Weighing Software Automation Against Human Expertise in Reporting Heather C Garcia, ETC Partner Since 2015, the Affordable Care Act (ACA) has required certain employers, health coverage providers, and insurers to report healthcare coverage provided to employees and...
Paper or Digital? Ensuring Compliance When Furnishing 1095 Statements Under ACA Heather Garcia, Partner ETC Companies Under the Affordable Care Act (ACA), Applicable Large Employers (ALEs) and Health coverage providers for fully insured plans must furnish a copy of...
Low Risk, maybe, but is it Accurate?Heather Garcia, Partner ETC Companies Under the Affordable Care Act (ACA), the IRS mandates that the 1095 form should accurately reflect the entity providing Minimum Essential Coverage (MEC) for health insurance. Typically, this is...
A dependent eligibility verification (DEV) is an essential tool for maintaining the integrity of your health benefits plan. By verifying the eligibility of dependents on your plan, your company can avoid unnecessary costs, maintain compliance, and ensure that only...
GROUP HEALTH PLAN PENALTY REFERENCE SUMMARY Note: This reference document was last updated September 2024. Penalties and enforcement information are subject to change. The following information is not intended to be exhaustive but is meant to highlight the possible...
