Tag Archives: Department of Treasury

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

IRS releases publication explaining employer reporting requirements under the ACA
Under the Patient Protection and Affordable Care Act (ACA), applicable large employers—those with 50 or more full-time employees, including full-time equivalent employees—must file information returns with the Internal Revenue Service (IRS). They must also provide statements to full-time employees about health coverage the employer offered or that show the employer didn’t offer coverage. All applicable large employers are required to report health coverage information for the first time in 2016 for calendar year 2015.

To help employers understand what information they need to track each month, the IRS has published Publication 5196 (Rev. 1-2016).

To read the publication, click here.

Agencies release fact sheet providing information on available tools related to ACA tax filing responsibilities
The U.S. Department of Health and Human Services (HHS) and the U.S. Treasury Department have put in place resources to help tax filers understand how healthcare corresponds with their taxes. To help address questions individuals may have about their responsibilities, the government is highlighting available resources and tools to help make the process as easy as possible.

To learn more, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

CRS report: Potential impact of no Social Security COLAs on Medicare Part B premiums
According to a Congressional Research Service (CSR) report, if there were to be no Social Security cost-of-living adjustment (COLA) in 2016, Medicare Part B premiums would be affected in two ways. For about 70% of Part B participants, the hold-harmless provision would prevent their Part B premiums from increasing, so their Social Security checks would remain the same. For the other 30% of beneficiaries, the hold-harmless provision would not apply. These individuals would shoulder the entire beneficiary share of the increase in Part B costs.

To read the entire report, click here.

Agencies release FAQs on ACA implementation, Part XXIX, and mental health parity
The U.S. Departments of Treasury, Labor (DOL), and Health and Human Services (HHS) have released frequently asked questions (FAQs) on the Patient Protection and Affordable Care Act (ACA) implementation related to Part XXIX and mental health parity.

To read the FAQs, click here.

IRS AIR submission composition and reference guide for 2015
The Internal Revenue Service (IRS) released the ACA Information Returns (AIR) submission composition and reference guide for tax year 2015. The guide is designed to accompany IRS Publications 5164 and 5165. The purpose of the document is to provide guidance to all types of external transmitters about composing and successfully transmitting compliant submissions to IRS.

To read the entire guide, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

IRS issues reporting guidance for applicable large employers
The Internal Revenue Service (IRS) has issued Health Care Tax Tip 2015-48, Reporting Guidance for Applicable Large Employers. The tax tip discusses monthly tracking, annual information reporting, and other reporting requirements.

For more information, click here.

Agencies issue ACA FAQ regarding transparency reporting
The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury have prepared a frequently asked questions (FAQ) sheet regarding the implementation of the Patient Protection and Affordable Care Act (ACA). The FAQ answers questions from stakeholders seeking to understand transparency reporting for nonqualified health plan issuers and non-grandfathered group health plans.

To read the entire FAQ sheet, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

IRS provides tax tips for employers with self-insured health plans
The Internal Revenue Service (IRS) has provided a tax tip for employers with self-insured health plans. All employers that provide self-insured health coverage to their employees are treated as coverage providers. These employers must file an annual return reporting certain information for each employee they cover.

For more information, click here.

Treasury provides update on the ACA and tax filing season
The U.S. Department of Treasury has published a post on its Treasury Notes blog providing an update on the Patient Protection and Affordable Care Act (ACA) and tax filing season. To read the post, click here.

Congressional Research Service publishes health exchange report
The Congressional Research Service has released a report entitled “Overview of Health Insurance Exchanges,” which provides an overview of the various components of the health insurance exchanges.

The report includes summary information about how exchanges are structured; the intended consumers for health insurance exchange plans; and consumer assistance available in the exchanges, as specified in the ACA. It also describes the availability of financial assistance for certain exchange consumers and small businesses, and outlines the range of plans offered through exchanges.

To read the entire report, click here.

CMS RDS program posts announcements on user accounts and Medicare Part D enrollment
The Retiree Drug Subsidy Program (RDS) of the Centers for Medicare and Medicaid Services (CMS) has posted the following two announcements on its website:

Maintain active user accounts to receive payment
Prepare now – Medicare Part D open enrollment period (OEP) is approaching

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

Agencies issue ACA implementation FAQs on limitations in cost sharing, provider non-discrimination
The U.S. Departments of Treasury, Labor (DOL), and Health and Human Services (HHS) have issued “FAQs About Affordable Care Act Implementation (Part XXVII).” The frequently asked questions (FAQs) discuss limitations on cost sharing under the Patient Protection and Affordable Care Act (ACA) and provider nondiscrimination.

To read the entire FAQ, click here.

DOL issues new model FMLA notices and medical certification forms
The DOL has published new model Family and Medical Leave Act (FMLA) notices and medical certification forms with an expiration date of May 31, 2018.

To view all the forms, click here.

HHS requests comments regarding the requirements for the health plan identifier
HHS has issued a request for public comments regarding the Health Plan Identifier (HPID), including requirements regarding health plan enumeration and the requirement to use the HPID in electronic health care transactions.

The HPID is a standard, unique health plan identifier required by HIPAA. On September 5, 2012, HHS published the final rule that adopts unique identifiers for health plans. HHS notes that, since the publication of the HPID final rule, the nation’s healthcare system has experienced sweeping changes, including implementation of the ACA’s marketplaces. Therefore, HHS requests public comment on certain points outlined in the information request.

To read the entire request, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

EEOC issues proposed rule on employer wellness programs
The Equal Employment Opportunity Commission (EEOC) has released a proposed rule that would amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act (ADA) as they relate to employer wellness programs. The proposed rule amends the ADA regulations to provide guidance on the extent to which employers may use incentives to encourage employees to participate in wellness programs that include disability-related inquiries and/or medical examinations.

The proposed rule explains what an employee health program is, what it means for an employee health program to be voluntary, what incentives employers may offer as part of a voluntary employee health program, and what requirements apply concerning notice and confidentiality of medical information obtained as part of voluntary employee health programs.

To read the entire proposed rule, click here.

Agencies issue FAQs for implementation of wellness programs under ACA
The U.S. Departments of Treasury, Labor (DOL), and Health and Human Services (HHS) have issued frequently asked questions (FAQs) regarding the implementation of wellness programs under the Patient Protection and Affordable Care Act (ACA).

To read the FAQs, click here.