Brian M. Pinheiro

The Consolidated Appropriations Act, 2021, (CAA) and transparency regulations introduced major changes to health benefit plans. These changes continue to evolve with some requirements just now taking effect.

The Upshot

  • Health plan sponsors need to comply with new requirements for reporting on prescription drug and other health care expenditures, although they have been given a very short reprieve.
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In a new set of Frequently Asked Questions, the U.S. Departments of Labor, Health and Human Services, and the Treasury provide significant relief to health plan sponsors and insurers seeking to report on expenditures for prescription drugs and other health care items and services in compliance with the Consolidated Appropriations Act, 2021.… Continue Reading

On March 11, 2021, the American Rescue Plan Act of 2021 (ARP) was passed and signed into law.  ARP has significant and immediate impacts on employee benefit plans, employers, and other plan sponsors and plan administrators. On April 7, 2021, the United States Department of Labor (DOL) issued much anticipated guidance and model forms under the COBRA subsidy rules provided by ARP.… Continue Reading

The Equal Employment Opportunity Commission announced that it will issue much anticipated guidance that revises its nondiscrimination rules for wellness programs under the Americans with Disabilities Act and the Genetic Information Non-Discrimination Act.  The two sets of proposed regulations replace rules that the EEOC withdrew in 2018 after a federal district court invalidated key provisions on incentive limits on the grounds that the EEOC had not appropriately justified the limits that it set. … Continue Reading