ACA Enforcement: Documentation is Key

On September 21, 2016 By Tevis   

Don’t be fooled by the Affordable Care Act’s (ACA) governing Agencies (i.e. Internal Revenue Service and Departments of Labor and Health and Human Services) history of transitional relief. We anticipate that Congress will welcome the assessment of penalties at this … Continue reading


Medicare Part-D Sample Notices and 2017 Annual Legal Notice Packets

On September 20, 2016 By Tevis   

Health care plan sponsors whose plans contain prescription drug coverage must distribute an Annual Notice by October 15 to plan participants who are or who might be eligible for Medicare Part-D coverage or have covered family members who may be … Continue reading


Final Rules for Wellness Programs Includes New Notice Requirement

On August 23, 2016 By Tevis   

Over the last few years, employers have been introducing wellness programs to their employees, mostly for health care cost containment purposes. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) formalized wellness programs to the extent most such programs … Continue reading


Marketplace Notices: Your Chance to Appeal

On July 26, 2016 By Tevis   

Within the last three weeks, we have received calls from plan sponsors about letters sent to them from Covered California involving employees who have been granted a Marketplace subsidy. It is worth noting that the Affordable Care Act (ACA) originally … Continue reading


HIPAA Privacy, Security, and Breach Notification Audit Program: Phase 2 Now Underway

On June 21, 2016 By Tevis   

On March 21, 2016, the Health and Human Services Office’s (HHS) Office for Civil Rights (OCR) launched the second phase of its audit program to review compliance with Health Insurance Portability and Accountability Act’s (HIPAA) privacy, security, and breach notification … Continue reading


REMINDER: PCORI Fees Due July 31, 2016

On June 15, 2016 By Tevis   

The Patient-Centered Outcomes Research Institute (PCORI) fees are one of the temporary fees established under the Affordable Care Act and levied on issuers of health insurance policies and plan sponsors of applicable self-insured group health plans. Insurers will pay the … Continue reading

Not Understanding How to Get Health Insurance: A Barrier to Getting Coverage

On April 28, 2016 By Tevis   

The Affordable Care Act (ACA) of 2010 has allowed millions of Californians to purchase medical insurance through the online marketplace exchange or through Medi-Cal. Many Californians have been able to get insured. But even with the ACA, there are still … Continue reading


San Francisco Does It Again: First City to Mandate Fully Paid Parental Leave

On April 14, 2016 By Tevis   

On April 5, 2016, the Board of Supervisors for the City and County of San Francisco (the City) passed the Paid Parental Leave Ordinance (PPLO), making San Francisco the first City in the United States to require fully paid parental … Continue reading


San Francisco’s Health Care Security Ordinance: 2016 Update

On April 12, 2016 By Tevis   

As you know, San Francisco’s Health Care Security Ordinance or Healthy San Francisco (HCSO) requires for-profit employers with 20 or more employees (and nonprofits with 50 or more employees) (Covered Employers) to spend a minimum amount on health care for … Continue reading


Forms 1094 and 1095 Reporting Update

On March 1, 2016 By Tevis   

On December 28, 2015, we published Benefits Alert Memorandum 2015-18 describing the Internal Revenue Service’s (IRS) Notice 2016-4, which extended the filing due dates for Forms 1094 and 1095 for 2015 health care coverage for those whose Applicable Large Employer … Continue reading