Companies that have access to protected health information (PHI) on behalf of an employer's group health plan typically qualify as "business associates" under HIPAA's Privacy, Security and Breach Notification Rules. For example, TPAs and insurance brokers are business associates if they have access to PHI. This Compliance Overview addresses the compliance requirements for business associates under the HIPAA Rules.
This Compliance Overview summarizes the participant deadline extensions under a final rule from the U.S. Department of Labor (DOL), which affect COBRA continuation coverage, special enrollment periods, claims for benefits, appeals of denied claims and external review of certain claims. It also includes the deadline extension pursuant to the DOL’s Disaster Relief Notice 2020-01, for notices and disclosures required under the Employee Retirement Income Security Act (ERISA).
As business closures increase due to the COVID-19 pandemic, employers are faced with questions about compensation and health benefit coverage for their employees. Government relief measures may provide compensation for businesses and individuals in certain situations. In other cases, existing rules on employee rights will apply. This Compliance Overview provides a summary of the issues that employers may encounter when terminating or suspending employment due to COVID-19.
Several ACA requirements will be affected by changes that take effect in 2020, such as increased dollar limits and affordability percentages. To prepare for 2020, employers should review upcoming requirements and develop a compliance strategy. This ACA Overview provides an ACA compliance checklist for 2020.
Implementing a health reimbursement arrangement (HRA) can be difficult for employers because there are many plan design rules for these accounts. This Compliance Overview compares key features for the different types of HRAs, including individual coverage HRAs (ICHRAs), excepted benefit HRAs (EBHRAs), retiree-only HRAs and traditional HRAs that are integrated with the employer's group health plan.
Many employee benefits (such as HSAs, health FSAs and transportation fringe benefit plans) are subject to annual dollar limits that are periodically updated for inflation. This Compliance Overview includes a chart of the inflation-adjusted limits for 2020.
Employers must comply with numerous reporting and disclosure requirements throughout the year in connection with their group health plans. This Compliance Overview explains key 2020 compliance deadlines for employer-sponsored group health plans. It also outlines group health plan notices that employers must provide annually.
This Compliance Overview includes a chart that summarizes key HSA features for 2020, including employee eligibility rules, annual contribution limits, distribution rules and potential tax benefits.
Wellness plans must be carefully structured to comply with federal laws. This Compliance Overview summarizes the requirements for wellness plans under HIPAA (as amended by the ACA), the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act (GINA). It also includes a chart that compares key wellness plan requirements under these three laws.
This Compliance Overview explores some of the pitfalls related to providing COBRA coverage and gives practical information for compliance with COBRA's complex rules. It includes tips on determining whether your plan must comply with COBRA, when COBRA coverage must be offered and how much a plan can charge for coverage.
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