2019 PCOR Fee Filing Reminder for Self-Insured Plans

The PCOR fee filing deadline is July 31, 2019 for all self-funded medical plans and HRAs for plan years ending in 2018. Please note, this is the final filing and payment for some plans. Plans ending in January through September of 2019 will have one more filing on...

ACA Still in Force, But With Uncertain Fate

On December 14, 2018, a Texas district court invalidated the entire Affordable Care Act (“ACA”). This includes the Individual Mandate, Employer Penalty, mandated benefits such as the prohibition against preexisting condition exclusions, taxes such as the PCOR fee, the...

MLR Rebates from insurance carriers

Under the Affordable Care Act, carriers are required to spend 80 cents of every premium dollar to pay claims, clinical services and activities that improve the quality of health care for members. This percentage is known as the minimum Medical Loss Ratio. If a health...

Association Health Plans: new opportunity or non-starter?

The Department of Labor published a final rule on June 21, 2018 creating flexibilities for employers to band together to sponsor a single Association Health Plan (AHP) The final rule allows multiple employers to jointly sponsor a single group health plan by expanding...

PCOR Fee Filing Reminder for Self Insured Plans

The PCOR filing deadline is July 31, 2018 for all self-funded medical plans and HRAs for plan years ending in 2017. The plan years and associated amounts are as follows: Plan Year Amount of PCOR Fee Payment and Filing Date February 1, 2016 – January 31, 2017...