Refundable Tax Credits Would Finance Paid Leave

There are still many questions for small business owners about the economic help coming from Washington. The attached gives some guidance about the tax credits for paid leaves.  Download Refundable Tax Credits Would Finance Paid Leave As always contact your Total Benefit Solutions benefit specialist at (215)355-2121 if you have any questions or concerns regarding this bulletin.

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Small Business Loans under the CARES act

We have received a lot of questions about these loans from our clients so we went ahead and asked our accounting firm to explain what is coming in plain language we can all understand.  We hope this can help some of our clients get a better understanding of at least one component of the new act. Here is his response: The following are going to be the two kinds of loans available to small business under the act.  It is one of the loans or the other, not both  We have very little information on the first one, as far as applying, but we now know the exact calculation of… Read More

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Employer Compliance Notice! The “Emergency Family and Medical Leave Expansion Act,” & “Emergency Paid Sick Leave Act.” will affect your business!

In response to the coronavirus (COVID-19) pandemic, Congress enacted a bill providing various forms of relief, including two separate laws mandating that employers give employees paid leave for specified purposes related to COVID-19. The two leave laws are the “Emergency Family and Medical Leave Expansion Act,” and the “Emergency Paid Sick Leave Act.” The leave mandates take effect no later than 15 days after passage (April 2, 2020) and sunset on Dec. 31, 2020.The Emergency Family and Medical Leave Expansion Act. In general, the Emergency Family and Medical Leave Expansion Act amends the federal Family and Medical Leave Act (FMLA) to allow employees to take leave for certain child care… Read More

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Aetna adds benefits during COVID Outbreak

We understand the many challenges you and your clients are facing due to the COVID-19 pandemic.  We continue to monitor this evolving situation and are committed to responding quickly to the COVID-19 pandemic, while also prioritizing the needs of you, your clients and our members. We are pleased to announce that Aetna is waiving cost-sharing and co-pays for inpatient hospital admissions related to COVID-19 for Aetna’s commercially insured members, part of several additional steps to help members access the care that they need during the COVID-19 pandemic.   You can read the complete CVS Health press release here. We will continue to publish updates and information as well as additional questions and… Read More

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Telemedicine and the Coronavirus

As the number of confirmed coronavirus disease 2019 (COVID-19) cases rises daily, hospitals and medical care providers are overwhelmed with phone calls and in-person visits. Telemedicine and telehealth services. Feel free to download this handy guide for you and your employees. While most medical plans include a telemedicine benefit, Total Benefit Solutions does offer a separate Teledoc benefit package for those without health coverage to would like to take advantages of the other services included.  Teledoc is available form under $20 per month. Click here to see the available packages Click to Download Telemedicine and COVID As always contact your Total Benefit Solutions, Inc benefit specialist at (215)355-2121 if you… Read More

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Independence Blue Cross: Employee Eligibility Exception for laid off employees

Employee Eligibility Exception for furloughed or temporarily laid off employees. As a result of the COVID‑19 outbreak, Independence will honor employer requests to continue coverage for employees furloughed or temporarily laid off as a result of impacts of  COVID‑19. This exception applies to fully insured and self-funded business, and is contingent upon the following: Full premium payments continue to be made by the employer.Self‑funded employers must continue to remit invoiced amounts in full. The employer is responsible for collecting employee contributions, if applicable. No reductions to employer contributions will be allowed. Only actively at‑work employees can be added to the plan as new enrollees. Our preferred Stop Loss partner, HM Insurance Group (HMIG) HMIG will honor… Read More

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H.S.A. Bank COVID-19 UPDATES

The safety and well-being of our employees, customers, and partners is HSA Bank’s top priority. We’re actively monitoring the coronavirus disease 2019 (COVID-19) pandemic, and following advice from the Centers for Disease Control and Prevention (CDC) and local health officials. We’re diligently working to ensure continued access to your account information and our services. We have remote work capabilities that will keep our operations running should this pandemic become more widespread. Our Client Assistance Center is currently available 24 hours a day, 7 days a week at 1-800-357-6246. Additionally, we offer click-to-chat during our standard business hours of 8:30 a.m. to 5 p.m. CT, Monday through Friday. And whether you’re at the… Read More

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An Update from us on COVID-19

At Total Benefit Solutions, Inc we’re learning as we go. First and foremost, we wish you and your employees safety and good health.   We wanted you to know that we are up and functional with all of our benefit specialists working remotely for their safety and yours. We are NOT permitted to do face to face meetings at this time due to the governor’s mandated shutdown.   We understand businesses may be forced to make difficult decisions in these uncertain times.   Most employers with 20 or more employees must follow COBRA continuation of coverage notice rules, if they make certain changes to an employee’s health coverage. Smaller employers may… Read More

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DOL Penalties Increase for 2020

The Department of Labor (DOL) published the annual adjustments for 2020 that increase certain penalties applicable to employee benefit plans.  Employer ActionPrivate employers, including non-profits, should ensure employees receive required notices timely (SBC, CHIP, SPD, etc.) to prevent civil penalty assessments. In addition, employers should ensure Form 5500s are properly and timely filed, if applicable. Finally, employers facing document requests from EBSA should ensure documents are provided timely, as requested. Click Here to Download Penalties_Increase_for_2020

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A message from Medicare-Coronavirus

Coronavirus test Medicare Part B (Medical Insurance) covers a test to see if you have coronavirus (officially called 2019-novel coronavirus or COVID-19). This test is covered when your doctor or other health care provider orders it, if you got the test on or after February 4, 2020. Your costs in Original Medicare You usually pay nothing for Medicare-covered clinical diagnostic laboratory tests.  Click here to see the full message.

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Notice for Aetna Funding Advantage and Fully-insured clients

In response to the rapidly evolving COVID-19 outbreak, CVS Health announced a series of steps designed to support the health and well-being of your clients Aetna members, ensure patient access to medication, and remove barriers to care.   Effective immediately, your clients small group members will have access to the following resources: • Co-pays for members will be waived for all diagnostic testing related to COVID-19. This policy will cover the test kit for patients who meet CDC guidelines for testing, which can be done in any approved laboratory location. Aetna will waive the member costs associated with diagnostic testing at any authorized location for all small group business. • For the next… Read More

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Office Operations Update

As concerns over the spread of COVID-19/Coronavirus continues and the facts on the ground shift daily, we wanted to inform you that Total Benefit Solutions Inc. is taking measures to ensure business operations continue without disruption. At this time, there are no changes to our operations; however, we will provide notification by email should any of our normal policies and processes need to be temporarily changed. Total Benefits  has a wonderful team of employees who are committed to meeting your needs during this very unique time. Thank you for your continued business.

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Deadline Extended for 2019 Forms 1095-C

On December 2, 2019, the IRS issued Notice 2019-63, which provides: • An extension of time, until March 2, 2020, for employers to provide Forms 1095-C to their full-time employees and other individuals; and • An extension of relief from penalties for the 2019 reporting year for employers and other entities that make good-faith efforts to comply with the reporting requirements.

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Employers sponsoring a group health plan need to report

Employers sponsoring a group health plan need to report information on the creditable status of the plan’s prescription drug coverage to CMS within 60 days after the beginning of the plan year. An employer with a calendar year plan must complete this reporting no later than Saturday, February 29, 2020. Employers sponsoring a group health plan need to report information on the creditable status of the plan’s prescription drug coverage to the Centers for Medicare and Medicaid Services (CMS). In order to provide this information, employers must access CMS’s online reporting system at: https://www.cms.gov/Medicare/Prescription-Drug-Coverage/CreditableCoverage/CCDisclosureForm.html. As a reminder, notice must be provided by the following deadlines:• Within 60 days after the… Read More

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Employer Reminder: Self Insured & HRA forms are coming due!

The IRS requires all employers who offer benefits to provide some level of reporting. This is a reminder that for groups who have an HRA or a self insured health plan you are required to provide forms to your employees and also the IRS. If your company offers a level funded plan you (the employer) are required to do the reporting as the insurers or TPA’s will not usually do it. Clients  who have any of the following should speak with their tax professionals to make certain that they are reporting properly: Aetna AFA Level Funded  plans United Healthcare All Savers Level Funded Plans National General (Group) Self Insured, Level… Read More

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Annual Medicare Part D reporting is required for all employers

Annual Medicare Part D reporting is required for all employers who provide health benefits with prescription drug coverage. The reporting is an online filing to the Centers for Medicare & Medicaid Services (CMS), and it lets CMS know if the prescription drug coverage available on the employer’s health plan is “creditable.” The Medicare Part D reporting helps CMS determine if a person enrolling in a stand-alone Part D plan is subject to a late enrollment penalty. Late enrollment penalties apply for individuals who delay enrollment in a Part D plan upon first becoming eligible unless they have prescription drug coverage elsewhere that is at least as good as the standard… Read More

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Congress Repeals the Cadillac Tax and Health Insurance Tax

Congress has voted to fully repeal the Cadillac (excise) Tax and the Health Insurance Tax. The legislation fully repeals the Cadillac Tax and repeals the HIT effective January 1, 2021, which means the HIT will still be in place for 2020. According to the Congressional Budget Office, repealing the Cadillac Tax will save consumers $197 billion, and the HIT repeal will save consumers $150 billion!   This is a major milestone in efforts to finally end these two ACA taxes and we thank all of you who have taken action to support these repeals.  Please contact your Total Benefit Solutions, Inc account manager at (215)355-2121 if you have any questions… Read More

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Enrolling on Medicare A and/or B

You can enroll in Medicare Part A and/or Medicare Part B in the following ways: Online at SocialSecurity.gov. By calling Social Security at 1-800-772-1213 (TTY users 1-800-325-0778), Monday through Friday, from 7AM to 7PM. In-person at your local Social Security office.   IIf you work for a small employer,  this post has some information you might find helpful:   https://totalbenefits.net/ibc-important-changes-regarding-medicare-part-b-exclusion/  

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Final Rule Issued Allowing HRAs to be used for Individual Coverage

On June 13, the U.S. Departments of the Treasury, Labor, and Health and Human Services (tri-agencies) issued a final rule allowing employees to use the dollars in employer-funded Health Reimbursement Arrangements (HRAs, also called Health Reimbursement Accounts) to purchase individual coverage both on and off the public Marketplace (or Exchange). The rule also creates a new excepted benefit HRA (EBHRA) to enable employees to be reimbursed for excepted benefit costs. This finalizes a proposed rule issued in Oct. 2018 largely as proposed, but with some modifications. The rule follows through on an Executive Orderthat directed the tri-agencies to consider ways to expand the flexibility of HRAs. Individual Coverage HRAs Beginning Jan. 1, 2020,… Read More

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Health Plan PCORI Fees Are Due July 31

From our partners at Think HR: Do you offer coverage to your employees through a self-insured group health plan? Do you sponsor a Health Reimbursement Arrangement (HRA)? If so, do you know whether your plan or HRA is subject to the annual Patient-Centered Research Outcomes Institute (PCORI) fee? This article answers frequently-asked questions about the PCORI fee, which plans are affected, and what you need to do as the employer sponsor. PCORI fees for 2018 health plans and HRAs are due July 31, 2019. What is the PCORI fee? The Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute to study clinical effectiveness and health outcomes. To finance the nonprofit… Read More

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PA. House panel advances bill to create state health insurance exchange

HARRISBURG, Pa. (KYW Newsradio) — A Pennsylvania House committee has advanced legislation that would require the state to create its own health insurance exchange under the Affordable Care Act.  Health care advocates celebrated the news that the Pennsylvania House Insurance Committee has approved a bill that would put oversight of Pennsylvania’s health insurance marketplace in control of the state, instead of Washington. No one is more pleased than Gov. Tom Wolf. Click here for the story

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HSA/HDHP Limits Increase for 2020

On May 28, 2019, the IRS released Revenue Procedure 2019-25 to announce the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2020. These limits include: The maximum HSA contribution limit; The minimum deductible amount for HDHPs; and The maximum out-of-pocket expense limit for HDHPs. These limits vary based on whether an individual has self-only or family coverage under an HDHP.  The IRS limits for HSA contributions increase for 2020. Eligible individuals with self-only HDHP coverage will be able to contribute up to $3,550 for 2020, while eligible individuals with family HDHP coverage will be able to contribute up to $7,100 for 2020. The HDHP… Read More

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