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Medical Loss Ratio (MLR) Rebates: A Timely Reminder | JRW Associates, Inc., a Raleigh Benefit Advisory

The Affordable Care Act (ACA) introduced the Medical Loss Ratio (MLR) to ensure that health insurance companies spend a significant portion of premiums on medical care and quality improvement activities rather than administrative costs and profits. When insurers fail to meet the MLR threshold, they are required to issue rebates to plan sponsors. Understanding MLR … Continued

The Affordability Test for 2022 Health Plans | JRW Associates, Inc., a Raleigh Benefit Advisory

The Affordable Care Act’s employer shared responsibility provision — often called the employer mandate or “play or pay” — requires large employers to offer health coverage to their full-time employees or face a potential penalty. (Employers with fewer than 50 full-time and full-time-equivalent employees are exempt.) Large employers can avoid the risk of any play … Continued

DOL and IRS Release Additional Information on Association Health Plans | JRW Associates, Inc., a Raleigh Benefit Advisory Firm

On August 20, 2018, the Department of Labor (DOL) posted the Association Health Plans ERISA Compliance Assistance fact sheet. On August 20, 2018, the IRS added a new Q&A 18 to its Questions and Answers on Employer Shared Responsibility Provisions Under the Affordable Care Act. Q&A 18 confirms that: An employer that is not an applicable … Continued

2017 UBA Healthplan Survey | JRW Associates, Inc., a Raleigh Benefit Advisory Firm

It was recently unveiled the latest findings from our 2017 Health Plan Survey. With data on 20,099 health plans sponsored by 11,221 employers, the UBA survey is nearly three times larger than the next two of the nation’s largest health plan benchmarking surveys combined. To learn more, watch this short video below.

IRS Updates Guidance on Play-or-Pay Penalty Assessments | JRW Associates, Inc., a Raleigh Benefit Advisory Firm

Beginning in 2015, to comply with the Patient Protection and Affordable Care Act (ACA), “large” employers must offer their full-time employees health coverage, or pay one of two employer shared responsibility / play-or-pay penalties. The Internal Revenue Service (IRS) determines the penalty each calendar year after employees have filed their federal tax returns. In November … Continued

Top 3 Frequently Asked Questions about Qualified Small Employer Health Reimbursement Arrangements | JRW Associates, Inc., a Raleigh Benefit Advisory Firm

On December 13, 2016, President Obama signed the 21st Century Cures Act (Cures Act) into law. The Cures Act provides a method for certain small employers to reimburse individual health coverage premiums up to a dollar limit through HRAs called “Qualified Small Employer Health Reimbursement Arrangements” (QSE HRAs). The provision went into effect on January 1, 2017. On October … Continued

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Raleigh Office:
9121 Anson Way
Suite 200
Raleigh, NC 27615

Phone
919.571.0883

Email
info@jrwassoc.com