Patient Protections

Highlights Choice of Primary Care Provider Plans or issuers that require…


Women’s Health and Cancer Rights Act

Highlights Coverage Requirements Group health plans and issuers that provide…


CC0 Creative Commons Free for commercial use No attribution required

Americans with Disabilities Act (ADA) – Wellness Program Rules

Highlights Incentive Limits Wellness programs that involve medical exams or…


ACA Overview: Overview of Grandfathered Plans

The Affordable Care Act (ACA) contains many provisions that affect…


Workplace Wellness Programs— HIPAA Nondiscrimination Rules

Workplace wellness programs often incorporate rewards to promote healthy…


IRS updates required tax notice to address plan loan offsets

In September, the IRS updated their required model notice. This model notice is…


Oct. 15 Deadline Nears for Medicare Part D Coverage Notices

The Medicare Part D coverage deadline is quickly approaching. All plan sponsors…


Benefits Insights: Summary Annual Report

The Employee Retirement Income Security Act (ERISA) requires plan…


Form 5500 Annual Return/Report of Employee Benefit Plan

Each year, employee benefit plan administrators are generally required to file…


Medical Loss Ratio (MLR) Rules

Highlights MLR Standards Issuers in the large group market must spend at…