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So you've got an HSA, now what do you do with it?


Category: CDHC, Health Care Reform, Health Savings, HSA, IRS,

By Beth Pinsker Gladstone
NEW YORK | Thu Oct 11, 2012 9:30am EDT

NEW YORK (Reuters) - If your company tells you it's replacing your health insurance with a high deductible plan paired with a health savings account - or adding that option to your

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Who is Eligible for New Health Insurance Premium Tax Credits?


Category: Compliance and Regulatory, Health Care Reform, IRS, Medicare, PPACA, Taxes,

What premium tax credits and cost-sharing subsidies are available to individuals in 2014 and who is eligible for them?

To assist individuals and families who do not qualify for Medicare or Medicaid and are not offered affordable health coverage by their employers, a refundable tax credit (the “premium tax credit”) and a cost sharing subsidy will be available beginning in 2014 to help pay for insurance purchased through an Exchange.

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Important Information Regarding the PPACA Summary of Benefits and Coverage Requirement


Category: Cafeteria Plans, CDHC, Compliance and Regulatory, DOL, ERISA, Flexible Spending, FSA, Health Care Reform, Health Reimbursement, HRA, HSA, IRS, PPACA,

Group health plans, which include HRAs, MERPs, and non-excepted FSAs, must provide a Summary of Benefits and Coverage (SBC) for all eligible plans to all eligible individuals, participants and beneficiaries.

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IRS Releases Guidance Concerning the 2013 FSA Contribution Limit


Category: Cafeteria Plans, CDHC, Compliance and Regulatory, Flexible Spending, FSA, Health Care Reform, IRS, PPACA, Section 125 Plans, Taxes,

The IRS has released Notice 2012-40 which provides guidance on the effective date of the $2,500 contribution limit to health flexible spending arrangements (FSAs) under IRS Code Section 125(i) and on the deadline for amending plans to comply with the limit. The notice also provides relief for contributions that mistakenly exceed the $2,500 limit provided they are corrected in a timely manner.

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HIPAA Audits Have Begun


Category: Compliance and Regulatory, HHS, HIPAA, PPACA,

The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has begun auditing covered entities for compliance with the Health Insurance Portability and Accountability Act (HIPAA) under the HIPAA Audit Program (Audit Program). The Audit Program is funded by the Health Information Technology for Economic Clinical Health (HITECH) Act and requires HHS to conduct periodic audits to ensure both covered entities and business associates are complying with the HIPAA Privacy and Security Rules, as well as all Breach Notification standards.

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2013 HSA Contribution Limits Released


Category: Health Savings, HSA,

IRS has just issued Revenue Procedure 2012-26, which provides the 2013 cost-of-living contribution and coverage adjustments for HSAs, as required under Code Section 223(g). Most contribution limits and the out-of-pocket amounts have been increased for 2013.

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Summary of Benefit Coverage Requirements for Health FSAs and HRAs


Category: Compliance and Regulatory, DOL, ERISA, Flexible Spending, FSA, Health Reimbursement, HHS, HIPAA, HRA, IRS, PPACA, Section 125 Plans,

Does an employer have to provide a copy of the Summary of Benefits and Coverage (“SBC”) to enrollees of Health Flexible Spending Accounts (“Health FSA”) or Health Reimbursement Arrangements (“HRA”)?

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Court Finds Employer Met ERISA's Voluntary Plan Safe Harbor, Despite Payment of Premiums Through Cafeteria Plan


Category: Cafeteria Plans, Compliance and Regulatory, DOL, ERISA, Section 125 Plans,

Voluntary benefits that are sold directly to employees may be subject to ERISA as employer-sponsored plans, or may be exempt under the voluntary plan safe harbor, which allows for only minimal involvement by the employer. The plaintiff in this case purchased a short-term disability policy after seeing a presentation by the insurer at his workplace.

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HHS Issues Health Care Exchange Rules


Category: CDHC, Compliance and Regulatory, DOL, Health Care Reform, HHS, IRS, PPACA, State Legislation,

By Joyce Frieden, News Editor, MedPage Today

WASHINGTON — The Department of Health and Human Services has issued the final regulations for implementing the state health insurance exchanges mandated by the Affordable Care Act (ACA).

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HHS issues draft bulletin defining Actuarial Value for Health Plans


Category: CDHC, Compliance and Regulatory, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, Taxes,

The HHS has just issued their draft bulletin on defining the “actuarial value” methodology that will be used to calculate AV for health plans, and it is good news for HSAs and HRAs! The rules DO include the employer contributions to accounts in the calculations, which is tremendously beneficial to the attractiveness of the plans.

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HSA minimum deductible will rise to $2,500 family and $1,250 individual in 2013


Category: CDHC, Compliance and Regulatory, Health Savings, HSA, IRS, Taxes,

The HSA minimum deductible, a benchmark for comparing HSAs with traditional PPO plans, will rise to $2,500 family and $1,250 individual in 2013, the first increase in the past 3 years, according to former Treasury official Roy Ramthun who makes the annual estimate using near-final government data.

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Are You Really Saving Money By Self Administering Your HRA?


Category: Cafeteria Plans, CDHC, COBRA, Compliance and Regulatory, Flexible Spending, FSA, Health Care Reform, Health Reimbursement, HIPAA, HRA, Medicare, Taxes,

Posted by RENEE KUHS, Compliance Attorney

Do you think you’re saving money by administering your health reimbursement arrangement (HRA)?  In our experience, many employers that self-administer an HRA often overlook important compliance obligations that put them at financial risk.  Failure to comply with the following requirements is common and can be costly.

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EBRI Study - HSA and HRA Accounts Continue Growth Trend


Category: CDHC, Compliance and Regulatory, Flexible Spending, Health Care Reform, Health Reimbursement, Health Savings, HRA, HSA, IRS, PPACA, Taxes,

MyHealthGuide Source: Employee Benefit Research Institute (EBRI), 1/2012, EBRI New Release and EBRI Full Text Brief with Charts.

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New FAQ's from DOL for You


Category: Compliance and Regulatory, DOL, Health Care Reform, IRS, PPACA, State Legislation, Taxes,

It wasn't all about the Summary of Coverage documents last Thursday. The Departments of Labor, HHS and Treasury also issued new guidance on frequently asked questions by employers and health plans concerning the auto-enrollment, employer requirements and

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Summary of Benefit Coverage Final Rule Released


Category: CDHC, Compliance and Regulatory, Health Care Reform, IRS, Taxes,

The Obama administration released the final rules for the Patient Protection and Affordable Care Act’s (PPACA) Summary of Benefits and Coverage (SBC) on February 9. The requirements have been the subject of much contention between insurers, employers and consumer groups over the past two years, and the final rules have been much anticipated by the benefits community.One of the most contentious parts of the debate about the new requirements was their effective date.

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