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Section 105(h) Nondiscrimination testing

Employers with self-insured health plans This rule prohibits group health plans from discriminating in favor of highly compensated individuals with respect to both eligibility and benefits offered under the plan. Employers should review their plans and ensure plans are still within compliance and not discriminating against non-Highly Compensated Individuals (HCIs). HCIs must include the excess […]

TiC: Machine- Readable Files

Employers with Self-funded/Level-Funded health plans Plan is ultimately responsible for updating three machine readable files (MRFs) disclosing: in-network rates, OON allowed amounts, billed charges, negotiated rates and historical net prices for Rx drugs. Employers should collaborate with a third-party administrator to ensure the plan is administered in accordance with the TiC rules at each renewal. […]

WEEH Event & Dinner

Eagle Ridge Golf Course Augusta Drive, Lakewood, NJ, United States

- 2 Credit/2 Hour CEU course for LNHA, CALA, RN and SW in association with Longtree & Associates given by Sarah Schwarcz, CALA on the topic "Building Elders Financial Wellness Supports; A Health Care Professional Guide" - Intimate Networking with our sponsors - Full dinner catered by Eagle Ridge - Vendors catering to women will […]

Reporting health plan costs on Form W-2

Employers that filed 250 or more W-2 for the prior calendar year Must report to Social Security Administration and include aggregate cost of employer sponsored health plan coverage on EE’s W-2. Penalty for such a failure is $200 per Form W-2, up to a maximum of $3 Million.

Section 6055 reporting (paper filing deadline)

Code Section 6055 requires employers with self-insured health plans to report information about the coverage to the IRS each year. Employers that are not ALEs use IRS Forms 1094-B and 1095-B to meet these reporting obligations. The deadline for filing paper versions of the forms with the IRS is Feb. 28, 2022; the deadline for […]