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Medicaid eligibility review will cause millions to lose coverage

The Families First Coronavirus Response Act (FFCRA), adopted in March 2020, provided a package of relief programs to help individuals and families affected by the COVID-19 public health emergency.

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IRS to require e-filing for most employers

Starting in January 2024, a new IRS final rule will require information returns of 10 or more be filed electronically, eliminating the option for most smaller organizations to submit returns by mail. For decades, and through the end of the 2023 calendar year, the threshold requiring an entity to...

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Humana announces exit from employer group medical market

Humana announced this morning that it will exit the employer group commercial medical business. This includes all fully insured, self-funded and federal medical plans, as well as Humana’s standalone Go365 products. Humana will continue to maintain its dental, vision, life, and Medicare coverage.

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COVID-19 public health emergency and national emergency end soon

The Biden Administration announced on January 30 its intent to end the public health emergency and national emergency on May 11, 2023. In March of 2020, President Trump issued the emergency declaration in response to the nation’s COVID-19 crisis. President Biden extended the national emergency...

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UHC releases cost-transparency tool

Starting January 1, UnitedHealthcare (UHC) members have access to an enhanced cost-transparency tool that includes cost-sharing information on 500 shoppable medical services and items. 

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Humana releases cost-transparency tool

Starting January 1, Humana members have access to an enhanced cost-transparency tool that includes cost-sharing information on 500 shoppable medical services and items.

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New protections for pregnant, nursing employees

President Biden signed into law recently two new protections for pregnant employees that take effect this year.

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Attain by Aetna wellness program discontinued

Effective February 1, 2023, Aetna will no longer offer their Attain by Aetna wellness program to new or renewing small and large groups. Users currently participating in the program can continue to earn and redeem points until the discontinuation. Enrollment for the Earn Your Watch benefit within...

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Employers have option to amend cafeteria plan

In concert with the recently released IRS final rule, allowing more families to receive premium tax credits (PTCs) through Healthcare.gov, the IRS released Notice 2022-41. The notice allows employers to modify cafeteria plan rules to allow mid-year plan changes when an employee’s household is...

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IRS addresses family glitch affecting premium tax credit eligibility

Since our August update on a proposed IRS rule, a final rule was released that eliminates the long- criticized “family glitch” in the Affordable Care Act (ACA). Prior to the new rule, family eligibility for premium tax credits (PTCs) through Healthcare.gov was based on the cost of coverage for an...

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