The Bolton Blog

Broader Perspective. Business Solutions.
11 January 2017

New Dollar Amounts for Cost-of-Living Adjustments

A variety of federal agencies have released a number of new dollar amounts reflecting cost-of-living adjustments. The Department of Health and Human Services (HHS) has announced new penalty amounts for violations of the privacy and security provisions of the Health Insurance Portability and Accountability Act. If a covered entity (such as an employer-sponsored group health plan) or a business associate...
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09 January 2017

FAQs About ACA Implementation, Part 35

The Departments of Health and Human Services, Labor and Treasury have issued a 35th set of answers to frequently asked questions (FAQs) regarding implementation of the Affordable Care Act (ACA). These FAQs address special enrollment periods for group health plans, coverage of preventive services and qualified small employer health reimbursement arrangements (QSEHRAs). Under the Health Insurance Portability and Accountability Act,...
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29 December 2016

IRS Updates Q&As on ACA Reporting

The Internal Revenue Service (IRS) has updated and expanded its questions and answers regarding the Affordable Care Act (ACA) reporting requirements. The following information is included in the Q&As: A substitute Form 1095-C may be furnished to the recipient, and if the employer is filing using paper, substitute Forms 1094-C and 1095-C may be filed with the IRS. The substitute...
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27 December 2016

Medicare Changes for 2017

Every year Medicare deductibles and co-payments are adjusted to reflect inflation. Changes for 2017 are: The Part A hospital deductible is increasing from $1,288 to $1,316. Hospital co-payments for the 61st through 90th days are increasing from $322 to $329. Lifetime reserve days co-payments are increasing from $644 to $658. Skilled nursing facility co-payments for the 21st through 100th days...
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22 December 2016

DOL Issues Final Regulations on Disability Claims

  The Department of Labor (DOL) has issued final regulations on claim procedures for plans providing disability benefits. The final rule revises the current rules primarily by adopting certain procedural protections and safeguards for disability benefit claims that are currently applicable to claims for group health benefits pursuant to the Affordable Care Act (ACA). The major provisions of the final...
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20 December 2016

21st Century Cures Act Includes Benefit-Related Provisions

President Obama has signed the 21st Century Cures Act, which includes a number of benefit-related provisions, in addition to providing funding for medical research, mental health resources and other provisions. Most of the publicity about benefit-related provisions has centered on the new health reimbursement arrangement (HRA) rules for small employers; other benefit-related provisions include a change in the rules regarding...
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02 December 2016

Final Regulations on Excepted Benefits and Short-Term Policies

The Departments of Health and Human Services, Labor and Treasury have issued final regulations on excepted benefits, lifetime and annual limits and short-term limited-duration health insurance. For the most part, the regulations follow proposed regulations issued earlier this year. Two of the topics addressed in the proposed regulations—group fixed dollar indemnity coverage and expatriate plans—were not finalized in the new...
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