New York Paid Sick Leave Benefits for COVID-19

Due to the growing COVID-19 pandemic throughout the country and in New York, Governor Cuomo signed into law on March 19, 2020 Emergency COVID-19 Paid Sick Leave. This new legislation is effective immediately and provides a combination of benefits for eligible employees who are subject to an order of mandatory or precautionary quarantine or isolation… Read More

New Jersey Update: Additional Reporting Requirements for 1094/1095

As per New Jersey State Law, in addition to the original 1094/1095 filing requirements we communicated previously, New Jersey applicable large employers (ALE’s) and self-insured small groups MUST also file electronically with New Jersey by March 31, 2020. They will not accept paper filings. For information on how to file electronically from New Jersey State… Read More

2020 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 2019 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

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. In… Read More

You’re Invited To A Broker Learning Webinar: Treating Employees Differently

Together with our legal partner Thompson Hine we are offering a series of short webinars to address common questions that are asked by our broker partners. Below are details and registration for the first webinar in this series. Treating Employees Differently Date: Tuesday, February 4, 2020 Time: 10:00 AM to 10:30 AM Please register here by… Read More

Cybersecurity Update: Certification of Compliance Due April 15, 2020

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, 2020 (extended from February 15, 2020), attesting to their compliance for the 2019 calendar year. Note: Last year you were required to file two parts, a Notice of… Read More

Federal Open Enrollment Reminder

Small Group Federal Open Enrollment Reminder 11/15/19 through 12/15/19 all carriers (NO EXCEPTIONS)* The Affordable Care Act (ACA) requires health insurers to offer a one-month Special Open Enrollment Period, where eligible small groups can enroll in coverage without having to meet standard employer-contribution and/or employee-participation ratios. The Special Open Enrollment Period allows eligible small groups… Read More

2020 New York Paid Family Leave (PFL) Rate Announced

The Department of Financial Services (DFS) announced the NY PFL rate for 2020 as follows: The maximum contribution rate for PFL will be 0.27% of the employee’s gross annualized wages capped at the New York State Average Weekly Wage (NYSAWW) of $72,860.84 per year. This means the 2020 maximum annual contribution per employee for PFL… Read More

House votes to repeal ObamaCare’s ‘Cadillac tax’

By Peter Sullivan, The Hill on 7/17/19 The House on Wednesday voted to repeal ObamaCare’s “Cadillac Tax” on high-cost health plans, removing a part of the health law opposed by many in both parties. The wide bipartisan vote of 419-6 illustrates how the tax is one of the few areas of ObamaCare that has opposition across… Read More

House lawmakers unite to kill Obamacare provision

By Tami Luhby, CNN on 7/18/19 There’s not much about Obamacare that Democrats and Republicans agree on. But getting rid of the Cadillac tax is one of the rare points of unity.   House lawmakers came together Wednesday to repeal the provision that levies a tax on high-cost health insurance plans by a vote of… Read More