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eBen

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HR Review
December 2023

Optimized Health Plan Workbook: A Guide to Maximizing Your Benefits Investment

eBen's optimized health plan workbook

Optimizing your health plan in today’s dynamic benefits landscape is crucial for value maximization and employee satisfaction. Our “Optimized Health Plan Workbook” provides a comprehensive checklist to evaluate your benefits program, ensuring it meets the evolving needs and expectations of your workforce while addressing economic challenges. This workbook guides you through essential questions to ensure your benefits program is competitive and effectively managed through data and analytics.

Download Our Optimized Health Plan Workbook Here

Massachusetts Employers:
Key Compliance Deadlines Approaching

The deadline for Massachusetts employers to file the Health Insurance Responsibility Disclosure (HIRD) form is December 15, 2023. This applies to businesses with six or more employees in the state. Filing is done through the MassTaxConnect portal.

For More Information on HIRD, Click Here

Additionally, January 31, 2024, marks the deadline for ensuring health plans are compliant with Massachusetts’ Minimum Creditable Coverage (MCC) standards. While not a requirement for employers, MCC compliance helps employees avoid state tax penalties.

For More Information on MCC, Click Here

2024 Benefit Plan Limit Updates for Employers

Man on phone checking benefit plan limit updates

As 2024 approaches, employers need to be aware of the updated benefit plan limits. These changes affect health & welfare, retirement, commuter benefits, and adoption assistance plans. It’s crucial to revise relevant materials and ensure your administration and payroll systems are updated for these new limits, effective January 1, 2024.

Staying current with these adjustments is key to maintaining compliance and offering competitive benefits to your employees.

Explore the Full 2024 Benefit Plan Limits Here

ACA Reporting:
2023 Calendar Year Requirements

The IRS has released the 2023 ACA reporting forms, with critical deadlines including March 1, 2024, for distributing Forms 1095 to employees and April 1, 2024, for electronic filing if you submit 10 or more forms. Ensure accurate reporting, as inaccuracies can result in penalties now that good faith relief is unavailable. Starting January 1, 2024, the IRS has set the affordability percentage at 39%. Be aware of state-specific filing requirements, and certain entities may use an alternative method for form distribution.

Learn More About ACA Reporting 2023 Requirements Here

Gag Clause Attestation Deadline for Health Plans

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As part of the Consolidated Appropriations Act (CAA) 2021, employers are required to submit annual gag clause prohibition compliance attestations (GCPCAs) to the Departments of Health and Human Services (HHS), Labor (DOL), and the Treasury by December 31, 2023. This attestation confirms your health plan’s compliance with the CAA’s provisions against gag clauses that restrict the sharing of healthcare cost and quality information.

Action Required: Employers with self-funded plans should submit directly or via their TPAs. For those with fully insured plans, verify with your carriers regarding their submission process.

Learn More About GCPCA Submission Here
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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer which are AARP/United HealthCare, Alignment Health, AETNA, Anthem / BCBS, Cigna, GTL, Humana, Mutual of Omaha, Silver Scripts and WellCare. Please contact Medicare.gov, call 1-800-MEDICARE or contact SHIP to get information on all of your options.

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