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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.

Medicare Part D Creditable Coverage Disclosure to CMS
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.

What Employers Need to Know about Medicare Part D Notices
As an employer offering prescription drug coverage, it’s essential to understand your obligations under Medicare Part D. This blog covers when to send Medicare Part D Notices, how to determine if your coverage is creditable, and best practices for staying compliant and protecting your employees from penalties.

How to Manage a Surplus in Your Self-Funded Health Plan
Learn how to use it to improve benefits or reduce costs for your employees. Discover best practices for managing surplus funds and making informed decisions.

What is a Qualifying Life Event?
Special Enrollment Periods provide the opportunity to secure vital health insurance coverage during unexpected life events. Understanding qualifying life events and the required documentation is crucial for making adjustments outside the regular Open Enrollment Period.

A Guide to Stop-Loss and Form 5500
Explore the significance of stop-loss insurance in self-funded plans, uncover the impact of DOL Advisory Opinion 2015-02A, and understand when to include a Schedule A in Form 5500 filings.

Value-Based Care: How Companies are Saving Money
In today’s job market, health insurance is a top priority for American employees, with 96% valuing this benefit. But how can companies balance employee health and profitability? Enter “value-based care,” a game-changer rewarding healthcare providers for better patient outcomes.

Best Practices for Protecting Sensitive Health Information
Learn the essential strategies to safeguard electronic protected health information (“ePHI”) and ensure HIPAA compliance.

Understanding DOL Opinion 2015-02A on Stop-Loss Premiums
Understand the implications of DOL Advisory Opinion 2015-02A and safeguard your business by maintaining clear separation between employee contributions and employer assets.