New Claims Reimbursement and Records Request Requirements for California Plans and Insurers
On September 27, 2024, two new bills were signed into law that will have an impact on California health care service plans ...
Compliance Guidance
California Imposes New Requirements on Companies Hiring Independent Contractors
On September 28, 2024, California Governor Gavin Newsom signed into law Senate Bill 988, “The Freelance Worker Protection Act” (FWPA),...
New Prescription Drug Requirements for Kentucky
Joining Idaho, Oklahoma, and Florida, Kentucky Governor Andy Bashear signed SB 188 into law earlier this year, which is new legislation ...
New IRS Guidance Impacts Preventative Care & Pre-tax Benefits
Recently, the IRS issued guidance in IRS Notice 2024-71 and IRS Notice 2024-75 expanding (1) expenses treated as amounts paid for ...
IRS Releases 2025 Limits for Health FSAs, Commuter Benefits, Adoption Assistance, and More
The IRS released Revenue Procedure 2024-40 announcing the adjusted contribution limits for health flexible spending accounts (Health FSAs), among other ...
Hospital & Fixed Indemnity Insurance: New Notice Requirement
Recently, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) released final regulations which, among ...
New Coverage and Reporting Requirements for California Dental Plans
Beginning on or after January 1, 2025, under California Assembly Bill 1048 (AB 1048), dental carriers that are regulated by California’s Department of ...
CMS Final Rules on Civil Monetary Penalties for Medicare Secondary Payer Reporting to be Applied on or after October 11, 2024
The Centers for Medicare and Medicaid (CMS) issued Final Rules on how and when civil monetary penalties may be imposed ...
California Makes Changes to State Disability Insurance and Paid Family Leave
On September 28, 2024, California Governor Gavin Newsom approved SB 1090, which makes changes to California state disability insurance (SDI) and paid family ...
California Mandates Infertility & IVF Coverage
On September 29, 2024, California Governor Gavin Newsom signed bill SB 729 into law, which requires fully insured, large group health plans to ...
Mental Health Parity Final Rules Released
On September 9, 2024, the Departments of Treasury (IRS), Labor (DOL) and Health and Human Services (HHS) (collectively, the “Departments”) published their ...
[Updated]: Delaware Passes Paid Family and Medical Leave
Recently, Delaware passed the Healthy Delaware Families Act, which creates a paid family and medical leave benefit (PFML or Program) ...