Compliance - It's the Law
Employers are fighting a never-ending battle to comply with evolving federal requirements and deadlines. With that comes an increasing threat of audits. It's a lot to manage and penalties for non-compliance are costly. We have companies that can help you stay protected all year with a wide selection of Compliance Services to handle the work and worry for you. These services can even be included in pre-packaged bundles with any other services.
1-19 Employees
Mandatory Requirements /Services:
___ ERISA
___ Annual ERISA & ACA Notices
___ Annual Medicare Part D Notice
___ HIPPA (if FSA, HRA, or self-insured Medical
plan and managed by a third party)
___ ACA Employed Reporting (self-insured)
Additional Services:
___ FSA
___ HRA
___ HSA
___ PayPath
___ Premium Only Plan (POP)
20-49 Employees
Mandatory Requirements /Services:
___ ERISA
___ Annual ERISA & ACA Notices
___ Annual Medicare Part D Notice
___ HIPPA (if FSA, HRA, or self-insured Medical
plan and managed by a third party)
___ ACA Employer Reporting (self-insured)
___ COBRA
Additional Services:
___ FSA
___ HRA
___ HSA
___ PayPath
___ Premium Only Plan (POP)
50-99 Employees
Mandatory Requirements /Services:
___ ERISA
___ Annual ERISA & ACA Notices
___ Annual Medicare Part D Notice
___ HIPPA (if FSA, HRA, or self-insured Medical
plan and managed by a third party)
___ ACA Employer Reporting
___ COBRA
___ FMLA
Additional Services:
___ FSA
___ HRA
___ HSA
___ PayPath
___ Premium Only Plan (POP)
100+ Employees
Mandatory Requirements /Services:
___ ERISA
___ Annual ERISA & ACA Notices
___ Annual Medicare Part D Notice
___ HIPPA (if FSA, HRA, or self-insured Medical
plan and managed by a third party)
___ ACA Employer Reporting
___ COBRA
___ FMLA
___ IRS Form 5500
Additional Services:
___ FSA
___ HRA
___ HSA
___ PayPath
___ Premium Only Plan (POP)
Service Offerings Can Include:
- Online client access to plan activity.
- Dynamic web portals with 24/7 access.
- Online enrollment and plan management.
- No ties to any insurance product.
- Free monthly webinars for compliance and /or training.
- Outstanding customer service (IVR, web, and phone)
ACA Employer Reporting:
- Provides tools to determine if you are an ALE, meets the minimum essential requirement, and what transitional relief is available.
- Tracks variable hour employees; if they become full-time during any month of the year they must be offered health coverage.
- Compiles employee and health coverage information for reporting to the IRS and your employees.
- Completes required IRS Forms and assists with filing and distribution.
- Includes an Audit Guarantee.
ERISA Compliance
- Document Preparation:
- Plan Document and Summary Plan Description (SPD)
- IRS Form 5500 and associated schedule(s); secure software for uploading to DOL
- Summary Annual Report (SAR)
- Summary of Material Modification (SMM)
- Prepares required ERISA Notices for eligible employees
- ERISA and ACA Notices (optional - additional fee)
- Medicare Part D Notices (optional - additional fee)
- Assistance during a DOL audit
- Provides amendments due to regulatory updates
- Maintains required records for the mandated amount of time
COBRA Compliance
- Assumes full responsibility for all required administrative procedures and regulations
- Easy to understand account reports to monitor your COBRA activities
- Easy enrollment with a simple set-up kit helps you establish your Plan
- Employee ACH for online premium payments and immediate on-screen confirmation
ERISA and ACA Notices
- If your Plan is Grandfathered, the following Health Plan Notices are required:
- Grandfathered Model Notice
- WHCRA Notice (Women's Health and Cancer Right Act)
- CHIPRA Notice (Children's Health Insurance Program Reauthorization Act)
- HIPPA Special Enrollment Right Notice
- If your Plan is Non- Grandfathered, the following Health Plan Notices are required:
- Patients Protection Notice - Choice of Providers
- WHCRA Notice (Women's Health and Cancer Right Act)
- CHIPRA Notice (Children's Health Insurance Program Reauthorization Act)
- HIPPA Special Enrollment Right Notice
Medicare Part D Notice
- Assists in compliance with Medicare Part D requirements
- Removes burden of researching and creating documentation
- Helps employers avoid fines and penalties
- Provides easy to understand materials and directions
FMLA Compliance
- Consultation to review leave policies and tracking pf employee leave
- Full review of FMLA eligibility and entitlement
- Fair and impartial application of FMLA regulations and policies
- Documentation of all communications and activity reports online 24/7
- Multiple methods to report an FMLA event
- Immediate notification of denial or acceptance
- Staff training on regulations and dedicated account management team
Form 5500 Preparation
- Employers with 100 or more employees that participate in health and welfare benefits must compete an IRS Form 5500
- User-friendly electronic tools to satisfy filling
- Assistance with obtaining necessary insurance carriers and/or service provider information
- Complete form preparation, schedules, filling instructions and deadlines for submission
- Full compliance with evolving regulations
HIPPA Compliance
- Delivers compliance with HIPPA requirements and regulations for self-funded plans
- Alleviate the burden of researching compliance needs, creating documentation, and more.
- Provides easy-to-understand materials and direction for maintaining compliance with HIPAA Privacy and Security rules
Premium Only Plan (POP)
- Plan enrollment and implementation with a simple set-up kit (online or paper) including administration manual and quick reference guide
- Plan design consultation and review, including Section 125 Plan Document, SPD, annual Non-Discrimination assessment
- Client communications including TASC blogs and newsletter
- Includes and Audit Guarantee
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