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July 29, 2025

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rocknrolls2 created a topic in Health Plans (Including ACA, COBRA, HIPAA)

Limiting Coverage for Advanced Behavioral Analysis Therapy -- Protected Status Under ACA

"A client has proposed to limit reimbursement for advanced behavioral analysis therapy to individuals who are age 16 or older. This therapy is intended to benefit individuals with autism. This proposed action thereby prompts the following questions: [1] Is advanced behavioral analysis considered a preventive type of therapy or procedure which is required to reimbursement in full under the ACA? [2] Is this therapy considered a mental health procedure subject to protection under the mental health parity requirements? [3] Is there any other reason that prohibits or precludes the client from adopting a minimum age requirement as a condition to being eligible for reimbursement for advanced behavioral analysis, whether or not required under the ACA? Thanks in advance."

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metsfan026 created a topic in 401(k) Plans

Form 5500 Extension Requirement

"I vaguely remember reading that you no longer needed to file a Form 5558 and that the extension was automatic. Am I mis-remembering something? Or is it that they can now be filed electronically for the 2024 Plan Year, as opposed to sending the paper filing? With the deadline on July 31, I wanted to make sure I wasn't just imagining something."

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