HR & Compliance

  • HIPAA Common Questions: Administration (Part 3) by

    Posted on: January 5, 2015Categories: HR & Compliance

    What are the penalties for failure to comply with the HIPAA Regulations? The Department of Treasury, the Department of Labor, and the Department of Health and Human Services jointly enforce HIPAA. The Department of Labor has the authority under ERISA to audit a group health plan’s compliance with HIPAA, and HIPAA violations may result in civil penalties or other corrective action for the group health plan sponsor. Also, under the Internal Revenue Code, HIPAA violations may trigger excise taxe ...

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  • Draft Instructions for Employer Reporting of Health Coverage Released by

    Posted on: January 1, 2015Categories: HR & Compliance

    The Affordable Care Act (ACA) created new reporting requirements under Internal Revenue Code (Code) Sections 6055 and 6056. Under these new reporting rules, certain employers must provide information to the IRS about the health plan coverage they offer (or do not offer) to their employees. On Aug. 28, 2014, the Internal Revenue Service (IRS) released draft instructions for the forms that employers will use to report under Code Sections 6055 and 6056. Instructions for Forms 1094-B and 1095-B: ...

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  • Community Rating Restrictions by

    Posted on: December 30, 2014Categories: HR & Compliance

    Community rating is a way for insurers to calculate the cost of health insurance premiums based on a variety of communal, rather than individual, factors. Traditionally, health insurance companies have based their premiums on plan design, family composition and individual factors, such as health status and claims history, age, gender, location, occupation, tobacco use and duration of coverage. Community rating, however, prevents health insurers from varying premiums within a geographic area ba ...

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