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January 4, 2007

Group Health Plan Compliance Audit

The Department of Labor is making an effort to ensure that all group health plans subject to ERISA are complying with its requirements, specifically Title 7 of ERISA.  This section of ERISA includes provisions relating to the HIPAA portability rules, the Mental Health Parity Act, the Newborns’ and Mothers’ Health Protection Act, and the Women’s Health and Cancer Rights Act. 

January 4, 2007

Substantiation of Medical Expenses via Debit Cards

Transition relief has been provided in IRS Notice 2007-2 relating to substantiation of employer-provided medical expenses made through debit cards that are used in conjunction with flexible spending accounts or health reimbursement arrangements.  Certain items purchased with a debit card may not be identified as qualifying medical expenses under a plan if the vendor or entity does not utilize a merchant category code (MCC) system.  Thus, this guidance provides some relief to supermarkets, grocery stores, discount stores, and wholesale clubs that do not have such system in place.   The Notice requires these entities to implement a MCC system by January 1, 2008.

January 4, 2007

DOL Offers Guidance on Benefit Statement Distribution

The Pension Protection Act (PPA) requires that plans provide benefit statements on a more regular basis than previously required (see Notice Requirements from the September, 2006 edition of the Benefit Beat).  Specifically, defined contribution plans must provide benefit statements quarterly, as long as the plan allows individual direction.  Defined contribution plans that do not allow individual direction must provide benefit statements annually. Defined benefit plans must provide benefit statements every three years, unless the plan elects to comply with an alternative notice requirement. 

December 5, 2006

2007 Cost-of-Living Adjustments for HSAs, MSAs and Other Benefits

In Rev Proc 2006-53, the IRS released several cost of living adjustments for various benefits.  Following are amounts applicable to tax years beginning in 2007:

December 5, 2006

Smartcards and Debit Cards Allowed for Qualified Transportation Expenses

The IRS and Treasury Department issued Revenue Ruling 2006-57, explaining when a smartcard or debit card can be used to purchase qualified transportation benefits.  Specifically, the Revenue Ruling provides several examples of what would constitute a permitted card.  If a card with an embedded chip is purchased from a mass transit vendor with no more than the maximum $105 for 2006 ($110 for 2007) embedded in the card, the card could be used for mass transit without further substantiation. 

November 1, 2006

2007 Cost of Living Adjustments

Following are highlights of the 2007 cost-of-living adjustments issued by the IRS, applicable to defined benefit and defined contribution plans, as well as the 2007 Social Security limits.

November 1, 2006

Interactive Website for Compliance Assistance

The DOL has launched a compliance assistance website to help employers understand their responsibilities and obligations with regard to health benefit plans that they may sponsor.  The website, known as the Health Benefits Advisor (http://www.dol.gov/elaws/ebsa/health), is set up as an interactive tool, and provides information about:

November 1, 2006

New Tricare Provisions Affect Group Health Plans

Included in the Appropriations Bill recently signed by President Bush (the John Warner National Defense Authorization Act, Public Law 109-364), there are some new secondary payor rules applicable to group health plans.  Specifically, the rules provide that Tricare is secondary to group health plans, excluding plans sponsored by employers with fewer than 20 employees.  In other words, an individual covered by, or eligible for coverage under, Tricare must be given the same rights to participate in the group health plan as the individual not eligible for Tricare. In no way can the employer do anything to incent the individual to decline group health coverage in favor of Tricare.  Significant penalties would be imposed for this kind of action.  This law takes effect January 1, 2008.

November 1, 2006

Reminder: Annual Medicare Part D Notices

The annual notices of creditable and noncreditable coverage to Medicare-eligibles must be provided no later than November 14, 2006.  Notices to be used on or after May 15, 2006, as well as Creditable Coverage Guidance, are all available on-line from the CMS website: http://www.cms.hhs.gov/creditablecoverage.

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