In The News

  • Important information on UHC-Premier | May 9, 2017

    DOWNLOAD PDF As you are aware, certain provisions of the contract for services between United Healthcare and Premier Health Network have expired effective April 30 despite ongoing negotiations. What does this mean for UHC policyholders and UMR clients that utilize UHC networks? What do you do if you require medical services? We are directing you to this special website established by UHC that will answer many of your questions. This issue of health care cost... Read More

  • Compliance Update | April 2017 | McGohan Brabender

    Download PDF Trump Administration Tries to Stabilize Exchanges With all the talk and activity regarding the Obamacare repeal and replace, the carriers are nervous about the health care exchanges or marketplaces. The carriers have to decide relatively soon if they want to participate in the exchanges or marketplaces next year and with all the uncertainty, many of the carriers are indicating they may pull out of the program. Repeal, Replace and Watch The Trump administration... Read More

  • Compliance Update | March 2017 | McGohan Brabender

    Download PDF And So it Begins Repealing and replacing Obamacare is priority number one for the Trump administration. It will not be an easy or simple process but it has to start somewhere. The House Republicans have taken the first step. Health Affairs Blog: Repeal and Replace Repeal Bill’s Potential Impact Health Care Proposals Key Takeaway Five Things to Know Proposal’s Significant Changes These articles outline the main points of the proposed law. Not surprisingly... Read More

  • Compliance Update | February 2017 | McGohan Brabender

    Download PDF   Reporting Due February 28th and March 1st We are fewer than 30 days into the Trump administration and a lot has changed, but more on that later. There is a lot of talk about repealing and replacing Obamacare, but as of today’s date the Affordable Care Act is still the law of land and that includes the Form 1094 and Form 1095 reporting requirements. New due dates for 1095b and 1095c The... Read More

  • Compliance Update | January 2017 | McGohan Brabender

    Download PDF The Repeal and Replace Battle Cry The Republican Party and President-Elect Trump have made it crystal clear that repealing and replacing Obamacare is Job No. 1. There have been a number of proposals and hundreds, if not thousands, of articles on how this might happen and what we may end up with. It simply is not possible to predict how this will unfold. Future of ACA: The Tom Price Plans Quick ACA Repeal... Read More

  • Compliance Update | December 2016 | McGohan Brabender

    Download PDF Relief for Small Employers The IRS has issued several rules clearly stating employers cannot pay for individual health policies on either a pre-tax or post-tax basis. Employers that do that are subject to a $100 per day per employee penalty. Congress recently passed and President Obama has signed legislation that allows small employers (i.e. those with 50 or fewer full-time and full-time equivalent employees) to pay for individual health policies. This article talks... Read More

  • Flash Update | December 3, 2016 | McGohan Brabender

    1095 Deadline Extended The IRS has issued Notice 2016-70, which delays the deadline for providing a copy of the 1095 to covered individuals/full-time employees from January 31, 2017 to March 2, 2017. READ MORE

  • Compliance Update | November 2016 | McGohan Brabender

    PDF Election Results and Obamacare All the political pundits and pollsters had it wrong. Donald Trump is president-elect and he has criticized Obamacare from the beginning and has promised to repeal and replace the law. However, that may be easier said than done. Here are three articles that discuss that possibility and a more likely outcome. What Trump election means for ACA Employers should stay the course for now ACA post-election outlook The “bottom line”... Read More

  • Compliance Update | October 2016 | McGohan Brabender

    Transitional Reinsurance Fee Reporting Deadline Approaching Health care reform established a transitional reinsurance fee to gather money to pay carriers participating in the health care exchanges or marketplaces. The fee is designed to help compensate the carriers for the adverse risk associated with those individuals getting coverage through the health care exchanges or marketplaces. Reinsurance Fee Fact Sheet Employers sponsoring self-funded health plans have to file reports with the government and pay the fee based... Read More

  • Compliance Update | September 2016 | McGohan Brabender

    MB September Compliance Update pdf  Medicare Part D Notice Requirements The Medicare Part D program is the voluntary prescription drug program under Medicare. There is an annual notice requirement associated with the program and the government has developed a template employers can use to comply. However, there is a lot of confusion regarding the timing of the notice. Many people believe the notice has to be distributed in October of each year but that is... Read More