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Health & Welfare Plans Newsletter

December 28, 2021


[Official Guidance]

Text of IRS Rev. Proc. 2022-11: Methodology for Calculating Qualifying Payment Amount Under the 'No Surprises Act' in 2022 (PDF)

6 pages. "[T]his revenue procedure provides the combined percentage increase for calculating the qualifying payment amount for items and services furnished during 2022 for purposes of sections 9816 and 9817 of the Internal Revenue Code, sections 716 and 717 of [ERISA], and sections 2799A-1 and 2799A-2 of the Public Health Service Act ... [F]or an item or service furnished during 2022, the group health plan or group or individual health insurance issuer must calculate the qualifying payment amount by increasing the median contracted rate ... for the same or similar item or service under such plan or coverage, on January 31, 2019, by the combined percentage increase as published by the [Treasury Department and the IRS] ... For items and services provided on or after January 1, 2022, and before January 1, 2023, the combined percentage increase to adjust the median contracted rate is 1.0648523983. Pursuant to this revenue procedure, group health plans and group and individual health insurance issuers may round any resulting qualifying payment amount to the nearest dollar."  MORE >>

U.S. Treasury Department; U.S. Department of Health and Human Services [HHS]; and U.S. Department of Labor [DOL]

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