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On November 1, 2022, the Division of Family and Medical Leave Insurance (FAMLI) adopted final rules that employers must follow if they wish to offer a private plan under Colorado’s Paid FAMLI Act. As an alternative to contributing to a state plan, an employer may establish a private plan through Read more
FAMLI Wage Reporting Offering 30-day Grace Period Reporting wages and premium payments are due April 30, 2023, and thereafter on a quarterly basis. A 30-day grace period is being offered on the first patent only, thereby extending the deadline to report wages and submit premiums to May 31, 2023. Read more
The IRS is raising the fee that insurance issuers or sponsors of self-insured health plans pay annually to fund the federal Patient-Centered Outcomes Research Institute (PCORI) trust fund. The fee applies to health plans for the preceding calendar year, and for plan years ending in 2022, PCORI fees are due by Read more
New Requirements for Gastroenterology Services Beginning June 1, 2023, prior authorization for certain gastroenterology endoscopy services for UnitedHealthcare plan members. Please note that screening colonoscopy procedures are not included in this new medical necessity requirement review. The following procedures will now require prior authorizations: Esophagogastroduodenoscopies (EGD) Capsule endoscopies Diagnostic Read more
Employers are in a powerful position to help their employees take care of their mental health needs. Certainly, they can offer the benefits and accommodations that can help their workforce stay at work and return to work. And indeed, employees want employers to address holistic well-being, with 68% of survey Read more
On April 10, 2023, President Biden signed a congressional resolution ending the US national emergency to respond to the COVID-19 pandemic weeks before it was set to expire alongside a separate public health emergency which is scheduled to end May 11, 2023. On March 29, 2023, FAQs were issued by Read more
On December 15, 2022, the Internal Revenue Service (IRS) issued final regulations that permanently extend by 30 days the deadline for furnishing Form 1095-C and Form 1095-B to individuals. The forms will now be due on March 2 (March 3 in a leap year), or the next business day if Read more
Telehealth has become a popular option for many employees seeking medical care, especially during the ongoing COVID-19 pandemic. It provides a convenient and safe way for individuals to receive medical treatment from the comfort of their own homes. As an HR professional, it’s important to stay informed on new developments Read more
Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency room care. Back to Glossary Interested in a Free Benefits Consultation? LET’S MEET
The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. The UCR amount sometimes is used to determine the allowed amount. Back to Glossary Interested in a Free Benefits Consultation? LET’S MEET