COVID-19 Update – COBRA Premium Subsidy Model Notices and FAQ

The US Department of Labor (DOL) has just released Model Notices and FAQ pertaining to the COBRA Premium Subsidy provision of the American Rescue Plan Act. Below are links to the documents and information provided by the DOL. Model Notices: General Notice and Election Notice Notice in Connection with Extended Election Period Alternative Notice Notice… Read More

Legal Update Webinar: COBRA Subsidies, FSA Relief, Deadline Extensions & Other New Requirements

Date: Thursday April 8, 2021 Time: 10:00 AM to 11:30 AM REGISTER NOW To help our broker partners gain a better understanding of many new legal requirements that affect employers and employees we will be hosting a Legal Update Webinar presented by our Legal Partner, Thompson Hine on Thursday April 8 from 10:00 AM to 11:30 AM.  This webinar will focus on new legislation from… Read More

Cybersecurity Regulation: Certification of Compliance Due April 15, 2021

All covered entities and licensed persons who are not fully exempt from the regulation are required to submit a Certification of Compliance no later than April 15, 2021, attesting to their compliance for the 2020 calendar year. Note: Any DFS regulated entity or licensed person who filed a Notice of Exemption previously does not need to… Read More

Creditable Coverage Disclosure Deadline and Requirements

  The Centers for Medicare and Medicaid Services (CMS) requires employers that offer health plans covering outpatient prescription drugs to complete an online disclosure form 60 days from the start of each health plan year.   Creditable coverage means the group health plan’s prescription drug coverage is actuarially equivalent to Medicare’s Part D drug plans…. Read More

NJ ACA Enrollment Period Extension

Governor Murphy Announces Extension of Affordable Care Act Enrollment Period for Uninsured in New Jersey in Response to COVID-19 Pandemic Governor Phil Murphy announced the State is extending the health insurance enrollment period for uninsured residents to sign up for coverage through Get Covered New Jersey, the state’s official health insurance marketplace, in response to… Read More

2021 ACA Reporting Deadlines for forms 1094/1095

Applicable large employers (ALEs)—those that had an average of 50 or more full-time employees or full-time equivalents during the 2020 calendar year must report whether they offered eligible employees affordable health coverage that provides minimum essential coverage and meets the minimum value threshold using Form 1095-C. Small employers with fewer than 50 full-time employees are… Read More

2021 New York Paid Family Leave (PFL) Rate and Benefit Amounts

The Department of Financial Services (DFS) set the NY PFL rate and benefit amounts for 2021 as follows: The maximum contribution rate for PFL will be 0.511% of the employee’s gross annualized wages capped at the New York State Average Weekly Wage (NYSAWW) of $1,450.17 per week.  This means the 2021 maximum annual contribution per employee for PFL is… Read More

Medicare Part D Creditable Coverage Notice Reminder – Due by October 14, 2020

A Medicare Part D plan provides prescription drug coverage under Medicare. The Medicare Part D notice, required by the Medicare Modernization Act (MMA) at least once a year, provides information to individuals enrolled in Medicare about whether employer-provided prescription drug coverage is creditable and the consequences of failing to enroll in a Medicare Part D… Read More

Horizon Creditable Coverage Notice Reminder

See below from Horizon’s Brief Notes regarding the upcoming Creditable Coverage Notice Deadline – October 15, 2020 Applies to: All markets Creditable Coverage Notice Reminder Health plan sponsors (employer groups) that offer prescription drug coverage to Medicare-eligible employees and their dependents are required to notify those employees and dependents whether their coverage is creditable or… Read More