Com•pli•ance: n. conformity in fulfilling official requirements

Com•pli•ant: a. willing to carry out the orders or wishes of another without protest

The list of government requirements related to human resources and health insurance plans gives businesses plenty of opportunities for compliance.  Our Employee Benefits Compliance Chart will help you navigate the various notice and disclosure rules.

Two annual notice requirements specific to health insurance that should be provided to all employees are:

Annual CHIP Notice to ensure that employees are aware of low-income premium assistance subsidies.  The model notice shows which states offer premium assistance and includes Florida as one of these states.

Medicare D Creditable or Non-Creditable Coverage ito notify individuals whether their employer sponsored prescription drug plan is at least as good as the Medicare Part D coverage.  The insurance carrier provides a determination of comparable coverage.  However, plans with a high deductible that applies to the prescription drug coverage will most likely be non-creditable coverage.

Other notices include 2 one-time notices related to health care reform that should have been provided to your employees at you last insurance renewal date: 

Enrollment of dependent coverage up to age 26
Enrollment of no lifetime maximum benefit

Model notices can be found at http://www.dol.gov/ebsa/healthreform/

Plus, certain events or conditions may trigger additional notices.  We recommend that you review the Compliance Chart to determine whether any would apply to you.

 On the horizon … the DOL is proposing a regulatory agenda to develop a “culture of compliance” called Plan/Prevent/Protect.  More to come if developments occur.

Filed under:
Compliance Library, Health Insurance, Human Resources by Laura