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Category: Compliance
ACA “Pay or Play” Penalties Increase for 2027
On May 4, 2026, the IRS announced updated penalty amounts for 2027 under the Affordable Care Act’s (ACA) employer shared responsibility, or “pay-or-play,” rules. For the 2027 calendar year, the $2,000 penalty has been adjusted to $3,780, and the $3,000 penalty has increased to $5,670. This marks a rise from 2026 levels of $3,340 and … Continued
HSA and HDHP Limits for 2027
On May 29, 2026, the IRS issued Revenue Procedure 2026-24, which sets the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2027. The updated limits address: Each of these limits differs depending on whether the coverage is for an individual or a family under an HDHP.
Benefits Buzz: CMS Excludes HRAs and Health FSAs from Medicare Part D Notices | Virginia Employee Benefits Agents
The Centers for Medicare and Medicaid Services (CMS) has released a final rule that exempts account-based plans, such as health reimbursement arrangements (HRAs) and health flexible spending accounts (FSAs), from Medicare Part D disclosure requirements. The change applies to coverage beginning Jan. 1, 2027. As background, employers with group health plans that provide prescription drug … Continued
Midyear Compliance: Key Disclosure Deadlines for Group Health Plans | Virginia Employee Benefits Agents
As the calendar year progresses, employers that sponsor group health plans should take steps to stay ahead of key midyear compliance obligations. Federal reporting and disclosure requirements under laws such as the Employee Retirement Income Security Act (ERISA), the Consolidated Omnibus Budget Reconciliation Act (COBRA) and the No Surprises Act must be addressed during the … Continued
Filing Form 5500 | Virginia Benefits Team
If your company provides an employee benefit plan governed by the Employee Retirement Income Security Act (ERISA), you are likely obligated to file Form 5500. This annual report discloses key details about your organization’s benefit offerings, such as welfare benefit plans (including medical, dental, life, and disability coverage), retirement plans, fully insured plans, and self-funded … Continued
ACA Update: IRS Announces 2027 Cost-Sharing Limits | Virginia Benefits Consultants
On January 29, 2026, the U.S. Department of Health and Human Services (HHS) officially released the maximum cost-sharing limits for the 2027 plan year. These figures represent a significant 13.2% increase over the 2026 limits, marking a substantial shift in potential out-of-pocket expenses for plan participants. 2027 Maximum Out-of-Pocket Limits For 2027, the maximum annual … Continued
IRS Increases PCORI Fee Rate | Virginia Benefits Group
The Internal Revenue Service (IRS) has issued Notice 2025-61, announcing a significant increase to the Patient-Centered Outcomes Research Institute (PCORI) fee amount. Employers with self-insured health plans and health insurance issuers must take note of the new rate and upcoming compliance deadlines. What is the New PCORI Fee Amount? The PCORI fee is increasing to … Continued
Compliance Alert: HIPAA Privacy Notice Update Due Feb. 16, 2026 | VA Employee Benefits Advisors
The U.S. Department of Health and Human Services (HHS) has issued a final rule that requires covered entities—including many health plans—to update their Notice of Privacy Practices (Privacy Notice). This change enhances privacy protections for highly sensitive Substance Use Disorder (SUD) treatment records. Why the Update is Necessary The HIPAA Privacy Rule already mandates that … Continued
Meeting the ERISA Deadline: Handling MLR Rebates | VA Benefits Agency
Employers with insured health plans may have received a Medical Loss Ratio (MLR) rebate from their health insurance carrier this year. Rebates were required for plans not meeting the 2024 MLR standards and had to be issued by September 30, 2025, either as premium credits or lump-sum payments. If any part of the rebate qualifies … Continued