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Legal

Our objective is clear in that our role is to be experts in directing our clients to the right resources whether it is legal matters of financial in tax code law. We recognize the importance of on-going support in the ever-changing healthcare environment, both legislatively as well as in general trends and are committed to being the best resource to organizations, period. We have access to timely, easy-to-read client alerts on health and welfare matters published by Marathas Barrow Weatherhead Lent LLP, a law firm with a focus on Corporate Labor & Employment Practices and Health Care.

In addition to our legal partners, our Compliance Director provides regulatory compliance assistance to our clients and employees in the following ways:

  • Annual Compliance Audit and assist with the interpretation of government laws and regulations promulgated by federal and state agencies
  • Preparation of SPD “wrap” documents as needed
  • Prepare Annual Form 5500 and Summary Annual Reports
  • Preparing summary plan descriptions (SPDs) and advising on compliant methods of distribution
  • Drafting of plan documents
  • Drafting of business associate agreements
  • Assisting clients in preparing HIPAA policies and procedures
  • Providing legally required notices
  • Reminding clients of deadlines, such as the annual disclosure to CMS regarding creditable coverage
  • Reviewing benefits and leave language in handbooks
  • Advising on establishing measurement, administrative and stability periods
  • Advising clients regarding the data needed to satisfy reporting requirements under the ACA
  • Compliance Calendar – We will create a Compliance Calendar that shows each activity required during the year, when it must be completed and who has the responsibility for completion
  • COBRA/FMLA Administration Sourcing – According to the IRS, 95% of U.S. companies are non-compliant with COBRA regulations. The penalties for non-compliance can be substantial. The average cost to defend a COBRA compliance case is $40,000, not including uninsured medical expenses
  • FMLA has become even more complicated. We can assist clients in finding the right FMLA absence management administrator for their needs
  • Employee Benefit Compliance Questions typically answered within 24 hours or less
  • Monthly Webinar Series for training and advising your HR staff
  • Special Webinars on timely subjects such as Supreme Court decisions, legislative actions and IRS rulings
  • Inform on Reform is a user-friendly, secure website dedicated to healthcare reform and organized in an easy to navigate fashion by topic or timeline, and providing pertinent links for model notices and other essential materials
  • Legal and Compliance Alerts, advisories and notifications sent via email to your HR department explaining changes in the law (i.e. resulting from court decisions, legislative rulings, IRS/DOL/HHS orders, etc.)
  • Annual Compliance Review with our compliance checklist to help identify areas of potential weakness or risk (i.e. HIPAA, ACA, SPD requirements, Electronic Disclosure notices, Document retention policies, wellness program review, non-discrimination rules, FMLA procedures, plan review for compliance with GINA, Mental Health Parity, Women’s Health and Cancer Rights Act, etc.)
  • Annually Updated Compliance Guide outlining general information on topics including but not limited to PPACA, COBRA, HIPAA, ERISA, FMLA, USERRA, GINA, Medicare Part D, MHPA and Newborns’ Act
  • Annually Updated Compliance Calendar outlining deadlines and legal requirements for notices
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