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Draft Would Help Policyholders Meet Drug Deductibles, Copays

Draft Would Help Policyholders Meet Drug Deductibles, Copays

A model measure would require health plans to include financial assistance that policyholders receive, as well as drug rebates, towards their pharmaceutical deductibles, copays and coinsurance. Most health plans do not allow rebates and outside financial assistance to...

COVID-19 Home Test Kits Reimbursable under FSAs, HSAs

COVID-19 Home Test Kits Reimbursable under FSAs, HSAs

Under new guidance issued by the IRS, at-home COVID-19 testing kits will be considered a reimbursable medical expense under the three main health care savings vehicles offered to employees. This new guidance adds to the list of personal COVID-19-related expenses for...

Pandemic Spurs Supplemental Benefits Uptake Among Workers

Pandemic Spurs Supplemental Benefits Uptake Among Workers

A new study has found that in response to the COVID-19 pandemic nearly half of U.S. workers added one new supplemental health-related benefit on top of their group health coverage. The 2021 “Aflac WorkForces Report” found that 44% of employees bought one additional...

Large Employers Must File ACA Forms, Not the Insurers

Large Employers Must File ACA Forms, Not the Insurers

One mistake more and more employers are making is failing to file the required Affordable Care Act tax-related forms with the IRS. If you are what's considered an "applicable large employer" (ALE) under the ACA, you are required to file with the IRS forms 1094 and...

New Issues for 2022 Group Plan Open Enrollment

New Issues for 2022 Group Plan Open Enrollment

Employers are entering the second year of open enrollment taking place during the COVID-19 pandemic, which is still having an outsized impact on the process and which has changed the face of health insurance. There are a number of issues that will have an effect on...

The Risk Report – October 2021

The Risk Report – October 2021

Download Volume 3, Issue 10 of The Risk Report In this Edition: New Laws Impact Open Enrollment2022 Affordability Levels SetCompliance Issues Related for Vax MandatesVirtual Substance Abuse Treatment Grows Download the Report

The Risk Report – August 2021

The Risk Report – August 2021

Download Volume 3, Issue 8 of The Risk Report In this Edition: Rules allowing mid-year changes will sunsetNew Transparency Rules ExplainedImpacts of COVID on ratesInterest in Critical Illness grows Download the Report