EBIA Weekly Newsletter

Does a Midyear Change to a Plan’s Deductible Require an Update to the SBC?

   October 26, 2017

QUESTION: Our company sponsors a self-insured major medical plan subject to ERISA. We are considering amending our plan midyear to increase the amount of the deductible, with no other changes in the plan terms. Are we required to update our SBC for this change or otherwise provide notice? ANSWER: Yes, increasing the deductible under your … Read More

Register Today: EBIA Webinars and Virtual Conference from Checkpoint Learning

   October 19, 2017

Our remaining October and November webinars address group health plans for governmental and church employers, COBRA and Medicare, and Form 1094/1095 reporting. And there’s still time to register for our Advanced Virtual Conference in November! For more information or to order, please click on the program title links below, or call 800-231-1860. Read More

HHS Halts Cost-Sharing Reduction Reimbursements to Insurers

   October 19, 2017

HHS Memorandum: Payments to Issuers for Cost-Sharing Reductions (Oct. 12, 2017) Available at https://www.hhs.gov/sites/default/files/csr-payment-memo.pdf The Acting Secretary of HHS has notified CMS via a Memorandum that cost-sharing reduction payments to insurers are prohibited and must stop effective immediately. As background, under the Affordable Care Act (ACA), insurers are required to reduce … Read More