May 2024

Prescription Drug Report Is Due by June 1, 2024 Group health plans must annually submit detailed information on prescription drug and health care spending to the federal government. This reporting is referred to as the “prescription drug data collection,” or the “RxDC report.” The next RxDC report is due by Read more…

March 2024

IRS Releases ACA Pay-or-Play Penalties for 2025 The IRS recently released updated penalty amounts for 2025 related to the employer shared responsibility (pay-or-play) rules under the Affordable Care Act (ACA). For calendar year 2025, the adjusted $2,000 penalty amount is $2,900, and the adjusted $3,000 penalty amount is $4,350. This Read more…

February 2024

ACA Reporting Deadlines Are Approaching Employers subject to Affordable Care Act (ACA) reporting under Internal Revenue Code Sections 6055 or 6056 should prepare to comply with upcoming reporting deadlines. For the 2023 calendar year, covered employers must: Furnish statements to individuals by March 1, 2024 (an alternative method of furnishing Read more…

December 2023

Upcoming ACA Reporting Deadlines   IRS Announces Employee Benefit Plan Limits for 2024   Cost-sharing Limits for 2025 Released   Live Well Work Well Holiday Stress   Year – End Activity Checklist   Hectic Holiday: Battling Holiday Depression and Stress   https://healthsure.com/wp-content/uploads/2023/12/Happy-Holidays_2018.mp4 Upcoming ACA Reporting Deadlines Employers subject to Affordable Read more…

November 2023

Gag Clause Attestation   Deadline for Submitting Gag Clause Attestation Is Dec. 31, 2023   Agencies Issue Additional FAQs Regarding the Transparency in Coverage Final Rules   Final Forms and Instructions for 2023 ACA Reporting Released Gag Clause Attestation Deadline for Submitting Gag Clause Attestation Is Dec. 31, 2023 A Read more…

October 2023

In This Issue Employer Mandate Penalties Will Increase for 2024 Applicable large employers (ALEs) that do not offer affordable, minimum-value health coverage to their full-time employees may be subject to increased penalties under the Affordable Care Act’s (ACA) employer mandate for 2024. ALEs are employers with 50 or more full-time Read more…

September 2023

IRS Issues Affordability Percentage Adjustment for 2024 GAG Clauses Deadline for Employers to Receive MLR Rebates Is Approaching Ask us about our Learning Management System IRS Issues Affordability Percentage Adjustment for 2024 The Internal Revenue Service (IRS) has released Rev. Proc. 2023-29, which contains the inflation-adjusted amounts for 2024 used to Read more…

July 2023

In this Issue Court Reinstates ACA’s Preventive Care Mandate The 5th U.S. Circuit Court of Appeals has issued a stay of enforcement of a lower court’s ruling in Braidwood Management Inc. v. Beccara. In Braidwood, the lower court vacated a keyportion of the Affordable Care Act’s (ACA) preventive care coverage Read more…

CHIC Logo

Take the Community Hospital Insurance Coalition (CHIC) for example. With our expert support and management, more than 30 rural hospitals who have come together to own this medical stop-loss reinsurance company. They are paying less for their insurance, improving benefits program performance, and receiving their share of a significant annual surplus cash distribution (~$2.5 million since inception in 2018).