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01-2025 EB News Header

Complimentary Checklist: Complying With the ACA’s Pay-or-Play Rules for 2025

The Affordable Care Act requires applicable large employers to offer affordable, minimum-value health coverage to their full-time employees (and dependents) or potentially pay a penalty to the IRS. This checklist outlines key steps for employers to comply with the ACA’s pay-or-play rules for 2025. 

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Recent News

 

U.S. Supreme Court Will Rule on ACA’s Mandate for Free Preventive Care

The U.S. Supreme Court has decided to review the constitutionality of a key component of the Affordable Care Act’s preventive care mandate. This decision impacts the requirement for health plans and health insurance issuers to cover, without cost sharing, a wide range of preventive care services.

Learn What This Could Mean

Blog Recap

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Federal Agencies Withdraw Proposed Rule to Expand ACA’s Contraceptive Coverage Mandate

On January 14, 2025, the Departments of Health and Human Services, Labor and the Treasury rescinded a proposed rule from October 2024 that would have expanded the Affordable Care Act’s coverage mandate for contraceptives. 

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Last year delivered plenty of changes and challenges for those overseeing organizational compliance

2024 Compliance Year in Review

Last year delivered plenty of changes and challenges for those overseeing organizational compliance. Download our 2024 Compliance Year in Review for a recap and keep reading your monthly Hylant Benefits Insider newsletter to stay current with emerging compliance issues and legislation. 

Download the Review
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Changes Proposed to HIPAA Security Rule to Strengthen Cybersecurity for Electronic PHI

On December 27, 2024, the U.S. Department of Health and Human Services released a proposed rule that would modify the HIPAA Security Rule to strengthen cybersecurity protections for electronic protected health information. 

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Newly Passed Legislation Modifies ACA Reporting Requirements

On December 23, 2024, President Joe Biden signed two bills into law that will streamline the Affordable Care Act’s reporting requirements. The amendments made by this legislation apply to reporting that is due in early 2025.

Read the Details
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Medicare Part D Disclosures Due Within 60 Days of Start of Plan Year

Medicare Part D requires group health plan sponsors to disclose whether their prescription drug coverage is creditable or non-creditable. Calendar-year plans generally have until March 1 to fulfill this requirement.

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IRS Announces New PCORI Fee

The Affordable Care Act imposes Patient-Centered Outcomes Research Institute (PCORI) fees on self-funded plan sponsors and health insurance issuers. For plan years ending in 2024, the Form 720 filing deadline is July 31, 2025.

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Education

New Year. New Administration. Key Employee Benefits to Watch in the Trump Era

Join us on Wednesday, February 26, as we explore how the Trump administration’s initial actions and priorities may influence the future of employee benefits. Don't miss this opportunity to learn about potential changes that could impact your employee benefits plans.

Learn More and Register

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