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[Official Guidance] Text of CMS Enrollment Manual for Federally-Facilitated Exchange and Federally-Facilitated Small Business Health Options Program (PDF)
[Guidance Overview] HHS Proposal Drastically Revises ACA Section 1557 Nondiscrimination Regs
[Official Guidance] Text of CMS 2019 Benefit Year Risk Adjustment Updated HHS-Developed Risk Adjustment Model Algorithm 'Do It Yourself' Software Instructions (PDF)
[Official Guidance] CMS Releases State Relief and Empowerment Waiver Application Resources
Health Plan Deny Your Claim? You Can Fight Back
Executive Order Targets Healthcare Price and Quality Transparency
How to Help Employees Return from Parental Leave
[Official Guidance] Text of CMS Update to Technical Guidance 01-2018: Standards for Self-Insured Non-Federal Governmental Health Plans and Health Insurance Issuers Offering Group and Individual Health Coverage Using the HHS-Administered Federal External Review Process (PDF)
Reminder: PCORI Fee Due July 31
[Guidance Overview] New Regs Expand Use of Health Reimbursement Arrangements
How Employers Can Support Employees During the Cost-Shifting Crisis
[Guidance Overview] Individual Coverage HRA: A New Tool to Contain Employer Healthcare Costs
Correcting a Failure to Distribute Health and Welfare Plan SARs to Participants
Seventh Circuit Says Substantial Compliance Doctrine Inapplicable to Missed Claim Deadlines
Employees Want Additional Help from Employers to Improve their Financial and Mental Health
Vendor Process Reviews Are Crucial to Retirement Plan Cybersecurity
Beyond Plan Audit Compliance: Improving the Financial Statement Audit Process
Creating an 'Urgent Care First' Mindset for Health Plan Participants
[Official Guidance] Text of AICPA SAS No. 137: The Auditor's Responsibilities Relating to Other Information Included in Annual Reports (PDF)
[Official Guidance] Text of AICPA SAS No. 136: Forming an Opinion and Reporting on Financial Statements of Employee Benefit Plans Subject to ERISA (PDF)
Wellness Compliance Checklist
Employer's Guide to QMCSOs
Eighth Circuit Addresses Amara's Limits in Health Plan Reimbursement Dispute
Wellness Champions Make Powerful Allies
Every Generation Agrees: Humans -- Not the Internet -- Are Top Source for Open Enrollment Information About Benefits
[Guidance Overview] A High-Level Look at Compliance with the Mental Health Parity and Addiction Equity Act
[Guidance Overview] Non-Federal Governmental Plans and MHPAEA (PDF)
UnitedHealth Group, Inc. Petitions Supreme Court to Allow Cross-Plan Offsetting
Save Money on Self-Funded Health Plans with Billing Reviews
Court Declines to Enforce Indemnification Provision Against Allegedly Negligent PBM
[Guidance Overview] California Enacts Individual Health Insurance Mandate and Expands Paid Family Leave
Fifth Circuit Defers to Plan Administrator's Choice of Competing Medical Opinions
Tips and Strategies for Successful IRS and DOL Plan Audits (PDF)
San Francisco Updates Contractors' Health Standards, Pay Rates
PCORI Fee Payment Due July 31 (PDF)
A Deadline Is a Bright Line: Seventh Circuit Narrows 'Substantial Compliance'
Help Employees Choose the Right Benefits to Manage Health Care Costs in Retirement
[Guidance Overview] HHS Proposes Changes to Non-Discrimination Regs Under ACA Section 1557
[Official Guidance] Text of CMS Benefit Year 2018 Risk Adjustment Summary Report (PDF)
Seventh Circuit: Substantial Compliance with Disability Claims Deadlines Is Not Enough
HHS Proposal Revises Nondiscrimination Regs for Health Plans
Court Applies Nondeferential Review Because Insurer Improperly Delegated Discretion to a Claims Administrator
DOL and Treasury Update Guidance Agendas for Employee Benefits
Supreme Court Decides Important Agency-Deference Question
Top Compliance Issues for 2020 Health and Fringe Benefit Planning
[Opinion] It's Time for Employee Benefit Technology Partnerships
[Official Guidance] Text of CMS Publication: Health Insurance Oversight System -- Rates and Benefits Information System User Manual (PDF)
[Official Guidance] Text of CMS FAQs: HIPAA and Health Plans -- Uses and Disclosures for Care Coordination and Continuity of Care
Beneficiary May Sue Trustees of One ERISA Plan for Fiduciary Breaches Causing Loss of Benefits under Another ERISA Plan
[Guidance Overview] Proposed Changes Would Ease ACA Nondiscrimination Rule Issues
Seventh Circuit Holds That 'Substantial Compliance' Does Not Apply to Missed Deadlines
District Court Opinion: ERISA Does Not Apply to Benefit Claims by Foreign Nationals Working Outside U.S. (PDF)
[Opinion] Blue Cross Blue Shield Association Statement on the Executive Order on Price Transparency
[Opinion] Testimony of AICPA to the ERISA Advisory Council: Improving the Financial Statement Audit Process (PDF)
[Official Guidance] Text of Filing Instructions for the 2018 CMS MLR Reporting Form (PDF)
[Guidance Overview] ACA Round-Up: Risk Adjustment, Exchange Blueprint, and More
[Opinion] Non-English Speakers Would Be Disadvantaged by Trump Administration Plan to Ease Language Rules on Health Notices
Annual PCORI Fee Deadline Is July 31
[Guidance Overview] Health Care-Related Expiring Provisions of the 116th Congress, First Session
PCORI Fee Due by July 31, 2019
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