- ACA’s coverage and reform requirements like the dependent coverage, wellness and preventive care provisions
- Employer mandate under Section 4980H of the Internal Revenue Code, including its effect on plan design and potential assessment by the IRS for non-compliance
- Responding to IRS proposed Section 4980H Employer Mandate assessments
- Annual reporting obligations of plan sponsors, including multiemployer trusts, and employers under Sections 6055 and 6056 of the Internal Revenue Code
- Participant notices such as Summaries of Benefits and Coverage (SBCs) and Exchange Notices
- Limitations on Health Reimbursement Arrangements and Health Flexible Spending Account Plans
- Individual mandate and coverage available through the Exchanges or Marketplace, including how they affect health plan and Section 125 plan design
- Negotiating service provider agreements to include compliant ACA and CAA requirements
- Assisting plan sponsors with navigating CAA reporting obligations (e.g., prescription drug and health care spending reporting, gag clause attestations, etc.)
- Providing guidance regarding Mental Health Parity Equity and Addiction Equity Act (MHPAEA) compliance
- Keeping employers apprised of legislative, regulatory and judicial developments related to the ACA and CAA
We provide practical advice to clients for both immediate and long-term compliance. We also assist our clients through a series of newsletters on ACA and CAA requirements, webinars and live programs. Our attorneys also frequently speak at industry conferences and webinars on ACA and CAA topics.
