Federal Compliance Information

To help you understand federal compliance regulations and how they apply to your self-funded benefits plan, Health Plans has developed Compliance Bulletins and other informational notices.

We will update these pages as additional guidance and implementing regulations are issued. Be sure to check back periodically to stay informed of the most current updates. 

 

2024
PDF icon Compliance eBlast - Medicare Part D Creditable Coverage – Update on 2025 Creditability Determinations (9/2024)

PDF icon Compliance eBlast - Required Medicare Part D Creditable Coverage Notices for 2024 - Creditable (9/2024)

PDF icon Compliance eBlast - Required Medicare Part D Creditable Coverage Notices for 2024 - Non-Creditable (9/2024)

PDF icon Compliance eBlast - Medicare Part D Creditable Coverage – Update on 2025 Changes and Annual Determination/Notice Process (8/2024)

PDF icon Compliance eBlast - RxDC Reporting Submission Notice (5/2024)

PDF icon Compliance eBlast - RxDC Submission 2024 Deadline Reminder (3/2024)

PDF icon Compliance eBlast - RxDC Submission 2024 (3/2024)

 

2023
PDF icon Compliance eBlast - IRS Increases for 2024 (11/2023)

PDF icon Compliance eBlast - Plan Changes For 2024 (9/2023)

PDF icon Compliance eBlast - End of the COVID-19 Public Health Emergency and National Emergency (3/2023)

PDF icon Compliance eBlast - RxDC Submission 2023 and an Air Ambulance Reporting Update (2/2023)

PDF icon Compliance eBlast - Transparency Tool, RxDC Submissions, Air Ambulance Reporting, and CAA 2023 Update (1/2023)

 

2022
PDF icon Compliance eBlast - Update On RxDC Reporting (12/2022)

PDF icon Compliance eBlast - Notice of Privacy Practice Reminder (11/2022)

PDF icon Compliance eBlast - IRS Increases for 2023 and Hearing Aid Coverage (11/2022)

PDF icon Compliance eBlast - Plan Changes For 2023 (10/2022)

PDF icon Compliance Update - Regulatory Affairs and Action Update (9/2022)

PDF icon Compliance eBlast: Supreme Court Decision (7/2022)

PDF icon Compliance eBlast: Additional Update on Machine Readable Files (6/2022)

PDF icon Compliance eBlast: Update on Machine Readable Files (5/2022)

PDF icon Compliance eBlast: Temporary Waiver to Deductible for Telehealth Service for HSA-QHDHP (3/2022)

PDF icon Compliance Alert: Over The Counter COVID Tests (1/2022)

PDF icon Compliance eBlast: Over The Counter COVID Tests (1/2022)

2021
PDF icon Compliance Update - Regulatory Affairs and Action Update (12/2021)

PDF icon Compliance eBlast - Enhancements to MHPAEA; Continued Monitoring and Client Assistance (7/2021)

PDF icon Compliance eBlast - COVID-19 Waiver of Cost Share Update (6/2021)

PDF icon Compliance eBlast - Updated HPI COBRA Subsidy FAQ and IRS Bulletin 2021-31 (6/2021)

PDF icon Compliance Alert - 2021 ARPA COBRA Subsidy Program Compliance Alert and Action Plan (4/2021)

PDF icon Compliance Update - Regulatory Affairs and Action Update (4/2021)

PDF icon Compliance Bulletin - 2021 American Rescue Plan Act COBRA Subsidy Deadlines for COBRA Actions under the CARES Act (3/2021)

PDF icon Compliance Alert - No Surprises Act (3/2021)

PDF icon Compliance Alert - New Enhancements to Mental Health Parity and Addiction Equity Act (3/2021)

PDF icon Compliance Alert - New Options for Medical Care Reimbursement and Dependent Care Reimbursement Accounts (1/2021)

 

2020
PDF icon
Compliance Alert - Supreme Court Employment Discrimination Decision (8/2020)

PDF icon Compliance Bulletin: Optional Plan Changes Permitted under Newly Issued IRS Guidance (5/2020)

PDF icon Optional Plan Changes Checklist (5/2020)

Sample Attestation Required for Dropping Medical Coverage (5/2020)

PDF icon Compliance Alert - Pandemic-Related Deadline Extensions (5/2020)

PDF icon Compliance Alert - COVID-19 Update (4/2020)

PDF icon Revised Compliance Alert - The Families First Coronavirus Response Act (3/2020) (this replaces the Alert distributed on March 24, 2020)

2013

Compliance Alerts

PDF icon Compliance Alert: Federal Notice Requirements - IRS Guidance on Same-Sex Spouses (9/2013)


Model Notices

Health Insurance Marketplace Notice of Coverage Options

PDF icon Health Plans' 1-page modified model notice

PDF icon Health Plans' 3-page modified model notice
 

Group Health Plan Notice of Privacy Practices

PDF icon Notice of Privacy Practices (NPP)

PDF icon Aviso de prácticas de privacidad (NPP) en español

 

Compliance Bulletins

PDF icon Compliance Bulletin: Final Omnibus Rule (9/2013)

Compliance Toolkit

PDF icon Compliance Toolkit: Medicare Part D Electronic Notice Distribution