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Category: compliance

MEDICARE PART D ANNUAL NOTICE REMINDER FOR EMPLOYERS | JRW Associates, Inc., a Raleigh Benefit Advisory

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Each year, all employers that offer prescription drug coverage must provide a Medicare Part D notice to all Medicare-eligible individuals—including retirees, active employees, dependents, or COBRA participants—by October 15, the start of Medicare’s open enrollment period. Most employers choose to send this notice to their entire covered population to simplify compliance. This applies to employers … Continued

State Policy Updates: North Carolina Regulates PBMs, Texas Extends Newborn Coverage, and Illinois Expands Dependent Eligibility | JRW Associates, Inc., a Raleigh Benefit Advisory

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In August, North Carolina’s Governor signed the SCRIPT Act into law, regulating PBM transparency and strengthening consumer and pharmacy protections. Texas extended the time for new parents to enroll their newborns in coverage from 31 to 60 days from the date of birth. Employers prepare to send out Medicare Part D Creditable Coverage letters to … Continued

What Brokers Should Be Doing Now to Get Clients ACA-Ready | JRW Associates, Inc., a Raleigh Benefit Advisory

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How to position yourself as a trusted ACA compliance advisor For brokers and benefits advisors, Q4 planning doesn’t start in October. It starts now. September marks a critical moment in the annual ACA compliance cycle, when employers begin thinking about year-end strategies, benefits renewals, and how to avoid last-minute reporting panic. That makes now the perfect … Continued

Compliance Recap July 2025 | JRW Associates, Inc., a Raleigh Benefit Advisory

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THE ONE BIG BEAUTIFUL BILL ACT IMPACT ON EMPLOYEE BENEFITS The One Big Beautiful Bill Act of 2025 (OBBBA) introduces permanent changes to a range of employee benefits, creating a more stable and generous framework for employers and employees. HDHPs and HSAs Telehealth Services: High-deductible health plans (HDHPs) can now permanently cover telehealth before deductibles … Continued

Compliance Recap June 20255 | JRW Associates, Inc., a Raleigh Benefit Advisory

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SUPREME COURT AFFIRMS PREVENTIVE CARE PROTECTIONS UNDER THE ACA The U.S. Supreme Court has upheld a critical component of the Affordable Care Act (ACA), reinforcing the requirement that health insurers provide coverage for preventive services recommended by a federal expert panel. The decision ensures that Americans will continue to have access to early detection and … Continued

Compliance Recap May 2025 | JRW Associates, Inc., a Raleigh Benefit Advisory

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CONSOLIDATED APPROPRIATIONS ACT 2024 RXDC REPORTING DEADLINE The Centers for Medicare & Medicaid Services (CMS) has reaffirmed that the instructions for reporting 2024 Prescription Drug Data Collection (RxDC) remain unchanged from 2023. The deadline for employers and plan sponsors to submit 2024 data is Sunday, June 1, 2025. Overview of RxDC Reporting Requirements Each year, employers sponsoring … Continued

Form 5500 Filing Requirements: Deadlines, Penalties, and Compliance Options | JRW Associates, Inc., a Raleigh Benefit Advisory

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If your company provides an employee benefit plan governed by the Employee Retirement Income Security Act (ERISA), you are likely obligated to file Form 5500. This annual report discloses key details about your organization’s benefit offerings, such as welfare benefit plans (including medical, dental, life, and disability coverage), retirement plans, fully insured plans, and self-funded … Continued

The Clock is Ticking: Don’t Miss the EEO-1 Report Deadline | JRW Associates, Inc., a Raleigh Benefit Advisory

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The annual EEO-1 Report, mandated by the Equal Employment Opportunity Commission (EEOC), is a cornerstone of workplace diversity and anti-discrimination efforts in the United States. This data collection provides a demographic snapshot of America’s workforce, helping to monitor for discrimination and promote equal employment opportunity. Missing the deadline can lead to serious consequences, making it … Continued

Compliance Recap April 2025k | JRW Associates, Inc., a Raleigh Benefit Advisory

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MARYLAND DELAYS PAID FAMILY AND MEDICAL LEAVE IMPLEMENTATION Originally approved in 2022, the state-regulated family and medical leave insurance (FAMLI) program mandates that all Maryland employers provide qualified employees up to 12 weeks of paid family and medical leave, and potentially another 12 weeks for parental leave—totaling up to 24 weeks of paid leave. Qualified … Continued

Compliance Recap Feb. 2025 | JRW Associates, Inc., a Raleigh Benefit Advisory

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RESULTS OF AGENCY ENFORCEMENT OF MHPAEA INVESTIGATIONS The U.S. Departments of Labor (DOL) and Health and Human Services (HHS) recently released their latest enforcement findings on the Mental Health Parity and Addiction Equity Act (MHPAEA), covering investigations completed during the 2023-2024 fiscal year. Their report sheds light on key areas of noncompliance and emphasizes the government’s ongoing … Continued

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