"Under the final rules, employers filing 10 or more returns must file Forms 1094 and 1095 electronically. The 10-form threshold is determined based on the total number of forms the employer must file with the IRS, including the Forms 1094 and 1095, as well as other information returns, such as Forms W-2 and Forms 1099, income tax returns, excise tax returns, and employment tax returns, including those that are not required to be e-filed, such as forms 940 and 941."  MORE >>

"A gag clause is a contractual term that directly or indirectly restricts specific data and information that a health plan or issuer can make available to another party. Effective Dec. 27, 2020, the CAA generally prohibits group health plans and issuers offering group health insurance from entering into agreements with health care providers, TPAs or other service providers that include certain gag clause language."  MORE >>

"Fully-insured and self-insured group health plans generally must submit the Gag Clause Prohibition attestation. This includes: Health plans covered by Title I of ERISA; State and local governmental health plans; and Church health plans that are subject to the Internal Revenue Code. Group health plan sponsors should confirm whether their plan service providers or third-party administrators will submit the attestation on the plan's behalf."  MORE >>

"Illinois Governor Pritzker signed into law the 'Paid Leave for All Workers Act,' which will allow most Illinois employees up to 40 hours of paid leave per year, for any purpose, starting on January 1, 2024. This will represent a sea change for many employers in the state.... Illinois will become just the third state, after Maine and Nevada, to adopt paid leave that can be used for any reason."  MORE >>

"The law expands paid leave beyond Cook County and Chicago's paid sick leave ordinances, making paid leave for any reason available to Illinois employees who are beyond these localities.... [L]eave accrual requirements will commence Jan. 1, 2024."  MORE >>

"The decision will impact employees' statutory benefits and rights, including vacation pay, sick leave, meal periods, holiday bonuses, and severance pay.... [E]mployers in Puerto Rico may want to review and revise their employment practices and policies to comply with the state of the law prior to July 20, 2022, the effective date of Law 41-2022." [Financial Oversight and Management Bd. for Puerto Rico v. Urrutia No. 22-0063, 17 BK 3283-LTS (D. Puerto Rico Mar. 3, 2023)]  MORE >>

This 207-page report describes, and organizes by topic in detail, over 300 FMLA decisions of federal and state courts from November 1, 2021 through October 31, 2022.  MORE >>

"Novo, one of the biggest sellers of insulin in the U.S. and around the world, said Tuesday it would cut the list price of its NovoLog insulin by 75% and the prices for Novolin and Levemir by 65% starting in January 2024. In addition, Novo plans to cut prices for its unbranded insulin products to match the reduced price of Novo's corresponding brands."  MORE >>

"The Medicaid redetermination process will result in numerous individuals losing their current Medicaid coverage. Loss of Medicaid coverage is a HIPAA special enrollment right, allowing individuals to return to employer-sponsored coverage mid-year if they provide notice within 60 days.... Employers may see a significant uptick in covered employees and family members in the coming months."  MORE >>

"AHIP and several other healthcare organizations launched the Connecting to Coverage Coalition ... in an effort to make the upcoming Medicaid redetermination process run smoothly. The coalition's website includes studies on Medicaid redeterminations and frequently asked questions for enrollees. AHIP also released a report that shows 53.6% of those who will lose coverage will transition to employer-sponsored insurance and 21.2% will become uninsured."  MORE >>

"Businesses with fewer than 51 employees [would] be able to join together with other members of their industry association to purchase medical insurance plans for their employees."  MORE >>