From policy reminders to breaking news on the federal and state level, we keep our clients and partners updated on the topics that matter in healthcare, wellness and employee benefits.
Frequently Asked Questions
We offer employees rewards for completing biometric screenings and health risk assessments. If the EEOC’s wellness program regulations are vacated, how will this affect our programs and incentives?
As background, employer wellness programs involving a disability-related inquiry (e.g., a health risk assessment) or a medical examination (e.g., a biometric screening) are limited to a 30 percent wellness reward under the EEOC’s final wellness rules. A financial incentive may be provided…Read More »
With the PCOR fee due date around the corner, can we get a refresher on the employer obligations?
Due Date The PCOR fee is due Tuesday, July 31, 2018, for all plan years that ended in 2017. The fee is generally due on July 31 of the year following the plan year end date. Please keep in mind that the…Read More »
Generally speaking, employees and former employees may participate in an HRA. If the HRA is a general-purpose HRA for active employees, the ACA requires that the HRA be integrated with group health coverage. Very generally, “integrated” means that the HRA covers expenses…Read More »
Carriers have been making adjustments to past years’ MLR rebates, which in some instances have resulted in additional MLR rebate checks to employers. What are those employers’ responsibilities with regard to the additional MLR rebate amounts? Must they distribute those out to current and/or past participants, or is there some type of de minimis exception?
Generally, employers will have to decide how to handle an adjusted MLR rebate check received from an insurance carrier. This can be somewhat confusing for employers, since the adjustments generally relate to prior years. Overall, though, the employer's MLR rebate distribution responsibilities…Read More »
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