Court Dismisses ERISA Fiduciary Class Action Against Johnson & Johnson
On January 24, 2025, the U.S. District Court of New Jersey dismissed two fiduciary breach claims in Lewandowski v. Johnson & Johnson, et al. (“Lewandowski”). In Lewandowski, the plaintiffs alleged […]
Medicare Part D Creditable Coverage Disclosure Due to CMS by March 1, 2025, for Calendar Year Plans
The Medicare Modernization Act (MMA) established annual notification requirements for employer-sponsored group health plans with prescription drug coverage. Per the MMA, employers sponsoring these plans are required to disclose annually […]
ACA Reporting Amendments Apply to Upcoming Reporting
President Biden signed two bills, Employer Reporting Improvement Act and the Paperwork Burden Reduction Act, into law which provide helpful updates to the Affordable Care Act’s (ACA) reporting requirements under […]
Compliance Calendar 2025
Stay compliant during 2025. Download our compliance calendar here!
Updates for High Deductible Health Plans
Telehealth Flexibility Sunsetting in 2025 As a result of the CARES Act in 2020, HDHPs were permitted to provide first dollar telehealth coverage without negatively impacting HSA eligibility. This relief […]
Deadline Approaching: HIPAA Rules to Limit the Use and Disclosure of PHI Related to Reproductive Health Care
As a result of the overturning of Roe v. Wade, the Department of Health and Human Services (HHS) released final rules aimed at ensuring the privacy of protected health information […]
Gag Clause Prohibition Compliance Attestation Due by December 31, 2024
Background When the Consolidated Appropriations Act, 2021 (CAA) was enacted by Congress on December 27, 2020, the law included a provision preventing group health plans and health insurance carriers from […]
Delaware Paid Family and Medical Leave Opt-Out Deadline is Approaching
Overview of Delaware PFML: Starting January 1, 2026, Delaware’s PFML program will provide paid leave benefits to employees who have been employed for at least one year and have worked at […]
IRS Releases ACA Affordability Threshold for 2025
IRS Releases ACA Affordability Threshold for 2025 The IRS released Rev. Proc. 2024-25, announcing an increase in the ACA Affordability Contribution Rate from 8.39% in 2024 to 9.02% for the […]
MLR Rebates Due to Plan Sponsors by September 30, 2024
MLR Rebates Due to Plan Sponsors by September 30, 2024 The Affordable Care Act (ACA) outlines the requirements private health insurance issuers must follow, including obligations related to premium spending. […]
