Aetna: Small Business Updates

Wendy Lopez

As the year wraps up, businesses with 2 – 50 employees enrolled in Aetna Funding AdvantageSM groups need to act quickly. We’re filing 1095-B tax forms on your behalf, but it’s crucial to ensure your information is accurate. Deadline: End of December The federal deadline for 1095-B tax forms is approaching. Both businesses and customers must verify and update their details by the end of December to avoid potential IRS rejections. Why It Matters Accurate information on these forms is vital for complying with tax regulations. 1095-B forms provide essential health coverage details, impacting Affordable Care Act compliance. Any discrepancies could lead to filing complications. Review and update your information… Read More

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2023 State Health Insurance Mandates: A Quick Overview

Wendy Lopez

Five states—California, Massachusetts, New Jersey, Rhode Island, and Vermont—along with the District of Columbia have implemented individual health insurance mandates, each with unique obligations. It’s crucial to understand and comply with both federal and state mandates for comprehensive adherence to regulations. State Obligations: These states require the submission of information on health insurance coverage to residents, with filings made to specific state agencies. Importantly, state requirements may differ from federal obligations, necessitating compliance with both sets of regulations. Key Deadlines for 2023 State Reporting: Note that state reporting deadlines may change, and the information presented is current as of the publication date. Stay updated for any changes. For a deeper… Read More

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Healthcare Compliance: 2023 Q4 Digest

Wendy Lopez

Stay ahead in healthcare compliance with the 2023 Fourth Quarter Compliance Digest, a consolidated resource featuring all Q4 bulletins from October to December. This document is your one-stop-shop for the latest in health care reform, simplifying the complexities of compliance. Key Features: Up-to-Date Information: Get the latest developments in healthcare compliance from Q4 2023. Convenience in One Document: Access all relevant information in a single, downloadable PDF. Streamlined Access: Easily download the digest for quick and efficient access to essential updates. To explore further, download the PDF below: We’re committed to providing exceptional support, so please don’t hesitate to reach out to our dedicated Total Benefit Solutions health insurance specialists… Read More

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ACA Compliance: Key Calendars for 2024 Revealed!

Wendy Lopez

Stay ahead of the compliance curve with crucial information on Affordable Care Act (ACA) deadlines for 2024. In our latest update, we’ve compiled comprehensive compliance calendars tailored for both small groups (less than 50 employees) and larger groups (50 or more employees). It’s your go-to resource for understanding and meeting important deadlines to ensure a seamless compliance journey. 2024 Small Group Compliance Deadlines: For fully and self-insured groups operating on a calendar year plan, we’ve outlined essential deadline dates for 2024. Please note that some reporting deadlines may vary for plans with a start date other than January 1st. Whether you have a small group or a larger organization, staying… Read More

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Massachusetts Paid Family and Medical Leave Updates for 2024

Wendy Lopez

The Massachusetts Department of Family and Medical Leave (DFML) has announced significant changes to the Massachusetts Paid Family and Medical Leave (PFML) program, effective January 1, 2024. These updates include adjustments to the contribution rate, State Average Weekly Wage, and maximum weekly benefit amount. Employees can also supplement their PFML benefits with accrued paid leave, beginning on November 1, 2023. Contribution Rate Changes In 2024, the contribution rate on eligible wages will increase from 0.63% in 2023 to 0.88%. Individual contributions are capped by the Social Security income limit, which is expected to rise significantly. Employer and Employee Contributions Employers with a minimum of 25 covered individuals in Massachusetts will… Read More

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What’s New in the 2023 ACA Open Enrollment?

Wendy Lopez

The 2023 Affordable Care Act (ACA) Open Enrollment period is upon us, marking a significant milestone as Health Insurance Marketplaces open their doors for the tenth year. From November 1, 2022, to January 15, 2023, individuals and families have the opportunity to secure comprehensive healthcare coverage. In this blog post, we’ll delve into the key changes and updates for this year’s open enrollment, focusing on insights gathered from the Kaiser Family Foundation’s informative article titled “Nine Changes to Watch in Open Enrollment 2023” [source: www.kff.org/policy-watch/nine-changes-to-watch-in-open-enrollment-2023/]. As the ACA Open Enrollment enters its tenth year, changes abound, ensuring improved access, affordability, and assistance for individuals and families seeking healthcare coverage. Staying… Read More

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