An HMO is a Health Maintenance Organization that covers services solely by providers within their specific network. A Primary Care Physician (PCP) is required, the PCP is responsible for [...]
The Affordable Care Act prohibits group health plans from including a benefit waiting period that exceeds 90 calendar days for full-time employees.
The Affordable Care Act Employer Mandate requires employers with 50 or more full time employee equivalent (FTE) employees to provide group health coverage to full-time employees or pay a [...]
For an employee to make changes to their elections outside of the open enrollment period, an employee must experience a qualified life event. Qualified life events include: Change in [...]
FMLA stands for the Family Medical Leave Act and applies to employers with 50 or more full-time employees or employee equivalents. It provides unpaid, job protected leave for specified [...]
COBRA stands for Consolidated Omnibus Budget Reconciliation Act; it is a federal law that requires employers that offer group health plans to offer the benefit of continuing coverage at [...]
Employers with 50 or more full-time employees (including full-time equivalents) in the preceding calendar year are required to submit 1094-C and 1095-C forms to the IRS. The 1094-C form [...]
Long Term Disability Insurance will pay an employee a portion of their pay if they are unable to work due to an illness or injury for more than several [...]
Short Term Disability Insurance will pay an employee a portion of their pay if they are unable to work for several weeks due to a covered illness or injury. [...]
A Dependent Care FSA is an account that is set-up for individuals to set aside pre-tax money to be used for dependent care expenses. It can pay for the [...]