as an individual, if you do not carry…

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The News About Association Health Plans | Houston Employee Benefits
Jul

3

2018

The News About Association Health Plans | Houston Employee Benefits

On June 19, 2018, the U.S. Department of Labor released its Final Rule regarding Association Health Plans (AHPs). AHPs are not new, but they have not been widely available in the past and, in some cases, they have not been successful. The Final Rule is designed to make AHPs available to a greater number of small businesses as an alternative to standard ACA-compliant small group…

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ACA Play or Pay: Affordability Percentage for 2019 | Houston Benefits Consultants
Jun

7

2018

ACA Play or Pay: Affordability Percentage for 2019 | Houston Benefits Consultants

On May 21, 2018, the IRS announced that the affordability percentage under the Affordable Care Act’s play or pay rules will increase to 9.86% for 2019 plan years. This is an increase from 9.56% for 2018 plan years. By way of background, the ACA’s employer shared responsibility provision – often called the employer mandate or “play or pay” – requires large employers to offer health…

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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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