Category Archives: Self-funded Health Plans

Executive Order Focused On Reducing Health Care Costs

Posted on October 12, 2017 by

Following are some preliminary thoughts on the Executive Order released on October 12, 2017, by President Trump: The primary emphasis of the Executive Order is to reduce costs for both employers and individuals. The Affordable Care Act, in contrast, emphasized, … Continue reading →

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Yellow Light: IRS Delays Reporting Requirements Again!

Posted on December 28, 2015 by

Earlier today, the IRS announced an extension of the due dates for IRS Forms 1094 and 1095. In IRS Notice 2016-4, the IRS states that employers are not required to furnish individuals with either Form 1095-B or 1095-C until March … Continue reading →

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Health Plan Identifier Deadline Approaching

Posted on July 21, 2014 by

Large self-funded health plans are required to obtain a Health Plan Identifier (“HPID”) by November 5, 2014. Small self-funded health plans, with annual claims of $5 million or less, have an extra year until November 5, 2015. If an employer … Continue reading →

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Examining Windsor’s Impact On Health and Life Insurance

Posted on June 18, 2014 by

In a previous post, found here, we discussed the landmark Supreme Court ruling in Windsor and its impact on qualified retirement plans.   However, the impact of the Windsor is not limited to qualified retirement plans, but applies to a wide … Continue reading →

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Deadline Approaching for PCORI Tax Filing

Posted on May 28, 2014 by

Sponsors of self-insured health plans are required to report and pay the patient-centered outcomes research fee (PCORI) fee by July 31, 2014. The most significant change this year is an increase in the applicable fee. For plan sponsors of self-insured … Continue reading →

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PPACA External Review Process for ERISA Plans

Posted on July 22, 2013 by

Under the Patient Protection and Affordable Care Act (“PPACA”), insurers and the sponsors of non-grandfathered self-insured health plans must allow for an external review process in the event of an adverse benefit determination.  An adverse benefit determination is essentially any … Continue reading →

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Transitional Reinsurance Fees: A Broad Overview

Posted on June 28, 2013 by

The PPACA established two new programs, both of which are accompanied by new fees. The relatively small PCORI fee of $1 per covered life is due on July 31 of this year for plan years that end after October 1, 2012—the form … Continue reading →

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