Platinum Benefits Team

Insurance carriers and plan sponsors of group health plans must submit information annually to the Centers for Medicare and Medicaid Services attesting that their plan(s) do not include prohibited gag clauses by December 31, 2024. https://lnkd.in/eEWtmCHe

The IRS has released cost of living adjustments for 2025 under various provisions of the Internal Revenue Code. https://lnkd.in/g2TMirxm

The IRS recently released guidance which provides important updates for plan sponsors offering high deductible health plans and health savings accounts. https://lnkd.in/eW5Qzhiz

The Department of Health and Human Services published guidance on the limits on annual out-of-pocket expenses (deductibles, co-payments, and other amounts, but not premiums) for non-grandfathered group medical plans for plan years that begin in 2026. Click below to learn more. https://lnkd.in/ex7QyqWc

The U.S. Department of Labor confirmed that cybersecurity guidance issued in 2021 applies to all ERISA-covered health and welfare plans. This guidance goes beyond what is required under HIPAA for health plans. Click below to learn more. https://lnkd.in/eKWWJ2e2

The IRS released final instructions and forms for calendar year 2024 ACA reporting, including Forms 1094-C, 1095-C, 1094-B, and 1095-B. While there have not been significant changes to the forms, the penalties for failure have increased. Click below to learn more. https://lnkd.in/gVQR9QH4

The Departments of Health and Human Services , Labor, and the Treasury recently released final rules pertaining to the Mental Health Parity and Addiction Equity Act of 2008 with the aim of ensuring that individuals who seek treatment for mental health or substance use disorder reasons do not face greater burdens than they would face when seeking coverage for medical/ surgical reasons. The final rules amend certain provisions of the existing MHPAEA regulations and add new regulations to set forth content requirements and timeframes. Click below to learn more. https://lnkd.in/eNqZbJGp

Download our 2024 Third Quarter Compliance Digest, featuring all of the released compliance bulletins for July through September. This document is a valuable resource, putting all of the latest health care reform news and updates in one location. https://lnkd.in/eeSiUA6d

For plan years beginning on or after January 1, 2025, employers that took advantage of temporary relief to offer free (or reduced cost) telehealth or other remote care services to participants in a high-deductible health plan before the minimum IRS deductible is satisfied should discontinue doing so in order to preserve HSA eligibility. Click below to learn more. https://lnkd.in/eyf87RGj

The Department of Health and Human Services recently issued final rules adjusting civil monetary penalties for inflation for 2024. Click below to learn more. https://lnkd.in/eaJypS8a