Every person that provides minimum essential coverage to an individual during a calendar year must file an information return reporting the coverage. Insurers generally use Form 1094- B (transmittal) to submit Forms 1095-B (returns) to the IRS. However, self-funded employers (including governmental employers) subject to the employer shared responsibility provisions generally will report information about […]
Applicable Large Employers (i.e. those that are subject to the employer mandate) must report on the coverage offerings for each ‘full-time employee’ from the previous calendar year. Self-funded employers (of any size) are required to report on coverage provided to any employee in the prior calendar year. For more information, see: https://www.irs.gov/uac/About-Form-1095-B and https://www.irs.gov/forms-pubs/about-form-1095-c
Only applies to a health plan or other arrangement that covers employees of two or more companies that have less than 25 percent common ownership interest at any time during the plan year (including most association health plans). For established MEWAs, Form M-1 (Annual Report) must be filed by March 1 each year. Some exceptions […]
Only applies to employers who offer an FSA plan with a 2 1⁄2 month grace period. Employees may no longer incur expenses that can be paid for with contributions from the immediately preceding FSA plan year. Note that a plan could have an earlier deadline.
Applicable large employers and others furnishing 10 forms or more must file all Forms 1095 – B/C with the IRS. If filing Form 8809, deadline for filing with the IRS extends out 30 days. For more information, see: https://www.irs.gov/forms-pubs/form-8809-application-for-extension-of-time-to-file- information-returns
Group health plans must report on certain prescription drug information to HHS, Labor, and Treasury. Reporting must include information regarding plan coverage and premiums, as well as the amount spent, and increase in spend, on various prescription drugs. Total spending on health care services is also included. The report must also disclose the impact on […]
Filing is due for ERISA plans, unless exempt. Filing is made electronically with the DOL at: www.efast.dol.gov. Welfare plans that are fully insured, unfunded or a combination of both are excused from filing if they have fewer than 100 participants as of the first day of the ERISA plan year. Consider the need to file […]
Patient-centered Outcomes Research Trust Fund Fee must be paid by issuers of specified health insurance policies and plan sponsors of applicable self-insured health plans (including HRAs). Payment is due annually, by July 31, of the calendar year following the end of the plan year. For more information, see: https://www.irs.gov/newsroom/patient-centered-outcomes-research-institute-fee
Distribute to participants, COBRA beneficiaries and alternate recipients under QMCSOs within 9 months after close of the plan year or 2 months after the plan's extended 5500 deadline. SAR requirement does not apply to plans that pay benefits exclusively from the employer's general assets (that is, plans with no trust, with no insurance contract to […]
Only applies to employers that sponsor individual coverage health reimbursement arrangements (ICHRAs) Due at least 90 days before the beginning of the plan year. Notice must include specific information about the ICHRA, including the maximum dollar amount, some limitations of the ICHRA, a statement of the right to opt-out, and the effect on the individual’s […]
Provide to employees, retirees and dependents enrolled in or eligible for Medicare and also enrolled (or seeking enrollment) in the employer's group plan. The Notices are good for the next 12 months after they are distributed (e.g., if distributed in enrollment packets during prior year), unless the coverage changes from creditable to non-creditable (or from […]
If Form 5558 was submitted to the IRS seeking an extension of the deadline to submit Form 5500, filing of Form 5500 is now required. Does not apply to governmental plans (state and local). Does not apply to church plans that have not elected to be covered by ERISA.
