In this episode, Suzanne Spradley and Chase Cannon announce a three-part mini-series aimed at better understanding the challenges facing a single payer system (sometimes called “Medicare for All”) in the US. In the first part, Suzanne re-sets the discussion on single payer systems and describes some of the different arrangements and titles that fall under that general term. Suzanne describes the challenges facing different single payer systems in the UK and in Canada, including information on wait times and quality of care outlined in recent studies. Chase and Suzanne discuss funding of single payer systems, and how single payer systems generally result in higher taxation across the board. Suzanne finishes with a description of the challenges facing the Veterans Affairs (VA) program, which is a version of a government-run health care system right here in the US. The two outline the next two parts to the mini-series: part two will focus on parts of the US system that are working, including the employer-sponsored group health insurance market, and part three will dig deeper into the financing and funding of some of the proposals thrown around in US political debates.
Every other week, NFP's legal experts make the subject of compliance personal for a wide audience. By breaking down the daunting details of emerging policies and bridging the gap between legislation and what it means for the listener, Chase Cannon and Suzanne Spradley make compliance issues relatable and relevant. Visit our Soundcloud page every two weeks for the most up-to-date episode.
NFP’s Benefits Compliance team is providing new training opportunities for clients in 2019. We will now offer a client webinar on the third Wednesday of each month. The series will be called “Get Wise Wednesdays” and will replace the previous format of three webinars in the second month of each quarter. The webinars will be one hour in length and will still offer HRCI credit for attendees.
The first webinar, “Make a Resolution to Comply with HIPAA,” was successfully held on Wednesday, Jan. 16. The recording for that webinar can be found here.
NFP's Benefits Compliance team is hosting its next webinar on Wednesday, Feb. 20, 2019 from 2:00 to 3:00 p.m. CT (3:00 to 4:00 p.m. ET). It is entitled “Facts and Fictions about Health Savings Accounts (HSAs).” Registration is available here.
Applicable large employers (ALEs—those with 50 or more full-time employees including equivalents, or FTEs) in 2017 must comply with IRC Section 6056 reporting in early 2019. Specifically, ALEs must complete and distribute a Form 1095-C to full-time employees by March 4, 2019 (changed from Jan. 31, 2019). The form should detail whether the employee was offered minimum value, affordable coverage during 2018. The forms may be mailed, delivered electronically or delivered by hand (although proof of delivery in some manner is recommended).
If an employer sponsored a self-insured plan during 2018, it must comply with Section 6055 reporting in 2019. Self-insured employers with 50 or more FTEs must complete Section III of Form 1095-C detailing which months the employee (and the employee’s spouse/dependents, as applicable) had coverage under the employer’s plan. If the self-insured employer has fewer than 50 FTEs, it must complete and distribute a Form 1095-B with such information. Again, the forms must be delivered to employees by March 4, 2019.
Employers must file the forms with the IRS by Feb. 28, 2019, if filing by paper and April 1, 2019, if filing electronically. Those that are filing 250 or more forms are required to file electronically. Lastly, the employer is required to a file the transmittal Form 1094-C (if filing Forms 1095-C) or Form 1094-B (if filing Forms 1095-B).
Form 1094-C »
Form 1095-C »
Forms 1094-C and 1095-C Instructions »
Form 1094-B »
Form 1095-B »
Forms 1095-B and 1095-B Instructions »
As a reminder, employers who sponsor a group health plan that provides prescription drug coverage to Medicare Part D eligible individuals must disclose to CMS, on an annual basis, whether the coverage qualifies as creditable or non-creditable. The disclosure is due no later than 60 days after the beginning of each plan year. Thus, for calendar year plans, the disclosure is due March 1, 2019.
CMS Disclosure Form »
CMS Guidance »
NFP’s Benefits Compliance team has recorded two instructional videos to assist applicable large employers in completing the Forms 1094-C and 1095-C as required under IRC Sections 6055 and 6056. The videos provide a walk-through of each form, an explanation of codes and discussions of common employer mistakes.
The Form 1095-C must be distributed to full-time employees by March 4, 2019 (an extension from the previous due date of Jan. 31, 2019). The forms 1094-C and 1095-C must be filed with the IRS by Feb. 28, 2019, if filing by paper and April 1, 2019, if filing electronically. Those filing 250 or more forms are required to file electronically.
Form 1094-C Video »
Form 1095-C Video »