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

At Home New Jersey Continuing Education

PGP will be sponsoring an online, self-study, self proctored New Jersey 24-credit CE class. Sign up for this self-study course then take your test online to fulfill your Continuing Education requirement. Test Date: Now through June 30, 2020 Course Registration: Sign up for your self-study course at https://www.webce.com/PGPBENEFITS Click on the Green “Life/Health” button on… Read More

Important PCORI Deadline Information: Fees Due July 31, 2020

Below is a summary of PCORI fee requirements so you can advise your clients about this upcoming compliance deadline. What is the PCORI Fee? The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute to study clinical effectiveness and health outcomes. To finance the nonprofit institute’s work, a small annual fee is charged on… Read More

COBRA Deadline Extension Update and New COBRA Model Notices

We previously communicated information regarding the new rule in response to COVID-19 that extends most COBRA deadlines to beyond the “Outbreak Period,” which it defines as March 1, 2020, to 60 days after the end of the declared COVID-19 national emergency. Additional guidance has been released clarifying the Key COBRA deadlines extended as follows:  The… Read More

COBRA Deadlines Temporarily Extended by DOL In Response to COVID-19

Effective immediately terminated workers have been given more time to elect COBRA coverage and pay premiums through a new final rule Extension of Certain Timeframes for Employee Benefit Plans, Participants, and Beneficiaries Affected by the COVID-19 Outbreak released by the DOL and IRS on May 4, 2020. The rule extends most COBRA deadlines to beyond the… Read More

Required Producer Notifications for NY State Emergency Grace Periods

New York State Emergency Regulation 62 Notice Requirement for Producers – You MUST Notify Policyholders of Premium Grace Period Extensions See below release from NYAHU outlining this requirement and to download a sample notification.  Pursuant to Governor Andrew Cuomo’s Executive Order 202.14, on April 7, 2020 the Department of Financial Services issued Emergency Regulation 62,… Read More