Spousal Coverage Audits Make Sense

Spousal Coverage Audits Make Sense

With spousal exclusions or surcharges gaining popularity as a best practice to help organizations control the cost of benefits for everyone, the growing interest in spousal coverage audits (SCAs) makes sense. (more…)

No Joke: Money Back from the Insurance Company

No Joke: Money Back from the Insurance Company

Individual stop loss insurance is an important way that many employers with self-funded health plans manage the financial risk associated with their large claimants. If you fall into this category, you’re probably no stranger to large stop loss rate increases following years of poor large claim experience. (more…)

Keeping Score: Net Cost per Script

Keeping Score: Net Cost per Script

While it might not appear to be a telling indicator, net cost per script can quickly reveal a great deal about your current prescription drug plan performance.

The number can range substantially based on plan design, drug mix, and your current PBM deal. A high cost in this area could be an indication of excess prescription drug spend or issues with your current PBM arrangement.

How does your plan compare? Let us know if you would like to gain more insight into this spend and ways to manage costs.

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Final Forms for 2018 ACA Reporting Released

Final Forms for 2018 ACA Reporting Released

In late Sept. 2018, the Internal Revenue Service (IRS) released final 2018 forms and instructions for reporting under Internal Revenue Code (Code) Sections 6055 and 6056.

  • 2018 Forms 1094-C and 1095-C (and related instructions) are used by applicable large employers (ALEs) to report under Section 6056, as well as for combined Section 6055 and 6056 reporting by ALEs who sponsor self-insured plans.
  • 2018 Forms 1094-B and 1095-B (and related instructions) are used by entities reporting under Section 6055, including self-insured plan sponsors that are not ALEs.

The 2018 forms and instructions are substantially similar to the 2017 versions. (more…)

IRS Issues Guidance on Tax Credit for Paid Family and Medical Leave

IRS Issues Guidance on Tax Credit for Paid Family and Medical Leave

The IRS recently released Notice 2018-71, which provides detailed guidance in question and answer (Q&A) format on the employer tax credit for paid family and medical leave. The tax credit is contained in Section 45S of the Internal Revenue Code (Code) and applies for 2018 and 2019 tax years.

The IRS’ Q&As address the following topics:

  • Eligible employers;
  • Family and medical leave;
  • Minimum paid leave requirements; and
  • Calculating and claiming the credit.

This IRS guidance applies to taxable years beginning after Dec. 31, 2017, and before Jan. 1, 2020. The IRS also intends to issue proposed regulations on the tax credit in the future. (more…)