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 […]

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. […]

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.

Employers with 6 or more employees that reside in the state of Massachusetts Provide Form MA 1099-HC to all MA resident employees Subject to a $50 penalty per individual, going up to a maximum of $50,000.