Short-Term Insurance, Excepted Benefits, Annual Limits

On October 31, 2016, the U.S. Department of the Treasury, Department of Labor, and Department of Health and Human Services issued final regulations regarding the definition of short-term, limited-duration insurance, standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits, and an amendment relating to the prohibition on lifetime and annual dollar limits.

Final Summary of Benefits and Coverage Template and Updates

A Summary of Benefits and Coverage (SBC) is two-and-a-half page (double-sided) communication required by the federal government. It must contain specific information, in a specific order, and with a minimum size type, about a group health benefit’s coverage and limitations.

Proposed Rule on Expatriate Health Plans, Excepted Benefits, and Essential Health Benefits

In a tri-agency proposed rule, the Department of Labor (DOL), Department of Health and Human Services (HHS), and Department of Treasury (Treasury) have published guidance discussing expatriate health plans (expat plans), excepted benefits, and essential health benefits (EHBs).

Proposed Rule on Expatriate Health Plans, Excepted Benefits, and Essential Health Benefits

In a tri-agency proposed rule, the Department of Labor (DOL), Department of Health and Human Services (HHS), and Department of Treasury (Treasury) have published guidance discussing expatriate health plans (expat plans), excepted benefits, and essential health benefits (EHBs).

DOL Issues Another FAQ on ACA Implementation

Answers question on coverage of preventive services, rescissions of coverage, out-of-network emergency services, clinical trial coverage, cost-sharing limitations, the Mental Health Parity Act, and the Women’s Health and Cancer Rights Act.

IRS Reporting Tip 2 — Form 1095-C, Line 14, Code 1A versus 1E, and When To Use 1I

IRS Form 1095-C will primarily be used to meet the Section 6056 reporting requirement. The Section 6056 reporting requirement relates to the employer shared responsibility/play or pay requirement.

IRS Reporting Tip 1 — Form 1094-C, Line 22

Form 1094-C is used in combination with Form 1095-C to determine employer shared responsibility penalties.

Benefit and Payment Parameters Rule and HIP FAQ

The 2017 Benefit and Payment Parameters (BPP) rule is an annual rule that sets policies relating to the ACA.

Proposed Summary of Benefits and Coverage Template and Updates

In February 2016, the Department of Labor (DOL) issued proposed revisions to the Summary of Benefits template and related materials.

IRS Final Rule on MInimum Value

In December 2015, the Internal Revenue Service (IRS) issued a final rule that clarifies various topics relating to the Patient Protection and Affordable Care Act (ACA) and premium tax credit eligibility provisions. The rule finalizes regulations that were proposed years earlier.

IRS Notice 2015-87: HRAs, Affordability, and More

On December 16, 2015, the Internal Revenue Service (IRS) and other federal agencies released IRS Notice 2015-87, which is a "potpourri" update that covers many different topics relating to the Patient Protection and Affordable Care Act (ACA), including some relating to market reforms.

Omnibus Bill Signed Into Law; Delays Cadillac Tax

President Obama has signed the omnibus legislation that includes the Consolidated Appropriations Act for 2016 and a tax extenders package. The agreement will keep the federal government running through September 2016. Within the legislation is language that significantly impacts provisions of the Patient Protection and Affordable Care Act (ACA), largely through delays of upcoming taxes.