Post-Age 26 Coverage for Disabled Children

Question:  When may an employee continue to cover a disabled child under the health plan after the child reaches age 26?  Compliance Team Response: Most employer-sponsored group health plans permit employees to cover disabled children beyond age 26 under certain conditions. Eligible Post-Age 26 Disabled Children: Fully Insured Plan If the plan is fully insured, […]

Independent Contractors and Employee Benefits

Question:  What are the issues with employers offering group health and welfare plan benefits to independent contractors? Compliance Team Response: Offering group health and welfare plan coverage to independent contractors in most cases will not be a realistic option because it would create a MEWA. Offering Coverage to Independent Contractors Creates a MEWA A multiple […]

FAST Blog List by Category – Q1 2019

Welcome to Compliance Friday Answers to the Service Team (FAST)!  Each Friday we publish our response to a question that the ABD Compliance Team received from a client or member of the EB Service Team.  These represent the most frequently asked (or interesting) questions we see. We post all of our FAST responses on the […]

Reflecting on the Abundance 360 Conference

Last month, I was invited to attend Peter Diamandis’ Abundance 360 Conference. Created in cooperation with Singularity University, A360 is Diamandis’ unique summit for a curated group of CEOs, entrepreneurs, executives, and investors to discuss some of the most exciting developments happening in disruptive technology and innovation. Topics ranged from machine learning to synthetic biology […]

Which Plan Options Must be Offered Under COBRA

Question:  Which plan options must the employer offer to COBRA qualified beneficiaries? Compliance Team Response: Threshold Issue: Only Covered Individuals Experience COBRA Qualifying Event An individual must be covered under the group health plan—and experience a qualifying event while covered by the plan—to be eligible for COBRA coverage as a qualified beneficiary. Individuals who are […]

When is a HIPAA BAA Required?

Question:  When does an employer need to enter into a HIPAA business associate agreement (BAA) with an outside service provider for the plan? Compliance Team Response: HIPAA Business Associate Defined A HIPAA business associate is a third-party that creates, receives, maintains, or transmits PHI for any of the following services: Claims processing or administration Data […]

Reflecting on ABD’s Conscious and Unconscious Bias Roundtable

Earlier this month, ABD hosted a roundtable and panel discussion called “Conscious & Unconscious Bias in Our Lives and in the Workplace,” at San Francisco’s Olympic Club. The event featured leaders from academia, technology companies, nonprofits, and consulting agencies who have been champions of diversity and inclusion in their organizations and in their industries at […]

Change in Employment Status During the Initial Measurement Period

Question:  How does an employee’s change to a full-time position during the initial measurement period affect eligibility for medical coverage? Compliance Team Response: Reminder: Very Different Approach Depending on Measurement Method There are two different approaches for an applicable large employer (ALE) subject to the ACA employer mandate pay or play rules to determine employees’ […]

ACA Age 26 Mandate

Question:  Can a child’s tax-dependent, employment, marital, student, or any other status other than age affect medical plan eligibility? Compliance Team Response: The ACA has made any status of that type irrelevant for purposes of a child’s eligibility for the employer’s medical plan. ACA Age 26 Mandate: General Rule The ACA requires that a health […]