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November 2024 Newsletter

Friday, November 08, 2024

Employee Wellness    

Provide your employees with the latest wellness newsletter with the November edition of Live Well, Work Well

Educate employees about their benefits with the November Benefits & Me Newsletter.

Final Forms for 2024 ACA Reporting Available

The IRS has released the final 2024 forms and instructions for reporting under Internal Revenue Code Sections 6055 and 6056. Please click here to learn more and download the forms. 

If you have questions about ACA Reporting for 2024, please join our upcoming webinars with Senior Vice President of Compliance Corbin Granger. Fully insured employers are not required to report and do not need to attend these webinars. 

Applicable Large Employer Reporting

Tuesday, December 10 | 11 AM

An ALE is an entity, that employed on average 50 or more full-time employees or equivalents during the prior calendar year. Reporting allows an ALE to indicate whether it did or did not offer Minimum Essential Coverage. Join us to review the necessary forms for ALE C-reporting and how to complete and submit them to the IRS. Please register here!

Self-Funded Employer Reporting

Wednesday, December 11 | 11 AM

An employer with a self-funded or level-funded plan is deemed to be the issuer of the employee’s health insurance policy and required to report the Minimum Essential Coverage they offered their employees. Join us to review the necessary forms for B-reporting and how to complete and submit them to the IRS. Please register here!

Quest Diagnostics Will Join Anthem Network Jan 1 

Anthem has announced that Quest Diagnostics is joining their network in Virginia on January 1, 2025. Adding Quest will increase access to high-quality lab services while also lowering costs for employers.

Learn more here.

Fundamentals of FMLA

For many people managers, FMLA administration is anything but fun. In our latest HR on Mic episode, Corbin and Barbara provide a wealth of information on things you need to know when you receive an employee’s request for FMLA. Which employees are covered? Can you require medical certification? Can FMLA leave be taken intermittently?

Get the answers to these questions and many more in this episode.

HR and Compliance Insights   

November 2024 HR Brief

Telehealth Exception for HDHP-HSA Plans May Expire Soon

IRS Expands List of Preventative Care Benefits for HDHPs

Changes to Sentara Network Structure

Sentara Health Plans will no longer offer Direct network plans starting January 1, 2025. Small Groups with Direct plans will be automatically mapped to an equivalent plan unless another selection is made at renewal. 

Learn more here.

Gag Clause Attestations due December 31, 2024

Under the Consolidated Appropriations Act (CAA) group health plans and health insurance issuers are prohibited from entering into agreements with providers that prevent enrollees, plan sponsors, or referring providers from seeing provider-specific cost and quality data. Plans and issuers must annually attest to CMS that they are in compliance with all requirements, known as the Gag Clause Prohibition Compliance Attestation (GCPCA). Plans and issuers must attest no later than December 31, 2024.

Each carrier has different processes for collecting and submitting gag clause information. We will continue to update this page on our website as the information becomes available.