January 14, 2022

FAQ Part 51: Coverage Updates: COVID-19 Tests, Colonoscopies, and Contraception

The Departments of Labor, Health and Human Services (HHS), and the Treasury (collectively, the Departments) have issued Part 51 of its FAQs dealing with three areas of concern for health plans and health insurance issuers.  The FAQs address: Coverage of over-the-counter (OTC) COVID-19 tests. Coverage of colonoscopies as preventive care. Coverage of contraceptives. (1) Coverage… Continue Reading

January 12, 2022

New Women’s Preventive Care Services

The ACA requires non-grandfathered health plans to cover preventive care services without cost-sharing. The list of services is determined by the recommendations of various agencies as outlined in the statute. Women’s preventive care services are specified by the Health Resources & Services Administration (HRSA). In December 2021, HRSA approved a new guideline on obesity prevention… Continue Reading

January 6, 2022

CAA #14: DOL Issues Guidance on Broker Disclosure Requirements Under the CAA

The Department of Labor (DOL) issued Field Assistance Bulletin No. 2021-03 (the FAB) announcing its temporary enforcement policies regarding broker and consultant disclosure requirements to group health plans under the Consolidated Appropriations Act (CAA). The CAA requires certain providers of “brokerage” and “consulting” services to a group health plan (who expect to receive more than… Continue Reading

December 30, 2021

Agencies Release 2021 Form 5500 Series Documents

On December 29th, 2021, federal agencies released information copies of the 2021 Form 5500 Annual Return Forms. For details, read this news release. The Form 5500 is a required disclosure document for pension and welfare benefit plans that are funded, or for welfare benefit plans with more than 100 employees at the beginning of the… Continue Reading

December 27, 2021

CAA #13: Rx Drug & Health Care Spending: Reporting Guidance

Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury (the Departments) have issued technical guidance on the Consolidated Appropriation Act’s (CAA) reporting requirements for prescription drug and healthcare spending. The good news for most employers: they don’t need to worry about the minutiae of this guidance.  This is because… Continue Reading

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