Benefits Compliance Update: Northeast Roundup


Notice of Subsidies in the Federal Marketplace

In 2016, the federally facilitated Marketplace will begin issuing notices to employers that serve as an initial “heads-up” to the employer if any employee received a subsidy and bought coverage in the Marketplace during the current calendar year.

Final Regulations Shed Light on Wellness Programs

On May 17, 2016, the Equal Employment Opportunity Commission (EEOC) announced final regulations under the Americans with Disabilities Act (ADA) and Genetic Information Nondiscrimination Act (GINA) Title II regarding wellness programs.  These regulations are similar to the proposed rules issued last year and more restrictive than the existing Health Insurance Portability and Accountability Act (HIPAA) rules.  All three rules need to be carefully looked at when implementing incentive-based programs.



Small Group Market Update – Part 2

The State of New York is not reverting the definition of small employer to match the federal definition found in the Affordable Care Act.  Rather, the State of New York will review changes to the law, if necessary, in 2018.




The Taxpayer Advocate Service (“TAS”) is an independent organization within the IRS that ensures taxpayers understand their rights.  The TAS has issued the following tools that are helpful for employers:

Employer Shared Responsibility Provision Estimator

Small Business Health Care Tax Credit Estimator

Premium Tax Credit Change Estimator

Individual Shared Responsibility Payment Estimator

USI is a leading provider of employee benefit programs, commercial insurance, and retirement plan services operating nationally with 140 offices. In today’s climate of escalating healthcare costs, USI has the knowledge and resources to support your company’s critical employee benefits decisions. We offer strategic cost containment solutions, integrated wellness programs, compliance services, and administration and communication services. Please contact your USI representative for additional information.

 © 2016 USI Insurance Services. All Rights Reserved.

Contact your local USI office if you are interested in further information on any of these items.

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