Innovative Benefit Planning Blog

December Compliance Recap

Posted On: January 13, 2021 | Categorized as: Compliance

December was a busy month in the employee benefits world. President Trump signed the Consolidated Appropriations Act, 2021, which includes the No Surprises Act and other group health plan provisions. The Centers for Disease Control Advisory Committee on Immunization Practices (ACIP) issued two interim recommendations for COVID-19 vaccines. The Department of Health and Humans Services (HHS) released a final rule on grandfathered health plans. The Department of Labor (DOL) and Internal Revenue Service (IRS) released advance information copies of the 2020 Form 5500 Annual Return / Report (including Form 5500-SF and Form 5500-EZ) and related instructions. DOL released a final rule on proxy voting and shareholders rights under the Employee Retirement Income Security Act of 1974 (ERISA). The HHS Office for Civil Rights (OCR) issued guidance on Health Insurance Portability and Protection Act of 1996 (HIPAA) covered entities disclosing protected health information for public health purposes due to COVID-19 and…

Consolidated Appropriations Act, 2021: Temporary Health FSA and DCAP Relief

Posted On: January 7, 2021 | Categorized as: Compliance

Consolidated Appropriations Act, 2021 Temporary Health FSA and DCAP Relief The Consolidated Appropriations Act, 2021 (Appropriations Act), enacted on December 27, 2020, contains temporary rules to provide relief for participants in health flexible spending arrangements (FSAs) and dependent care flexible spending arrangements (DCAPs) in light of the COVID-19 pandemic. The Appropriations Act builds on previously issued Internal Revenue Service (IRS) guidance (IRS Notice 2020-29 and 2020-33), by expanding the opportunities for plan sponsors to amend their plans to give employees additional opportunities to use their currently unused FSA and DCAP balances through 2022. Carry Over of Unused Amounts The Appropriations Act provides that FSAs and DCAPs may permit participants to carry over any unused contributions remaining from the 2020 plan year to the plan year ending in 2021. Additionally, FSAs and DCAPs may permit participants to carry over any unused contributions remaining in the FSA or DCAP from the 2021…

Spinach, Chicken, and Wild Rice Soup

Posted On: January 6, 2021 | Categorized as: Workplace Wellness

Spinach, Chicken, and Wild Rice Soup Ingredients 3 cups water 14 oz can reduced-sodium chicken broth 10.75 oz can reduced-fat and reduced-sodium condensed cream of chicken soup 2/3 cup uncooked wild rice ½ tsp thyme ¼ tsp black pepper 3 cups cooked and chopped chicken or turkey 2 cups shredded fresh spinach Directions In a slow cooker, combine water, brother, cream of chicken soup, uncooked wild rice, thyme, and pepper Cover and cook on low for 7 to 8 hours or on high for 3 ½  to 4 hours To serve, stir in cooked chicken or turkey and spinach

Mandatory Coverage of COVID-19 Vaccines under Group Health Plans

Posted On: December 23, 2020 | Categorized as: Compliance, Employee Benefits

Mandatory Coverage of COVID-19 Vaccines Under Group Health Plans On December 11, 2020, the Food and Drug Administration (FDA) issued an Emergency Use Authorization for the Pfizer-BioNTech COVID-19 vaccine (Pfizer vaccine). The following day, December 12, 2020, the Centers for Disease Control Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use of the Pfizer vaccine in persons age 16 years or older for the prevention of COVID-19. Alternative COVID-19 vaccines are likely to be approved by the FDA under emergency authority in the coming weeks. Group health plans are encouraged to prepare to cover the cost of the Pfizer and other approved COVID-19 vaccines. Under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), non-grandfathered individual and employer-sponsored group health plans are required to cover the entire cost of preventative services by not imposing cost-sharing in the form of deductibles, copays, coinsurance or other amounts on…

Congress Passes New $1.4 Trillion Stimulus & COVID-19 Relief Bill and Awaits President’s Signature

Posted On: December 23, 2020 | Categorized as: Compliance

Congress Passes New $1.4 Trillion Stimulus & COVID-19 Relief Bill and Awaits President's Signature Details have emerged on the new $1.4 trillion omnibus spending bill which provides a $900 billion COVID-19 Stimulus package. The bill awaits President Trump’s signature and as of last night, he requested that Congress amend the bill to increase the amount of stimulus checks. In the meantime, below highlights many important facets of the bill as it stands now relating to employers and the benefits industry, but as more information becomes available, we will provide subsequential communications. In relation to employee benefits, the bill includes relief for employees participating in Flexible Spending Accounts (FSA), a surprise-billing ban, and additional transparency provisions: Flexible Spending Accounts (FSAs) Employees will be able to rollover unused amounts in their health and dependent care FSAs from 2020 to 2021 and from 2021 to 2022. Employers are also allowed to provide employees…

Blue Cross Blue Shield Association Tentative $2.67 Billion Antitrust Settlement

Posted On: December 16, 2020 | Categorized as: Compliance

Blue Cross Blue Shield Association Tentative $2.67 Billion Antitrust Settlement  Blue Cross Blue Shield Association (BCBSA) has recently reached a tentative $2.67 billion settlement arising out of a class action lawsuit filed more than eight years ago by subscribers seeking injunctive and compensatory relief arising out of BCBSA’s alleged violation of federal antitrust laws. The settlement will result in the dismissal of the case and a finding of no liability against BCBSA for the subscriber’s claims, which BCBSA continues to reject in their statement regarding the litigation. Alleged Violations The subscribers alleged that BCBSA violated several provisions of the Sherman Antitrust Act, which is a federal law prohibiting interference with trade and competition, by entering into an unlawful agreement that interfered with competition in the health insurance market by: (1) allocating geographic territories among members of the Blues association, thereby limiting subscriber choice; (2) limiting Blue member plans from competing…

Cranberry Oatmeal Bars Recipe

Posted On: December 15, 2020 | Categorized as: Workplace Wellness

Cranberry Oatmeal Bars Recipe Ingredients: 1 ½ cups quick cooking rolled oats 1 cup all-purpose flour ⅔ cup brown sugar ¼ cup whole wheat flour or all-purpose flour ¼ cup flaxseed meal ½ tsp baking soda ½ cup fat free milk 2 egg whites, lightly beaten 1 tsp vanilla extract ¼ cup dried cranberries 3 tbsp butter ¼ cup chopped pecans or almonds Directions: Preheat oven to 350 degrees. In a bowl, stir together oats, all-purpose flour, brown sugar, whole wheat flour and flaxseed. Set aside ½ cup for topping. Stir baking soda into the remaining oat mixture. In another bowl, whisk together milk, oil, egg whites, and vanilla. Add to the oat mixture and stir until combined. Stir in cranberries. Pat mixture into a foil-lined 9x9x2 inch baking pan. Using a pastry blender, cut butter into reserved topping and then stir in pecans. Sprinkle over mixture in pan. Bake…

Healthy for the Holidays

Posted On: December 15, 2020 | Categorized as: Workplace Wellness

Healthy for the Holidays Tis' the Season for Temptations While the holidays are an exciting and eventful time of year, holiday festivities can often revolve around eating and drinking. Traditions involve baking cookies, high calorie drink making, and eating plentiful holiday meals.  We tend to get so busy around this time, we may put our healthy eating habits and exercise on the back burner.  It’s important to remember that indulging occasionally is normal, but to avoid doing so every day during the holiday season. Make the effort to create a balance and shift the focus off the food and to more of the conversations and interactions with family and friends. Try some of these helpful tips this holiday season: Stay active. Keep moving each day to balance out the extra calories which may be consumed. Remember balance and portion control. Try using a smaller plate so you don’t overfill. Wait…

November Compliance Recap

Posted On: December 11, 2020 | Categorized as: Compliance

November Compliance Recap November was a relatively busy month in the employee benefits world. The U.S. Supreme Court (Supreme Court) heard oral arguments in the case of California v. Texas, which is the case challenging the constitutionality of the ACA. The Internal Revenue Service (IRS) released the updated Patient-Centered Outcomes Research Institute (PCORI) fee for plan years that end on or after October 1, 2020, and before October 1, 2021. The Department of Labor (DOL) released a final rule on financial factors in selecting plan investments that imposes requirements on ERISA plan fiduciaries under their duties of loyalty and general prudence. The IRS released an information letter on the relief available under IRS Notice 2020-29 as it applies to dependent care flexible spending arrangements (DCAPs). The IRS also released an information letter on unused qualified transportation benefits due to COVID-19. The Department of Health and Human Services (HHS) released an…

Fostering Company Culture in a Remote Environment

Posted On: December 3, 2020 | Categorized as: HR Consulting

Fostering Company Culture in a Remote Environment It has been a challenging year for all of us, to say the least. Many businesses were forced to make the move to a remote environment, while others have maintained in-person operations with serious restrictions on gatherings. While business as we know it has changed significantly since the beginning of the COVID-19 outbreak, there is one thing that has not: the human need for social interaction. No matter where your company is in this process, here are some ideas to re-build team engagement while working remotely. Host a Virtual Game Virtual games might feel overdone at this point but there are still plenty of ways to make them feel fresh! If you plan to host the game yourself, take advantage of the features available to you within the virtual meeting software you are using. For example, we’ve found that there is an increase…

Partially Self-Funded Plans with an HRA

Posted On: December 3, 2020 | Categorized as: Employee Benefits

Partially Self-Funded Plans with an HRA As health insurance costs continue to rise, more and more small and mid-size employers are looking for ways to take control of their healthcare costs. A health reimbursement account, or an HRA, is a way in which employers can step into self-funding and start to take some control. A health reimbursement account is an opportunity for the employer to self-fund a portion of the health insurance plan. Typically, employers will choose a plan with a higher deductible, higher co-pays, and potentially higher co-insurance, and will decide to self-fund that portion of the plan to take on some risk. Companies that have considered self-funding, but are wary of some of the risks, might want to take a step towards self-funding with a health reimbursement account. By utilizing increased deductibles, co-pays and co-insurance and putting an HRA into place, an employer is taking the risk that…

Updated PCORI Fee Released

Posted On: December 2, 2020 | Categorized as: Compliance

Updated PCORI Fee Released Employers that sponsor certain self-insured health plans are responsible for Patient-Centered Outcomes Research Institute (PCORI) fees. Under the Affordable Care Act, PCORI fees were originally scheduled to apply to policy or plan years ending on or after Oct. 1, 2012 and before Oct. 1, 2019. However, in Dec. 2019, PCORI fees were extended for an additional 10 years. Thus, the fee continues to apply for the 2020-2029 fiscal years. New Fee The IRS announced in Notice 2020-84 for plan years that ended on or after October 1, 2020 through Sept. 30, 2021, the fee will adjust to $2.66 per participant. Employers must report and pay the required PCORI fees annually via IRS Form 720 by July 31 of the year following the last day of the plan year. If you have any questions, please contact Innovative Benefit Planning at

Free Child Education Resources

Posted On: November 24, 2020 | Categorized as: HR Consulting

Free Child Education Resources As most children are learning virtually as a result of the COVID-19 pandemic, many parents are looking to compliment their education with additional resources.  Especially now, there are a great deal of free resources available for all subject matter.  Check out some of the most popular resources here! Khan Academy Virtual Field Trips and World Tours You don’t have to leave the house to see the world! Take your children through the numerous virtual field trips and tours on these lists. Many of these virtual experiences also offer enhanced learning experiences, such as livestream events and interactive tools. Scholastic Learn at Home Scholastic is offering a one week free trial of their Learn at Home All-Access subscription which provides children aged 4-10 with fun educational activities. The curriculum includes stories, articles, videos and activities in a variety of subjects such as…

End of Year Wellness Initiatives to Drive Employee Well-Being

Posted On: November 24, 2020 | Categorized as: Workplace Wellness

End of Year Wellness Initiatives to Drive Employee Well-Being As we near the end of the year, don’t let your wellness program slip through the cracks. With the holidays approaching, flu and germ season here, and 2021 planning in full effect, now is the perfect time to evaluate your organization’s end of year wellness initiatives in order to keep your team healthy and off on the right foot in 2021. Consider these 8 tips as you approach the end of year: Educate employees on how to reduce the spread of illness and encourage them to receive a flu shot (provide education and coverage information when possible) With the number of COVID-19 cases rising across the country, we must try to prevent the spread of the flu.  Not only do you want your team to be healthy, but this also ensures that proper resources needed to treat critical COVID-19 patients will…

How to Host a Virtual Company Holiday Party

Posted On: November 24, 2020 | Categorized as: HR Consulting

How to Host a Virtual Company Holiday Party This holiday season may be different for many organizations than it has in the past, but that doesn’t mean that the holidays need to be disregarded all together.  One thing is for certain, and that is that your team has worked diligently all year and deserves to be valued and there is no better time to do so than during the holidays. Here are some tips to host a successful virtual holiday party: Pick a theme Create a formal invitation reflecting the theme of your virtual party, which will help your team to get excited.  Additionally, encourage virtual backgrounds to set the mood and be more festive! Make a Holiday Playlist Every great party needs music, including virtual ones! Set the tone for this year’s holiday party by creating a holiday playlist on a platform such as Spotify so that the whole…

Understanding Key Health Insurance Terms

Posted On: November 23, 2020 | Categorized as: Employee Benefits

Understanding Key Health Insurance Terms The language of health insurance can be confusing but understanding some key terms will help your employees comprehend the basics of your organization’s plan, allowing them to make smart decisions that will benefit their family. Rather than feeling confused, encourage them to review the following key terms and ask questions when necessary. Premium - sometimes referred to as contributions, payroll deductions, or per pay costs, are the amount employees pay each month for covered health insurance. Copay - the fixed amount the employee pays for health care services, such as $25 for a doctor's visit. After your copay, the insurance pays the balance of the bill. Deductible - a fixed dollar amount the employees pay each plan year for health care services before their health insurance begins to pay. Coinsurance - the percentage of costs the employee will pay. If your organization’s plan has a…

The CDC Redefines “Close Contact”

Posted On: November 23, 2020 | Categorized as: Workplace Wellness

The CDC Redefines “Close Contact” As the number of reported cases of COVID-19 continues to rise, employers are increasingly confronted with questions and obligations regarding their workforce.  With that being said, employers should be aware that as of October 21st, the CDC revised the definition of “close contact” to include the following: Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over 24 hours* starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to testing specimen collection) until the time the patient is isolated. * Individual exposures added together over 24 hours (e.g., three 5-minute exposures for a total of 15 minutes). Data are limited, making it difficult to precisely define “close contact;” however, 15 cumulative minutes of exposure at a distance of 6 feet or less can be used as an operational definition for contact…

Healthy Thanksgiving Side Swaps

Posted On: November 18, 2020 | Categorized as: Workplace Wellness

Healthy Thanksgiving Side Swaps Who doesn’t love the tasty sides that come with a traditional Thanksgiving meal? Why not try something a little healthier this year along with your staples! Tangy Glazed Brussel Sprouts Ingredients: 3 tbsp olive oil ¼ tsp ground cardamom ⅛ tsp crushed red pepper 1 lb trimmed and halved Brussels sprouts ¼ cup pomegranate juice 3 tbsp white balsamic vinegar Optional: 1 oz crumbled feta cheese and 3 tbsp chopped toasted pecans Directions: Heat olive oil, ground cardamom, and crushed red pepper in a skillet over medium-high heat. Add Brussels sprouts and cook until browned, about 7 minutes. Add pomegranate juice and white balsamic vinegar. Cook until sauce is syrupy, another 5 to 6 mins. Top evenly with feta cheese and toasted pecans. Serves 4 (serving size is ¾ cup) Skillet Green Bean Casserole Ingredients: 1 lb green beans 2 slices whole-wheat bread ¼ cup chopped…

October Compliance Recap

Posted On: November 16, 2020 | Categorized as: Compliance

October was a busy month in the employee benefits world. The Department of Health and Human Services (HHS) renewed the public health emergency due to COVID-19 which took effect on October 23, 2020. The Internal Revenue Service (IRS) issued Notice 2020-76 regarding deadline extensions and requirements for reporting of group health coverage offered in 2020 under the Patient Protection and Affordable Care Act (ACA) as it has done in prior years. The IRS released final instructions for both the 1094-B and 1095-B forms and the 1094-C and 1095-C forms and the final forms for 1094-B, 1095-B, 1094-C, and 1095-C. The IRS released Notice 2020-79 and Rev. Proc. 2020-45 regarding health plan limits as well as various compensation, benefit, and contribution levels under qualified retirement plans for 2021. The Department of Labor (DOL), HHS, and the Department of the Treasury (Treasury) (collectively, the Departments), released interim final rules regarding implementation of…

Final Rules on Coverage Transparency

Posted On: November 16, 2020 | Categorized as: Compliance, Employee Benefits

Final Rules on Coverage Transparency On October 29, 2020, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments), released final rules on coverage transparency, in order to provide health coverage recipients with an estimate of their potential cost-sharing liability for health related services prior to the receipt of care. The final rules require group health plans and insurance issuers in the individual and group markets to disclose cost-sharing information and negotiated rates in electronic or paper form. The final rules also allow issuers to reward plan enrollees with “shared savings payments,” without running afoul of medical loss ratio (MLR) requirements. Issuers are permitted to provide employees who use lower-priced providers with a percentage of the savings relative to a benchmark. Effective Dates Public Disclosure of Negotiated Rates and Historical Allowed Amounts: January 1, 2022 Disclosure of Cost Information: January…

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