Applicable large employers (ALEs) are required to report information about the health coverage they offered, or did not offer to employees for 2024. ALEs are generally entities that employed 50 or more full-time and full-time-equivalent (FTE) employees in the prior...
In a recent Notice the IRS announced the significantly increased percentage that will be used to determine whether employees’ share of their 2025 premiums are considered affordable for purposes of the employer mandate. Applicable Large Employers, for the 2025...
The Gag Clause Attestation is a newly required process requiring health plans and employer plan sponsors to annually attest to the absence of a gag clause in their health plan. The Consolidated Appropriations Act of 2021 (CAA) prohibits employer sponsored group...
In a recent Notice the IRS announced another decreased percentage that will be used to determine whether employees’ share of their 2024 premiums are considered affordable for purposes of the employer mandate. Applicable Large Employers, for the 2024 plan year,...
What is the PCORI Fee? The Affordable Care Act established the Patient-Centered Outcomes Research Institute (PCORI) to explore the effectiveness, risks and benefits of medical treatments. The fees were originally scheduled to be collected for plan years and policy...
On February 23, 2023, Humana announced that they will be exiting the Employer Group Medical business, which includes all fully insured and self-funded group plans including Go365. To read their full announcement go full announcement and FAQ. They have communicated...
