Kilpatrick

Memorial Hermann Updates – Reinstatements & Auto-Renewals

Memorial Hermann Health Plan announced a few updates to their procedures for existing clients.

1. Policy Reinstatements – If a group’s … FULL STORY

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HHS Proposes Reforms to Stabilize Market in 2018

On Feb 15, 2017, HHS filed a proposed rule containing reforms to individual and small group market rules intended to … FULL STORY

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HHS Preparing Revisions to Individual Market Regulations

(Updated Feb 16, 2017) HHS officially filed the proposed rule discussed in this article. The filed rule deviated from its … FULL STORY

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UHC Offering Transitional Relief Renewals in Small Group in 2017; Expects Program Extension Beyond 2017

UHC anticipates that the Trump administration will extend Transitional Relief allowing small employers to renew existing, non-compliant plans beyond 2017.

CMS … FULL STORY

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Treatment of Very Small Groups in the TX Group Health Market

TDI recently published revised FAQs addressing the treatment of “mom and pop” groups in the group health insurance market. The … FULL STORY

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Cigna: IRS Extends Reporting Due Dates for 1095 Forms Sent to Individuals

On November 18, 2016, the Internal Revenue Service (IRS) announced extended deadlines for 2016 Minimum Essential Coverage (Section 6055) and … FULL STORY

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Employer Reporting Requirements under ACA

Update 11/18/2016: The IRS extended the deadline for providing the statements to employees/individuals in 2017. No extension for the IRS … FULL STORY

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Reinsurance Reporting from Self-Funded Employers Due Nov 15, 2016

Employers who offered a self-funded plan at anytime from Jan-Sep 2016 are required to submit their reinsurance reporting to HHS … FULL STORY

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Cigna: Summary of Changes to Forms 1094 & 1095 for 2016

On October 3, 2016, the Internal Revenue Service (IRS) released final 2016 Forms 1094-C and 1095-C and their accompanying instructions. … FULL STORY

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CVS Pharmacies will be Out of Network with BCBS in 2017

Effective Jan 1, 2017, regardless of renewal date, CVS pharmacies will no longer be a part of BCBS of TX’s … FULL STORY

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