The IRS has announced an increase in the PCORI Fee assessed against health insurance companies and the sponsors of self-insured health plans. This assessment funds the he Patient-Centered Outcomes Research Institute which support clinical effectiveness research. The fee for plan years that end on or after October 1, 2022, and before October 1, 2023, is… Continue Reading

On October 18, 2022, the IRS released its annual Revenue Procedure, Rev. Proc. 2022-38, setting forth various cost of living adjustments for a variety of tax-related dollar limits, including numerous limits applicable to health and welfare benefits and benefit plans. A related IRS News Release is available at IRS provides tax inflation adjustments for tax… Continue Reading

The IRS has announced a change in the rules regarding eligibility of taxpayers for a premium tax credit undersection 36B of the Affordable Care Act.  Under the ACA, if a large employer fails to offer an employee and his family affordable coverage providing minimum value and the employee enrolls in a qualified health plan through… Continue Reading

On October 1, 2022, the U.S. District Court for the Northern District of Texas, in Texas v. EEOC, et al., invalidated U.S. Department of Health and Human Services (HHS) guidance that prohibited, as discriminatory, the denial of gender affirming care for minors. The HHS guidance, applicable only to entities subject to Section 1557 of the… Continue Reading

Four years ago we released a blog covering potential benefits and risks for employers seeking to switch from fully insured to self-insured level group health plans – at that time a relatively new concept in the employee benefits realm. It’s still a viable funding method for some employers, and there are still benefits to –… Continue Reading