A recent federal court decision has created uncertainty around the process for assessing employer shared responsibility (or “pay-or-play”) penalties under the Affordable Care Act. Significantly, the ruling is limited to the plaintiff involved in the lawsuit and does not directly impact the overall enforcement of pay-or-play penalties. However, employers disputing these penalties may use this decision’s reasoning to support an argument that the current assessment process is invalid.
Employers with employee benefit plans that operate on a calendar year basis must file their annual Forms 5500 for 2024 with the Department of Labor by July 31, 2025. Employers may extend this deadline until October 15, 2025, by filing Form 5558 by July 31, 2025.
The Affordable Care Act requires self-funded plan sponsors and health insurance issuers to pay Patient-Centered Outcomes Research Institute (PCORI) fees using IRS Form 720. The deadline for filing Form 720 is July 31, 2025, for all plan years that ended in 2024.
On December 30, 2024, the Health Resources and Services Administration updated preventive care guidelines requiring non-grandfathered group health plans to expand no-cost coverage for breast cancer screening and related services. Starting with plan years beginning on or after December 30, 2025, plans must cover additional imaging and patient navigation services for breast and cervical cancer screening without cost sharing.
Our recorded webinars cover essential topics like managing pharmacy benefits, mental health parity, understanding fiduciary responsibilities, staying ahead of compliance issues, and more. Visit our webinar library and start learning today—anytime, anywhere.
The Zywave Client Portal gives Hylant clients access to a wide range of HR, benefits, and compliance resources and solutions to daily challenges. One such resource is the Salary Benchmarking Tool. With it, you can access compensation reports for more than 800 job positions, annually or hourly, including salary benchmarking surveys on a national, state, or regional level.
Log in here or contact your Hylant representative to set up an account.
