DOL Sues Health Plan Alleging SPD and Wellness Program Failures

On August 16, 2017, the Department of Labor ("DOL") filed a lawsuit against Macy’s Inc. Health and Welfare plan (and its third party administrators) under ERISA Title I.

Update: Employer Penalty and 1094-C/1095-C Reporting

Applicable large employers ("ALEs") may be resting easy, having had no notification from the IRS of 2015 or 2016 assessments under the Employer Shared Responsibility Provisions (the Employer Penalty) and having reasonably expected that the Republican-led administration would limit or choose not to enforce this mandate.

California Limits Surprise
Medical Bills

On September 23, 2016, Governor Brown signed Assembly Bill 72, California’s law prohibiting surprise medical bills from out-of-network providers operating at in-network facilities. The new law takes effect for plans renewed on or after July 1, 2017 and prohibits balance billing of individuals for non-emergency services.

New York Paid Family Leave: Final Regulations

On July 19, 2017, the Notice of Adoption for Paid Family Leave was published in the New York State Register, finalizing the New York Paid Family Leave ("NYPFL") regulation.

Mental Health Parity: FAQ 38

The Mental Health Parity and Addiction Equity Act (MHPAEA) applies to employers with at least 51 employees offering a group health plan that includes any mental health and substance use disorder (MH/SUD) benefits. MHPAEA also applies to non-grandfathered insured plans in the small group market.

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Health Reform Calculators

Health Reform Calculators

We have prepared two distinct tools to enable you to quickly assess whether you are eligible for a tax credit as a small employer under the ACA, and whether you have exposure to the penalties associated with the employer mandate.

Tax Calculator & Risk Assessment

 

Employers

If you are responsible for procuring employee benefits for your company, we invite you to learn more about our firm, consultative services, and the resources we deploy to ensure your success.

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If you are an individual seeking health insurance or your employer works with MBA, continue to our individual section for information on the resources available to you and your family.

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If you are a health insurance broker or business-to-business professional services firm, we invite you to learn how you can include the MBA value proposition in your offering to your clients.

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