Author: MDG Benefits Admin
Pay-or-Play Affordability Percentage Will Increase for 2026
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On July 18, 2025, the IRS released Revenue Procedure 2025-25 to index the contribution percentage in 2026 for determining the affordability of an employer’s health plan under the Affordable Care Act (ACA). For plan years beginning in 2026, employer-sponsored coverage will be considered affordable under the ACA’s “pay-or-play” rules if the employee’s required contribution for…
Health Insurance Terms You Should Know
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Health care terms, medical bills, and forms can be hard to understand. Here are some common health care terms, and what they mean. Allowed Amount This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” For example, if you…
Upcoming Changes for Employee Benefits
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Employers will see several changes to their health and welfare benefits due to comprehensive new tax and spending legislation. This includes notable improvements to Health Savings Accounts (HSAs), Dependent Care Flexible Spending Arrangements (DCFSAs), and employer-provided student loan payments, as well as the introduction of some new fringe benefit choices. These updates introduce significant changes…
ACA Update: Enhanced No-Cost Cancer Screenings for Women Coming in 2026
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Big changes are coming to women’s preventive care coverage! Starting with plan years on or after December 31, 2025, group health plans and health insurance issuers must expand their no-cost coverage for women’s preventive care. This expansion includes additional breast cancer imaging or testing needed to complete an initial mammogram, as well as patient navigation…
Navigating Cybersecurity Challenges in the Education Sector
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Educational institutions, including K-12 schools and universities, are frequent targets of cybercriminals. These organizations often possess vast stores of sensitive data, operate with limited cybersecurity resources and rely on outdated infrastructure. As a result, cyberattacks in this sector have led to significant financial, operational and reputational damage. Given these risks, leaders at these institutions should…
Supporting Your Workforce: The Value of Dependent Care Assistance Programs (DCAPs)
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Want to attract and keep top talent? Your benefits package is crucial! Think beyond just health and retirement. Fringe benefits like Dependent Care Assistance Programs (DCAPs) offer real, meaningful support, especially for employees caring for kids or dependent adults. What is A DCAP? A DCAP – also known as a dependent care flexible spending account…
The Truth About FSAs: Facts, Myths, and Tips
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Flexible Spending Accounts (FSAs) offer unique advantages for managing health and dependent care expenses, but they operate differently from standard savings or spending accounts. Below are five essential facts about FSAs, along with common myths and clarifications to help you make the most of this benefit. Key FSA Facts: Tax Advantages: A major perk of…
Breaking Down Your Benefits: Understanding Key Terms
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Selecting the right health insurance plans for your family is a critical process that requires careful attention from start to finish. Navigating health insurance becomes much simpler when you understand its terminology. Making sense of these terms empowers you to better understand your costs, benefits, and even estimate the price of a doctor’s visit. Premium:…
Offering Family-Building Benefits
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While there may be some overlapping challenges in the path to parenthood, how individuals build their family is ultimately unique to them. The pandemic has only added to the worries and challenges for people trying to build their families, as COVID-19 lockdowns kept potential parents and children separated, and most fertility treatments were stalled in…
Form 5500
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If your company provides an employee benefit plan governed by the Employee Retirement Income Security Act (ERISA), you are likely obligated to file Form 5500. This annual report discloses key details about your organization’s benefit offerings, such as welfare benefit plans (including medical, dental, life, and disability coverage), retirement plans, fully insured plans, and self-funded…