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Key Actions for Plan Sponsors When Ineligible Employees Are Enrolled in a Health Plan
As a plan sponsor of a self-insured health plan, it's crucial to maintain accurate records and ensure that all enrolled employees meet the eligibility criteria. However, situations can arise where outdated information leads to ineligible employees being enrolled in...
Understanding HRA Benefits After an Employee’s Death: Navigating Legal and Tax Implications
When an employee passes away, employers often face challenging questions regarding benefits and compensation. A common question that arises is whether an employer can pay a deceased employee’s unused Health Reimbursement Arrangement (HRA) balance to the surviving...
COBRA Coverage and Gross Misconduct: Can Retroactive Termination Apply?
Introduction The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides employees with the option to continue health insurance coverage after leaving their job. However, certain circumstances, such as gross misconduct, can affect the availability of this...
How to Ensure Your Group Health Plan’s Summary of Benefits and Coverage is Culturally and Linguistically Appropriate
Providing a Summary of Benefits and Coverage (SBC) that is culturally and linguistically appropriate is not just a good practice—it's a legal requirement for many group health plans. Whether your plan is self-insured or fully insured, it's essential to understand and...
Maximize Your Summer Savings: 5 FSA-Eligible Essentials for a Sun-Safe Season
Summer is right around the corner (June 21)! Whether you have plans to travel or are staying closer to home, your Flexible Spending Account can help you stock up on summer essentials without breaking the bank. Depending on your activity, your FSA can provide a variety...
Understanding Cafeteria Plan Election Changes: Domestic Partner Relationship Commencement and Coverage Adjustments
Understanding cafeteria plan election changes can be complex, especially when dealing with domestic partner relationships. Here's what you need to know about whether such relationships qualify for election changes under cafeteria plan rules. Domestic Partner...
IRS Announces 2025 HSA Contribution Limits
The IRS recently announced the 2025 limits for Health Savings Accounts (HSAs) and High Deductible Health Plans (HDHPs). HSA contribution and plan limits will increase to $4,300 for individual coverage and $8,550 for family coverage. Changes to these limits will take...
Can an Employee Drop a DCAP Election Midyear If Free Childcare Becomes Available?
Question: One of our employees would like to drop his DCAP election under our calendar-year cafeteria plan because a neighbor has offered to take care of his child at no cost. Can we allow this midyear election change? Answer: Absolutely! However, there are...
Understanding IRS Rules: The Importance of Substantiating Health FSA and DCAP Claims
Introduction In the realm of cafeteria plans, health Flexible Spending Accounts (FSAs) and Dependent Care Assistance Programs (DCAPs) play a crucial role. However, the process of claim substantiation often raises questions among administrators. This blog post aims to...
Maximizing Employer HSA Contributions: A Comprehensive Guide for Timing Strategies
In today's ever-evolving landscape of healthcare benefits, Health Savings Accounts (HSAs) have become a cornerstone for both employers and employees. With the rising deductibles of High Deductible Health Plans (HDHPs), employers are increasingly considering making...
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