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2026 Out-of-Pocket Maximums Announced
The Department of Health and Human Services has released the 2026 payment parameters, including new out-of-pocket maximums for employer-sponsored health plans. Find out what these changes mean for your company’s health benefits and how to prepare for compliance in the upcoming plan year.
Understanding Health Reimbursement Arrangements
Health Reimbursement Arrangements (HRAs) offer tax-free reimbursements for medical expenses. Discover the key benefits of HRAs, 2025 limits, and how they can help reduce healthcare costs.
How the Inflation Reduction Act of 2022 Impacts Medicare Part D and Employer-Sponsored Coverage
The Inflation Reduction Act of 2022 introduces significant changes to Medicare Part D that could impact your company’s prescription drug coverage. From new out-of-pocket caps to insulin pricing, these updates may affect your plan’s status as “creditable” coverage.
ACA Affordability Safe Harbor Adjustment for 2025
The IRS has announced an increase in the ACA affordability threshold to 9.02% for 2025. This change may require employers to adjust health coverage contributions to remain compliant with ACA regulations and avoid penalties. Learn more about how these updates impact your responsibilities as an employer.
What do Employers Need to Know about RxDC Reporting?
Employers are now required to submit annual RxDC reports detailing prescription drug and healthcare spending under the Consolidated Appropriations Act. This blog covers the key reporting requirements, deadlines, and steps to ensure compliance with federal regulations.
Are You Complying with the Gag Clause Prohibition?
Employers sponsoring group health plans must comply with the Gag Clause Prohibition under the Consolidated Appropriations Act of 2021. This blog outlines key employer responsibilities, the steps for completing the required Gag Clause Prohibition Compliance Attestation, and tips for ensuring compliance to avoid penalties.