Affordable Care Act (ACA)

ACA Employer Reporting Relief Options for Self-Funded Plans in 2025

Jenny Gartman, CEBS
 

On December 23, 2024, President Biden signed two laws intended to simplify employer’s Affordable Care Act (ACA) reporting requirements. The Paperwork Burden Reduction Act (HR 3797) and the Employer Reporting Improvement Act (HR 3801) allow flexibility for employers to furnish 1095-B and […]

Using Spousal Surcharges and Carve-Outs as Health Cost Management Strategies

Anne Newhouse, CEBS
 

With open enrollment right around the corner, employers are already contemplating strategies to help lower their health plan costs. Spousal surcharges or carve-outs are two options, but how prevalent are they? Surcharge vs. Carve-Out A spousal surcharge is an additional employee contribution […]

ACA Preventive Services Requirements Struck Down: Braidwood Management v. Becerra Explainer

Jenny Gartman, CEBS
 

As a result of ongoing litigation, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (the departments) cannot enforce some Affordable Care Act (ACA) preventive care requirements, but the departments strongly encourage plan sponsors to keep coverage without […]

Coverage for COVID-19 Testing after FAQs 51 and 52 Released

Anne Newhouse, CEBS
 

Early in 2022, the Departments of Health and Human Services (HHS), Labor, and Treasury (the Departments) issued two sets of guidance in the form of frequently asked questions (FAQ) 51 (released January 10, 2022) and 52 (released February 4, 2022) explaining how […]