Benefits Compliance Center

employee benefits compliance 2 min read

Recorded Webinar | Family Medical Leave Act (FMLA) and Health Benefit Plans

April 16, 2026 Employers subject to the Federal Family and Medical Leave Act (FMLA) must provide job-protected leaves of absence to covered workers, including offering protections for health care and other benefits. Although many employers understand the job ...

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Group Health Plan Fiduciary Lawsuit Survives Motion to Dismiss

April 08, 2026 Summary: A federal judge in New York recently allowed certain ERISA claims against an employer group health plan sponsor for alleged pharmacy benefit mismanagement to proceed past a motion to dismiss. Read on for more information and employer group ...

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CMS Finalizes Two Significant Medicare Part D Creditable Coverage Changes for 2027

April 08, 2026 Summary: On April 2, 2026, the Centers for Medicare and Medicaid Services (CMS), the federal agency governing Medicare, released a final rule for plan years beginning in calendar year 2027 impacting the Medicare Part D prescription drug benefit ...

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2026 Compliance Reminder: Upcoming Form 5500 Deadline for Calendar Year Plans

March 25, 2026 Employers sponsoring health and welfare benefit plans[1] subject to the Employee Retirement Income Security Act of 1974 (ERISA) should take note of the upcoming Form 5500 filing deadline on July 31, 2026 for calendar year plans.

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Recorded Webinar | March 2026 – Quarterly Updates

March 20, 2026 Watch as we discuss some of the latest topics related to the regulatory and legislative environment surrounding health and welfare benefit plans. These updates are intended to keep you informed of some of the most relevant changes that occurred in ...

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Another Season is Almost Here…Another Compliance Deadline Looms: RxDC Reporting

March 05, 2026 Summary: Spring is almost here, and with a new season comes a new compliance deadline looming for employers sponsoring group health plans: RxDC reporting for the 2025 reference year. The Centers for Medicare and Medicaid Services (CMS) recently ...

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2026 Reminder: San Francisco HCSO Upcoming Reporting Deadline

March 02, 2026 Summary: Employers covered by the San Francisco Health Care Security Ordinance (HCSO) are required to submit the 2025 HCSO Annual Reporting Form by Friday, May 1, 2026. The 2025 HCSO Employer Annual Reporting Form will be available on April 1, 2026, ...

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New Jersey Family Leave Act Expands in July 2026

February 20, 2026 Summary: In one of his last acts before leaving office, outgoing New Jersey (NJ) Governor Phil Murphy signed Assembly Bill (AB) 3451 on January 17, 2026, amending the New Jersey Family Leave Act (NJ FLA) to apply to smaller employers and ease ...

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Recorded Webinar | Rules Related to Health Savings Accounts (HSAs)

February 19, 2026 High-Deductible Health Plans (HDHPs) and Health Savings Accounts (HSAs) have long been considered important components of employers’ overall health and welfare benefit programs. Employers may choose to offer HDHPs and related HSAs under their ...

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HHS Releases Updated Notice of Privacy Practices to Include Substance Use Disorder Information Protections

February 18, 2026 On February 13, 2026, the Department of Health and Human Services (HHS) released updated HIPAA model notice templates for health plans and health care providers. These updated notices include provisions related to changes made under the 2024 HIPAA ...

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President Signs Consolidated Appropriations Act of 2026 Which Includes Rules on Pharmacy Benefit Management Reform

February 10, 2026 On February 3, 2026, the President of the United States (POTUS) signed into law the Consolidated Appropriations Act of 2026 (CAA 2026). This law helps to fund various departments within the federal government. Notably, however, the law includes ...

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HHS Increases Penalties for 2026

February 02, 2026 The Department of Health and Human Services (HHS) released inflation-adjusted increases for certain HHS-related penalties, including those for violations of the Health Insurance Portability and Accountability Act (HIPAA) rules and the Medicare ...

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Recorded Webinar | Wellness Programs: Compliance Considerations

January 15, 2026 Over the past decade, changes to the rules related to wellness programs and their incentives have created uncertainty for employers and plan sponsors. Watch as the Regulatory & Legislative Strategy group and Population Health & Wellness team ...

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DOL Releases FMLA Guidance for Medical Travel Time, School Closures & Intermittent Leave Calculations

January 13, 2026 Summary: The U.S. Department of Labor (DOL), under its Wage and Hour Division (WHD), recently released several opinion letters (WHD Letters) providing clarifying guidance with respect to certain aspects of leave under the federal Family and Medical ...

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Compliance Reminder: Upcoming CMS Medicare Part D Disclosure Reporting Deadline

January 10, 2026 Employers sponsoring group health plans that provide prescription drug coverage to individuals eligible for Medicare Part D coverage[1] must annually disclose to the Centers for Medicare and Medicaid Services (CMS) whether that coverage is ...

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Annual Benefit Plan Limits (2025-2026)

December 19, 2025 Brown & Brown’s Regulatory and Legislative Strategy Group has compiled the annual benefit plan limits for 2025-2026. Download the PDF to see the full list.

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Recorded Webinar | ACA Reporting – How to Prepare for the 2026 ACA Reporting Requirements

December 18, 2025 The due date for the 2025 ACA Reporting Forms (“Forms”) is right around the corner, and Applicable Large Employers (ALEs) and sponsors of self-insured health plans will need to both disclose these Forms to their full-time employees (and other ...

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IRS Releases One Big Beautiful Bill Act (OBBBA) Guidance on HSAs

December 17, 2025 Summary: On December 9, 2025, the Internal Revenue Service (IRS) released Notice 2026-05 ("Notice") providing clarifying guidance regarding certain Health Savings Account (HSA) expansion provisions in the One Big Beautiful Bill Act (OBBBA), signed ...

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Governmental Plan 2026 Compliance Guide

December 16, 2025 The Regulatory and Legislative Strategy Group has created the Governmental Plan 2026 Compliance Guide to help you with the legislative and regulatory requirements for your employee health and welfare benefit plans. Topics in the guide include:

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2026 Compliance Guide

December 12, 2025 The Regulatory and Legislative Strategy Group has created the 2026 Employee Benefits Compliance Guide to help you with the legislative and regulatory requirements for your employee health and welfare benefit plans. Topics in the guide include:

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Reporting Employer-Sponsored Health Coverage on 2025 Form W-2

November 24, 2025 The February 2, 2026[1] deadline to file (and furnish to employees) 2025 Forms W-2s, Wage and Tax Statements, is quickly approaching.

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PCORI Fee Guide

November 17, 2025 Applicable Health Plans Fully insured and self-insured health plans are required to pay the Patient Centered Outcomes Research Institute (PCORI) fee annually by July 31 of the calendar year following the last day of the plan year. When the plan is ...

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IRS Announces Increased Retirement Plan Limits for 2026

November 14, 2025 On November 13, 2025, the Internal Revenue Service (IRS) announced in Notice 2025-67 cost-of-living adjustments to the applicable dollar limits under qualified retirement plans for 2026.

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2026 Regulatory and Legislative Strategy Webinar Schedule

November 10, 2025 We are pleased to announce the upcoming Brown & Brown Employee Benefits Regulatory and Legislative Strategy Group webinar schedule for 2026. Registration information for each webinar and complete details will be made available closer to the ...

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PCORI Fee Amount Increase for 2026

November 04, 2025 The Internal Revenue Service (IRS) released Notice 2025–61, increasing the fees paid by group health plans to fund the Patient-Centered Outcomes Research Institute (PCORI).

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New Jersey Disability & Family Leave Insurance Rate Updates for 2026

October 30, 2025 Summary: New Jersey recently announced its Temporary Disability Insurance (NJ TDI) and Family Leave Insurance (NJ FLI) program rates for 2026. The employee contribution rate for both NJ TDI and FLI will decrease in 2026, while the employer ...

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FAQs Released Related to Fertility Benefits

October 24, 2025 Summary: On October 16, 2025, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) released a set of Frequently Asked Questions[1] ("FAQs"), clarifying how employers may offer fertility benefits as an ...

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Massachusetts PFML Updates for 2026

October 21, 2025 The Massachusetts Department of Family and Medical Leave (the “Department”) recently announced its annual updates to the Massachusetts Paid Family and Medical Leave (“MA PFML”) program for 2026.

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Recorded Webinar | ACA Employer Mandate and Look Back Measurement Method

October 16, 2025 The Affordable Care Act’s Employer Mandate (i.e., Employer Shared Responsibility requirement) affects all Applicable Large Employers (ALEs). An ALE is generally defined as an employer that employed at least 50 full-time and full-time equivalent ...

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Minnesota PFML Program Beginning in 2026: Next Steps for Employers

October 16, 2025 Summary: Minnesota passed a paid family and medical leave law in May 2023 (HF 2, and hereinafter referred to as "MN PFML"), effective January 1, 2026. MN PFML will provide partial wage replacement and job protections, paid by the state, for ...

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2026 FSA and Transportation Limit Updates

October 14, 2025 On October 9, 2025, the IRS released Revenue Procedure 2025-32, providing a list of inflationary adjustments made to certain employee health and welfare benefits (and other various items) for the 2026 calendar year, including:

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New York Large Group Insured Policies Must Cover Chemotherapy-Related Scalp Cooling Devices in 2026

October 14, 2025 Summary: New York Governor Kathy Hochul signed legislation (Assembly Bill or AB 430) in February 2025, requiring large group medical insurance policies issued in New York to cover scalp cooling systems for the preservation of hair during cancer ...

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IRS Releases Health Care FSA, Commuter, and Adoption Assistance Benefit Limits for 2026

October 09, 2025 The Internal Revenue Service (IRS) released Revenue Procedure 2025-32 on October 9, 2025, outlining cost-of-living adjustments for health care flexible spending accounts (FSA), commuter, and adoption assistance program benefits for the 2026 taxable ...

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One Big Beautiful Bill Act (OBBBA) Refresher for 2026 Benefits Enrollment

October 03, 2025 With the 2026 benefits open enrollment season in full swing, now is a good opportunity for employers to refresh their knowledge of the potential benefit plan updates for 2026 as a result of the One Big Beautiful Bill Act (OBBBA), signed into law on ...

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Recorded Webinar | Required Health Benefit Plan Notices

September 18, 2025 Are you aware of how your organization meets federal compliance standards as it relates to required health benefit plan notices? Watch our Regulatory and Legislative Strategy team as we discuss potential ways to avoid costly penalties and ways to ...

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Illinois Insured Policies Must Cover Dependent Parents in 2026

September 11, 2025 Summary: Beginning after January 1, 2026, fully insured group health plans issued (or renewed) in Illinois that provide dependent coverage will be required to cover an insured’s parent or stepparent as dependents under certain conditions. Read on ...

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New York Releases Paid Family Leave Rates for 2026

September 08, 2025 Summary: New York Paid Family Leave (NY PFL) launched in 2018 to provide caregiving benefits to New York State workers and their families. NY PFL was built in a four-year phase in period and benefits are now fully phased in. In 2026, the NY PFL ...

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New Illinois Mandates for Military Funeral Honors Detail Leave Now & Paid Lactation Breaks in 2026

August 18, 2025 Summary: Illinois Governor J.B. Pritzker recently signed legislation impacting employers with Illinois employees in connection with paid leave and workplace accommodation developments, outlined below: Paid leave for military funeral honors detail ...

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2026 HSA Guide

August 13, 2025 Introduction A Health Savings Account (HSA) is an individually owned account that can be funded on a pre-tax (or tax-deductible) basis and used for the qualified medical expenses of the account holder and eligible dependents on a tax-free basis. The ...

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San Francisco Health Care Security Ordinance Rates for 2026

August 12, 2025 The 2026 rates for the San Francisco Health Care Security Ordinance (HCSO) were recently released by the San Francisco Office of Labor Standards Enforcement (OLSE).

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IRS Announces Significant Updates to the 2026 Employer Shared Responsibility Payment Amounts and 2026 ACA Affordability of Coverage Percentage Amount

August 04, 2025 On July 18, 2025, the IRS issued Revenue Procedure 2025-25, announcing the 2026 indexed contribution percentage amount for determining the affordability of an Applicable Large Employer’s plan under the Affordable Care Act (ACA). The IRS also ...

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Massachusetts Health Plan Coverage & Reporting Requirements: What Employers Need to Know

July 30, 2025 Summary: Employers with Massachusetts (MA) resident employees take note of: certain MA state law with respect to health plan coverage requirements for state residents, and compliance obligations in connection with employer health plan reporting ...

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IRS Releases ACA Affordability Rate for 2026

July 21, 2025 The Internal Revenue Service (IRS) released Rev Proc. 2025-25 on July 18, 2025, announcing the Affordable Care Act (ACA) affordability percentage threshold for plan years beginning January 1, 2026. This percentage is adjusted annually for inflation ...

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One Big Beautiful Bill Act’s Impact on Employee Health and Welfare Benefit Plans

July 09, 2025 On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (the Act) into law. The Act covers a variety of topics such as health, tax, education and energy, including a retirement provision that allows an employer the ability to open, ...

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One Big Beautiful Bill Act: Impact to Employee Benefits

July 07, 2025 On July 3, 2025, the United States House of Representatives narrowly passed sweeping tax and spending legislation, titled the “One Big Beautiful Bill Act” (OBBBA), to implement President Trump’s domestic policy goals within the budget reconciliation ...

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Supreme Court Rules ADA Protections Do Not Apply to Retirees

July 01, 2025 Summary: The United States Supreme Court issued a decision on June 20, 2025 (Stanley v. City of Sanford), holding that a former employee does not have the right to sue their former employer under the Americans with Disabilities Act’s (ADA) ...

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Supreme Court Rules Health Plans Must Continue to Provide No-Cost Preventive Care Services

June 30, 2025 Overview On June 27, 2025, the U.S. Supreme Court reversed the Fifth Circuit’s decision and held that the appointment of the U.S. Preventive Services Task Force (USPSTF) is consistent with the Constitution’s Appointments Clause, meaning the USPSTF ...

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Federal Court Vacates 2024 HIPAA Privacy Rule to Support Reproductive Health Care Privacy, Retains Substance Use Disorder Privacy

June 27, 2025 On June 18, 2025, the U.S. District Court for the Northern District of Texas in Purl v. United States Department of Health and Human Services, vacated most of the HIPAA Privacy Rule to Support Reproductive Health Care Privacy (“Reproductive Health ...

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Tennessee Law Prohibiting Transgender Care for Minors Upheld by Supreme Court

June 20, 2025 Summary: The United States Supreme Court released a closely-watched and high-profile ruling on Wednesday, June 18, 2025 in U.S. v. Skrmetti, upholding a Tennessee state law prohibiting health care providers from administering puberty blockers and ...

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Recorded Webinar | Health Benefit Plans and Medicare

June 19, 2025 With a more diverse workforce, employers are receiving additional questions from employees regarding how Medicare enrollment interacts with, or otherwise affects, coverage under an employer-sponsored health benefit plan.

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Recorded Webinar | The Patient Will See You Now: How Primary Care is Being Revolutionized

June 13, 2025 In today’s fast-evolving healthcare landscape, primary care is undergoing a transformative shift driven by advanced concierge services, preventive medicine and virtual care. Employers, providers and patients are demanding more personalized, ...

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FMLA & Group Health Benefits Continuation: What Employers Need to Know

June 10, 2025 Summary: When an employee takes a leave of absence under the federal Family Medical Leave Act (FMLA), employers might experience confusion around whether they are required to maintain group health plan coverage and other benefits during the leave. ...

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House Tax & Spending Bill: Noteworthy Employee Benefit Changes

May 29, 2025 On May 22, 2025, the United States House of Representatives narrowly passed sweeping tax and spending legislation, titled the “One Big Beautiful Bill Act,” to work to build President Trump’s policy goals within the budget reconciliation process. ...

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Mental Health Parity 2024 Final Rules Update: Non-Enforcement Statement Published

May 20, 2025 Summary: On May 15, 2025, the U.S. Departments of Labor, Health and Human Services, and the Treasury (collectively, the “Departments”) published a statement announcing that they will not enforce certain portions of the Mental Health Parity and ...

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Recorded Webinar | IRC Section 125 Status Change Events and HIPAA Special Enrollment Events

May 15, 2025 When an employee requests to make a mid-year election change to their benefit elections, employers must consider multiple factors, such as whether the election change is permitted under the Section 125 plan, in addition to the facts and ...

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Summary of Status Change Events (and Corresponding Permitted Election Changes)

May 13, 2025 General Rules The rules described in this document are found in the Section 125 regulations and IRS Notice 2014-55. Section 125 of the Internal Revenue Code governs cafeteria plans and the elections made under cafeteria plans to make pre-tax ...

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Updated HSA, HDHP and Excepted Benefit HRA Limits for 2026

May 06, 2025 On May 1, 2025, the IRS released Revenue Procedure 2025-19, providing the following:

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IRS Announces Increased HSA, HDHP and EBHRA Limits for 2026

May 01, 2025 The Internal Revenue Service (IRS) just announced in Revenue Procedure 2025-19 inflation adjustments to the applicable dollar limits for health savings accounts (HSAs) and high-deductible health plans (HDHPs) for 2026, along with the maximum amount ...

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Ohio Insured Plans Now Must Cover Childhood Hearing Aids

April 23, 2025 Summary: Ohio Governor Mike DeWine recently signed omnibus legislation (House Bill or H.B. 315) on January 2, 2025, requiring fully insured health insurance plans issued in Ohio to cover hearing aids for children up to age 21, beginning April 3, ...

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CMS Adopts Final Calendar Year 2026 Part D Creditable Coverage Redesign Program Instructions

April 18, 2025 Background Employer group health plans are required to disclose to Medicare-eligible individuals whether the employer-sponsored prescription drug plan (if applicable) provides creditable or non-creditable coverage. This disclosure notice should be ...

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Recorded Webinar | ERISA: MLR Rebates, Plan Assets and General Plan Sponsor Fiduciary Duties

April 17, 2025 For plans subject to the Employee Retirement Income Security Act (ERISA), the law establishes certain standards that must be followed by those who manage the employee benefit plan and its assets (e.g., plan fiduciaries). An ERISA plan has certain ...

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Health & Welfare Benefit Plans: Plan Year Change Considerations | April 2025

April 04, 2025 When a plan sponsor decides to change the plan year for their health and welfare benefit programs, numerous compliance items should be considered, including but not limited to those issues identified in the chart below. Plan sponsors should consult ...

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President Issues Executive Orders: Gender Affirming Care for Minors; Transparency in Healthcare Pricing Information; Expanding Access to In Vitro Fertilization

April 01, 2025 Recently, President Trump (the President) issued several Executive Orders on issues that may impact employer group health plans. These Executive Orders do not provide direct guidance as to how group health plans must adopt these rules. Still, they ...

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Prescription Drug Data Collection (RxDC) Reporting

March 31, 2025 Under the No Surprises Act health care transparency provisions of the Consolidated Appropriations Act of 2020, group health plans and health issuers offering group health coverage (reporting entities) must complete annual reporting on prescription ...

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Recorded Webinar | ERISA: Health Plan Documents and Form 5500 Reporting

March 20, 2025 For most plan sponsors, the Employee Retirement Income Security Act (ERISA) is one of the most significant laws governing their employee health and welfare benefit plan. ERISA imposes various requirements on plan sponsors, including the requirement ...

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New Gag Clause Prohibition Attestation Guidance

March 12, 2025 Summary: The Departments of Health and Human Services, Labor and the Treasury (collectively, “the Departments”) published frequently asked questions (FAQs) on January 14, 2025, providing clarity and guidance with respect to the No Surprises Act ...

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More Changes to Michigan Paid Sick Leave: What Employers Need to Know

March 06, 2025 As we previously reported here, Michigan employers are now required to provide employees with more generous paid sick leave (known as the Michigan Earned Sick Time Act or “MI ESTA”) than what was required under Michigan’s previous paid sick leave ...

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Recorded Webinar | Benefit Plan Compliance: Account-Based Plans

February 20, 2025 Most employers offer healthcare options to their employees that include account-based plans—Health FSAs, HRAs or HSAs. Health FSAs and HRAs are employer-provided group health plans that allow for the payment or reimbursement of expenses for medical ...

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Health Plan Compliance Areas to Watch in Early 2025

February 18, 2025 Now that the Presidential inauguration is in the rearview mirror and during these early days of the second Trump administration, Risk Strategies has compiled a non-exhaustive list of key health plan-related compliance area highlights for employer ...

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The Health Resources and Services Administration Adds to List of Preventive Health Services to be Covered without Cost-Sharing

February 05, 2025 On December 20, 2024, the Health Resources and Services Administration (HRSA) approved new Women’s Preventive Services Guidelines. These services include screening and counseling for intimate partner and domestic violence, as well as screening and ...

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IRS Tax Guidance Issued For State PFML Programs

February 04, 2025 UPDATE 12/24/25: The IRS recently released Notice 2026-6 (Notice), extending transition relief for the entire 2026 calendar year from enforcement of certain PFML state and employer tax obligations under Revenue Ruling 2025-4 (as detailed in the ...

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Upcoming Changes to New York City Safe and Sick Leave & Scheduling Laws

February 04, 2025 UPDATE February 23, 2026: The New York City Department of Consumer and Worker Protection recently released a new "Notice of Employee Rights: Protected Time Off," detailing New York City employees' rights to sick and safe time and paid prenatal leave ...

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2025 Compliance Guide

January 28, 2025 The Regulatory and Legislative Strategy Group has created the 2025 Employee Benefits Compliance Guide to help you with the legislative and regulatory requirements for your employee health and welfare benefit plans. Topics in the guide include:

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Governmental Plan 2025 Compliance Guide

January 28, 2025 The Regulatory and Legislative Strategy Group has created the Governmental Plan 2025 Compliance Guide to help you with the legislative and regulatory requirements for your employee health and welfare benefit plans. Topics in the guide include:

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PCORI Fee Guide | January 2025

January 23, 2025 Applicable Health Plans Fully insured and self-insured health plans are required to pay the Patient Centered Outcomes Research Institute (PCORI) fee annually by July 31 of the year following the last day of the plan year. When the plan is fully ...

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DOL Clarifies Intersection of FMLA and State PFML Leaves

January 21, 2025 Summary: The U.S. Department of Labor (DOL), under its Wage and Hour Division (WHD), recently released an opinion letter (WHD Letter) that provides clarifying guidance to employers regarding the intersection of federal Family and Medical Leave Act ...

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HHS Office of Civil Rights Releases Proposed Rules under the HIPAA Security Rule

January 21, 2025 Background In 1996, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) was enacted to ensure health insurance coverage would remain continuous for covered participants and to simplify the process for health insurance transaction ...

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State and Local Commuter Benefit Mandates: General Rules Surrounding Commuter Benefits

January 21, 2025 IRS Rules Surrounding Commuter Benefits Under the Federal Internal Revenue Code1, employers may provide qualified transportation/commuter benefit programs to their employees on a pre-tax basis, subject to certain IRS limits. These programs may ...

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Annual Benefit Plan Limits (2024-2025)

January 02, 2025 Brown & Brown’s Regulatory and Legislative Strategy Group has compiled the annual benefit plan limits for 2024-2025. Download the PDF to see the full list.

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IRS Notice 2025-15: Update To ACA Reporting Requirements Signed Into Law Under Biden Administration

January 02, 2025 Updated March 2025 Congress recently passed, and the President has signed, two laws impacting ACA reporting and employer-shared responsibility penalties. The summary below analyzes those rules.

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Recorded Webinar | Account-Based Health Plans

May 18, 2023 Most employers offer their employees healthcare options that include account-based plans—Health FSAs, HRAs or HSAs. According to the International Foundation of Employee Benefits (IFEBP) 2022 Employee Benefits Survey, nearly 70% of private employers ...

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