The Centers for Medicare and Medicaid Services has issued new rules that require Medicare to cover medical devices that the Food and Drug Administration designates as "breakthrough" technology. The rule paves the way for giving Medicare recipients access to the...
Total Control Health Plans
EEOC Issues New COVID-19 Vaccination Guidelines for Employers
The Equal Employment Opportunity Commission has affirmed that employers can mandate COVID-19 vaccines for employees, subject to some limitations. The EEOC’s updated guidance offers direction regarding employer-mandated vaccinations, accommodations for employees who...
The Risk Report – February 2021
Download Volume 3, Issue 2 of The Risk Report In this Edition: Consolidated Appropriations Act: How New Law Affects Group Health PlansEEOC Rules: New Employer Vaccination Guidelines IssuedCompliance: Changes for 2021 Summary of BenefitsHealth Care Savings: Generics,...
Trimming Hours to Avoid Employer Mandate Can Land You in Hot Water
Ever since the Affordable Care Act was enacted, critics of the law have said that employers would cut staff or reduce workers' hours to avoid coming under the employer mandate requiring them to provide coverage for their staff. But employers that decided to go that...
How a New Law Affects Group Health Plans
The newly enacted Consolidated Appropriations Act, 2021 contains a number of provisions that will affect group health plans, with most changes aimed at helping insured workers with flexible spending accounts (FSAs), cost transparency and surprise billing. Some of the...
Changes for 2021 Summary of Benefits and Coverage
There are new Summary of Benefits and Coverage notice requirements for health plans starting with the 2021 coverage year. The requirements, released by the Department of Labor, have new model templates, new instructions and new information that affects the coverage...
Demand for Voluntary Group Benefits Grows During Pandemic
As the COVID-19 pandemic drags on and many Americans see unmet needs outside of their health insurance, more and more workers are increasingly signing up for the voluntary benefits their employers offer. While many workers in the past had skipped on voluntary...
COVID-19 Relief Bill Extends Unemployment Benefits, PPP and More
The $900 billion COVID-19 relief bill, passed by Congress and signed into law on Dec. 27, includes a number of provisions that affect employers and their workers in terms of paid sick leave and Emergency Family and Medical Leave Act provisions. The legislation also...
Leveraging HSAs to Help Your Staff Manage Health Care Costs
With the COVID-19 pandemic weighing on employers and employees alike, businesses can help their staff by leveraging health savings accounts to pay for out-of-pocket expenses. Congress in 2020 untethered HSAs and flexible spending accounts by changing the rules that...
New Law Bans Surprise Billing
Part of the COVID-19 relief package that Congress passed in late December includes a notable provision that bans surprise medical bills when out-of-network doctors work on insureds at in-network hospitals. This so-called “balance billing” occurs when an out-of-network...