Subscribe (Free) to
Daily or Weekly Newsletters
Post a Job

Featured Jobs

Retirement Plan Administrator

Nicholas Pension Consultants
(Remote / Corona CA / Rancho Cordova CA)

Nicholas Pension Consultants logo

Retirement Plan Analyst/Administrator

Compensation Strategies Group, Ltd.
(Remote / Beaumont TX)

Compensation Strategies Group, Ltd. logo

Quality Assurance Manager

Nova 401(k) Associates

Nova 401(k) Associates logo

Plan Compliance Analyst (Administrator)


RPA logo

Retirement Plan Relationship Manager/Consultant

The Retirement Plan Company (TRPC)/an ABG firm

The Retirement Plan Company (TRPC)/an ABG firm logo

Senior Plan Administrator

Atlantic Pension Services Inc
(Remote / Kennett Square PA / DE / MD / NJ)

Atlantic Pension Services Inc logo

View More Employee Benefits Jobs

Free Newsletters

“BenefitsLink continues to be the most valuable resource we have at the firm.”

-- An attorney subscriber

Mobile App image LinkedIn icon
Twitter icon
Facebook icon

<< Previous news item   |   Next news item >>

Self-Funded and Large Group Plans May Need 'Embedded' Cost-Sharing Limits in 2016 (PDF)
BuckLink to more items from this source
[Guidance Overview]
June 4, 2015
"Some third party administrators (TPAs) and insurers currently have system or technical limitations that could affect an employer's approach to complying with the embedded self-only OOP maximum requirement. Therefore, an employer should consult with its claims administrator to determine if such limitations exist -- and if so, what plan design changes would be required.... Additionally, employers with carve-out benefits (e.g., prescription drugs) should ensure that the embedded self-only OOP maximums incorporate those benefits. Hospitals with multi-tier in-network benefits will also need to coordinate compliance with this OOP requirement across all in-network tiers."

Please click here to report this link if it is broken (for example, if you see a "404 File Not Found" error message after you click on the link above).
An important word about authorship: BenefitsLink® is providing a hypertext link to the item shown above, but is not the author of the item (unless otherwise specified).
© 2022, Inc.