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Compliance | Employee Benefits

A New Approach to Maternity Billing and It’s Impact on Employers

PUBLISHED October 30th, 2026
Bryan Gross

For decades, maternity care in the United States has been billed under a single bundled fee covering an entire pregnancy, from the first prenatal visit through postpartum checkup. Effective Jan. 1, 2027, the American Medical Association (AMA) is retiring that (…)

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Benefits+
Close-up view of the United States Capitol building, showcasing its iconic dome and intricate architectural details, including columns and decorative elements. The image highlights the grandeur of this historical landmark against a partly cloudy sky.
PUBLISHED December 29th, 2025

DEADLINE FOR SUBMITTING GAG CLAUSE ATTESTATION IS DEC. 31, 2025

Bryan Gross

Federal law prohibits group health plans and health insurance issuers from entering into contracts with health care providers, third-party administrators (TPAs) or other service …

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Benefits+
Low-angle view of classical architectural columns with intricate details and a clear blue sky in the background, showcasing the grandeur of the structure.
PUBLISHED December 26th, 2025

ERISA Fiduciary Breach Claims in J&J Lawsuit Dismissed Again

Bryan Gross

The U.S. District Court for the District of New Jersey has once again dismissed a class-action lawsuit filed against Johnson & Johnson (J&J), which …

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Compliance
Close-up of classical architectural columns showcasing detailed fluting and a smooth base, set against a backdrop of stone steps, emphasizing the grandeur of historical buildings.
PUBLISHED December 22nd, 2025

IRS Releases Guidance on Trump Accounts: Tax-Favored Accounts for Children

Bryan Gross

On July 4, 2025, President Donald Trump signed a major tax and spending bill, commonly referred to as the “One Big Beautiful Bill Act” …

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Benefits+
United States Capitol building exterior with prominent dome, steps, and columns under a blue sky with clouds.
PUBLISHED December 19th, 2025

Calculating FMLA Leave During Holiday Weeks

Bryan Gross

Holiday weeks can pose an extra administrative challenge to employers with employees on leave under the federal Family and Medical Leave Act (FMLA). In …

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Benefits+
Close-up view of the United States Capitol dome, showcasing its architectural details and ornate columns against a partly cloudy sky.
PUBLISHED November 26th, 2025

Deadline for Employers to Use MLR Rebates Is Coming Up

Bryan Gross

Employers with insured health plans may have received a medical loss ratio (MLR) rebate from their health insurance issuers earlier this year. Issuers who …

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Benefits+
United States Capitol building exterior with prominent dome, steps, and columns under a blue sky with clouds.
PUBLISHED November 21st, 2025

END OF ENHANCED ACA SUBSIDIES: POTENTIAL IMPACT ON EMPLOYERS

Bryan Gross

The Affordable Care Act (ACA) created a federally financed subsidy, called the premium tax credit (PTC), to help eligible individuals and families with low …

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Benefits+
Close-up of classical architectural columns showcasing detailed fluting and a smooth base, set against a backdrop of stone steps, emphasizing the grandeur of historical buildings.
PUBLISHED November 14th, 2025

PCORI Fee Amount Adjusted for 2026

Bryan Gross

The Internal Revenue Service (IRS) has issued Notice 2025-61 to increase the Patient-Centered Outcomes Research Institute (PCORI) fee amount for plan years ending on …

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Benefits+
United States Capitol building exterior with prominent dome, steps, and columns under a blue sky with clouds.
PUBLISHED October 31st, 2025

IRS Releases Health FSA Limits for 2026

Bryan Gross

On Oct. 9, 2025, the IRS released Revenue Procedure 2025-32 (Rev. Proc. 25-32), which includes the 2026 inflation-adjusted limit on employee salary reduction contributions …

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Benefits+
Low-angle view of classical architectural columns with intricate detailing against a bright blue sky, showcasing the grandeur of the building and sunlight filtering through the clouds.
PUBLISHED October 29th, 2025

Keeping Up with Compliance Quarterly—Q4 2025

Bryan Gross

Keeping up with compliance developments can be difficult and time-consuming. This quarterly update highlights recent legal developments to help your organization stay on top …

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Benefits+
United States Capitol building exterior with prominent dome, steps, and columns under a blue sky with clouds.
PUBLISHED September 18th, 2025

Gag Clause Prohibition and Attestation Requirement

Bryan Gross

Effective in 2020, the Consolidated Appropriations Act, 2021 (CAA) prohibits health plans and health insurance issuers from entering into contracts with health care providers, …

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Benefits+
Close-up view of the United States Capitol dome, showcasing its architectural details and ornate columns against a partly cloudy sky.
PUBLISHED September 17th, 2025

HHS Releases Hardship Exemption Guidance for Catastrophic Coverage

Bryan Gross

On Sept. 4, 2025, the U.S. Department of Health and Human Services (HHS) issued guidance describing circumstances under which individuals who are enrolling in …

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Compliance
Low-angle view of classical architectural columns with intricate detailing against a bright blue sky, showcasing the grandeur of the building and sunlight filtering through the clouds.
PUBLISHED August 21st, 2025

Keeping Up with Compliance Quarterly—Q3 2025

Bryan Gross

Keeping up with compliance developments can be difficult and time-consuming. This quarterly update highlights recent legal developments to help your organization stay on top …

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