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  • IRS Announces Annual PCOR Fee Adjustment – IRS Notice 2025-61
    November 6, 2025

    IRS Announces Annual PCOR Fee Adjustment – IRS Notice 2025-61

    The IRS has announced the annual increase in Patient-Centered Outcomes Research (PCOR) fees that must be paid by health insurers and self-insured health plan sponsors.

  • IRS Releases 2026 Cost-of-Living Adjustments for Health FSAs, Transportation Benefits, Adoption Assistance, and More
    October 16, 2025

    IRS Releases 2026 Cost-of-Living Adjustments for Health FSAs, Transportation Benefits, Adoption Assistance, and More

    Rev. Proc. 2025-32 – IRS News Release IR-2025-103 (Oct. 9 2025)

  • 2025 Marketplace Integrity and Affordability Final Rule
    June 24, 2025

    2025 Marketplace Integrity and Affordability Final Rule

    The Centers for Medicare and Medicaid Services issued a final rule on Friday intended to crack down on what it calls improper enrollment in Affordable Care Act plans.

  • IRS Provides Guidance on Alternative Manner of ACA Reporting
    February 28, 2025

    IRS Provides Guidance on Alternative Manner of ACA Reporting

    The IRS has released Notice 2025-15 which provides guidance on the Paperwork Burden Reduction Act provisions on how employers and insurers can satisfy the alternative manner of furnishing Forms 1095-B and 1095-C (health insurance coverage statements to individuals)

  • Congress Enacts Laws Granting ACA Employer Reporting Relief
    December 20, 2024

    Congress Enacts Laws Granting ACA Employer Reporting Relief

    On December 10 and 11, Congress passed two bills, the Paperwork Reduction Act (HR 3797) and the Employer Reporting Improvement Act (HR 3801), intended to simplify employer’s Affordable Care Act (ACA) reporting requirements.

  • IRS Announces Annual PCOR Fee Adjustment
    December 6, 2024

    IRS Announces Annual PCOR Fee Adjustment

    The IRS has announced the annual increase in Patient-Centered Outcomes Research (PCOR) fees that must be paid by health insurers and self-insured health plan sponsors. PCOR fees were established by the Affordable Care Act (ACA) and are used to support clinical effectiveness research.

  • IRS Announces Indexing Adjustments for 2025 ACA Affordability and Premium Tax Credit Determinations
    September 12, 2024

    IRS Announces Indexing Adjustments for 2025 ACA Affordability and Premium Tax Credit Determinations

    The IRS has released the 2025 indexing updates for key percentages related to the Affordable Care Act (ACA). The required contribution percentage, which helps assess whether employer-sponsored health coverage meets the affordable standard under Code Section 4980H, will be adjusted from the previous 9.5% baseline to 9.02% for plan years starting in 2025. This adjustment…

  • Can a Group Health Plan Add an Annual Dollar Limit on Benefits?
    September 10, 2024

    Can a Group Health Plan Add an Annual Dollar Limit on Benefits?

    Self-Insured Health Plans

  • IRS Letter Allows Employees to Allocate Discretionary Employer Contributions Among Various Benefits
    September 6, 2024

    IRS Letter Allows Employees to Allocate Discretionary Employer Contributions Among Various Benefits

    An IRS private letter ruling has concluded that an employer may allow employees to allocate non-elective, discretionary employer contributions among a 401(k) plan, retiree health reimbursement arrangement (HRA), health savings account (HSA), or Code Section 127 educational assistance program (EA Program) without jeopardizing the beneficial tax consequences of these programs.

  • Are Special Enrollment Rights Triggered When Employees Who Previously Dropped Group Health Coverage Due to Obtaining Other Coverage Subsequently Lose That Other Coverage?
    July 11, 2024

    Are Special Enrollment Rights Triggered When Employees Who Previously Dropped Group Health Coverage Due to Obtaining Other Coverage Subsequently Lose That Other Coverage?

    HIPAA Portability, Privacy & Security

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