Tag Archives: health insurance

NJ Employers and Out-of-State Employers with NJ Residents Prepare: State Updates Website on Employer Reporting for New Jersey Health Insurance Mandate

As employers are wrapping up their reporting under the Affordable Care Act (“ACA”) for the 2018 tax year (filings of Forms 1094-B/C and 1095-C/B with the IRS are due by April 1, 2019, if filing electronically), they should start preparing for new reporting obligations for the 2019 tax year.

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Massachusetts Employers Must Complete New Health Insurance Responsibility Disclosure Form by November 30

Massachusetts employers with six or more employees are required to annually submit the new Health Insurance Responsibility Disclosure (“HIRD”) form, regardless of whether they offer health insurance to their employees or not. The Massachusetts Department of Revenue (DOR) recently issued guidance on the new HIRD reporting requirements. An individual is considered to be an employee if the employer has included such individual in the quarterly wage report to the Department of Unemployment Assistance during the past 12 months. The new HIRD form only consists of a single employer form, which only needs to be completed once annually. The old HIRD form consisted of an employer form and an employee form, which required separate forms completed and signed by each employee who declined to enroll in employer-sponsored insurance (“ESI”) or the Employer’s Section 125 Cafeteria Plan to pay for health insurance.

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Part 2 Rule Update Modernizes SUD Record Disclosure Regulations

On January 3, 2018 the Substance Use and Mental Health Services Administration (SAMHSA) published a final rule implementing new changes to the Confidentiality of Substance Use Disorder Patient Records, 42 C.F.R. part 2 (Part 2). The Part 2 privacy regulations govern the confidentiality of substance use disorder (SUD) patient records which are maintained in connection […]

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The CSR Payment Conundrum: Where Do We Go from Here?

In response to Republicans’ failure to repeal the Affordable Care Act (ACA), the Trump Administration is using administrative action to modify the ACA and health insurance options for Americans. On October 12, 2017, President Trump signed an executive order that instructs various departments to consider regulations related to association health plans and short-term insurance. Shortly after, the Administration announced that they would no longer make cost sharing reduction (CSR) payments to insurers on the Exchanges.  Section 1402 of the ACA requires insurance companies to reduce the amount that eligible low-income policyholders pay out of pocket for co-payments and deductibles.  Accordingly, the federal government must reimburse insurers for reductions when the Secretary of HHS is notified.

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Health Insurance Alert for All Employers, Even Those That Do Not Offer Health Insurance

Important deadlines and requirements under the Affordable Care Act (ACA) and other statutes are just around the corner for U.S. employers, including small employers not required to sponsor health insurance. Here is a quick summary, with a special focus on Massachusetts employers:

SEPTEMBER 30: DEADLINE FOR ALL EMPLOYERSTO PROVIDE A NEW EMPLOYEE NOTICE
September 30, 2013 is the deadline to provide a new notice to current employees (including parttimers). New employees must receive it within 14 days of starting work. Every employer covered by federal wage and hours laws must comply. That includes virtually all U.S. employers, with minor exceptions. 

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