Bulletins

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...

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...

The Equal Employment Opportunity Commission (EEOC) released an updated Know Your Rights: Workplace Discrimination is Illegal poster this past week. 

Flexible spending account (FSA) contributions for 2023 will rise to $3,050, an increase of $200 from the 2022 limit. The limit also applies to limited-purpose FSAs used to reimburse only dental and vision care services. If an employer plan permits carryover of unused health FSA funds, the carryover...

Employers have an annual obligation to issue a creditable or non-creditable coverage notice to all plan participants who are Medicare-eligible, including dependents and retirees. The notice, due by October 15, informs Medicare-eligible participants whether their prescription drug coverage is as...

The IRS recently issued Revenue Procedure 2022-34, lowering the affordability threshold for the 2023 calendar year to 9.12% of annual household income from the 2022 threshold of 9.61%. This percentage is used to determine an individual’s eligibility for a premium tax credit (PTC) through...

Blue Cross Blue Shield of Kansas City (Blue KC) has expanded its BlueSelect Plus network to include Western Missouri Medical Center located in Warrensburg, Mo. The addition increases the number of hospitals in the network to 13.

Effective July 1, 2022, Aetna will change theAdvanced Control-Aetna formularyfor all fully insured and self-insured groups. Changes address refill quantities and non-formulary, preferred brand and specialty drug categories.

Blue KC is updating their prescription drug list, as well as opening a new Spira Care location in Independence, Missouri. 

Self-funded plan sponsors must file the annual Patient-Centered Outcomes Research Institute (PCORI) fee by July 31. Employers may select from four calculation methods to determine how much is owed and use Form 720 to submit the information to the IRS. For clarification on how to fill out Form 720...