Category: Compliance
ACA Update: IRS Announces 2027 Cost-Sharing Limit
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On January 29, 2026, the U.S. Department of Health and Human Services (HHS) officially released the maximum cost-sharing limits for the 2027 plan year. These figures represent a significant 13.2% increase over the 2026 limits, marking a substantial shift in potential out-of-pocket expenses for plan participants. 2027 Maximum Out-of-Pocket Limits For 2027, the maximum annual…
2026 ACA Reporting Guide: Key Deadlines and Compliance Requirements
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Employers must prepare for Affordable Care Act (ACA) reporting covering the 2025 calendar year. Staying ahead of these deadlines is critical for Applicable Large Employers (ALEs) and providers of self-insured health plans. Who is Required to Report? Reporting obligations under Internal Revenue Code Sections 6055 and 6056 fall into two main categories: Note for Self-Insured…
IRS Increases PCORI Fee Rate
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The Internal Revenue Service (IRS) has issued Notice 2025-61, announcing a significant increase to the Patient-Centered Outcomes Research Institute (PCORI) fee amount. Employers with self-insured health plans and health insurance issuers must take note of the new rate and upcoming compliance deadlines. What is the New PCORI Fee Amount? The PCORI fee is increasing to…
Compliance Alert: HIPAA Privacy Notice Update Due Feb. 16, 2026
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The U.S. Department of Health and Human Services (HHS) has issued a final rule that requires covered entities—including many health plans—to update their Notice of Privacy Practices (Privacy Notice). This change enhances privacy protections for highly sensitive Substance Use Disorder (SUD) treatment records. Why the Update is Necessary The HIPAA Privacy Rule already mandates that…
Meeting the ERISA Deadline: Handling MLR Rebates
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Employers with insured health plans may have received a Medical Loss Ratio (MLR) rebate from their health insurance carrier this year. Rebates were required for plans not meeting the 2024 MLR standards and had to be issued by September 30, 2025, either as premium credits or lump-sum payments. If any part of the rebate qualifies…
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…
The Clock is Ticking: Don’t Miss the EEO-1 Report Deadline
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The annual EEO-1 Report, mandated by the Equal Employment Opportunity Commission (EEOC), is a cornerstone of workplace diversity and anti-discrimination efforts in the United States. This data collection provides a demographic snapshot of America’s workforce, helping to monitor for discrimination and promote equal employment opportunity. Missing the deadline can lead to serious consequences, making it…
Compliance Tracker Newsletter May 2025
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Compliance Reminders Employers should regularly review their compliance with federal, state and local employment laws. During 2025, this review may include: Preparing to file an annual report (Form 5500) for employee benefit plans unless a filing exemption applies. For calendar-year plans, the Form 5500 deadline (without extensions) is July 31, 2025;
Compliance Bulletin: Employers Should Start Preparing for 2025 RxDC Reporting
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Group health plans and health insurance issuers must annually submit detailed information on prescription drug and health care spending to the Centers for Medicare & Medicaid Services (CMS). This reporting is referred to as the “prescription drug data collection” (or “RxDC report”). The next RxDC report is due by Sunday, June 1, 2025, covering data…
Compliance Tracker Newsletter April 2025
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Posting Period Ends for OSHA Form 300A April 30, 2025 Employers may remove their OSHA Form 300A posting any time on or after April 30, 2025. This form, which summarizes workplace data from 2024, must be posted from Feb. 1, 2025, until April 30, 2025. Deadline for Filing Form 941, Employer’s Quarterly Federal Tax Return…