Employee Benefits Compliance

On April 26, 2024, HHS updated HIPAA rules to strengthen reproductive health privacy. Covered entities must secure attestations before sharing PHI in specific cases. Compliance deadlines are nearing.

In light of increasing cyber threats, the U.S. Department of Labor’s Employee Benefits Security Administration (“EBSA”) has expanded its cybersecurity guidance to include all ERISA-covered health and welfare plans. Initially released in April 2021, this guidance addresses the critical need for plan fiduciaries and service providers to implement robust cybersecurity measures to safeguard sensitive participant information.

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.

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.

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.

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.

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.

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.

Employers offering prescription drug coverage must submit Medicare Part D Creditable Coverage Disclosures to CMS. Learn what it is, why it matters, and how to stay compliant.