Employee Benefit Guidance & Compliance Solutions

Human Resources

Medicare Eligibility: Who pays first?

Posted by on December 2, 2020 in Human Resources, Notices

Message to Employers with employees for whom Medicare is the primary payer PF Compass wants you to know some important rules for your Medicare-eligible employees. Eligible members are encouraged to enroll in Medicare in order to maximize their health plan benefits and minimize expenses. If your employer has an employee headcount of twenty or more employees, a commercial health plan is the primary payer. If your employer has an employee headcount of under twenty employees, Medicare is the primary payer. It’s important for eligible members to enroll in Medicare Once a member is eligible for Medicare as their primary payor, and if they are not enrolled in Medicare, health plans will coordinate benefits with their group coverage and pay benefits as though they were enrolled in Medicare Part B. This means that benefits will be paid by subtracting the amount that Medicare would have paid (usually 80 percent of...

read more

COVID-19 and COBRA: What does it mean?

Posted by on November 19, 2020 in COBRA, Human Resources

Confused? Many employers are becoming confused amidst the COVID-19 extensions and COBRA deadlines. We are seeing a changing workforce, along with a spike in retirement, layoffs, and furloughs. These events are causing employers to be met with COBRA rules more than ever. If you are confused, don’t worry! We outlined the rules in the following posting and we are always just a click away. COVID-19 and COBRA: The Rules The Federal government has extended certain COBRA deadlines for both group health plans and their plan members due to the current pandemic. These extensions were in response to the national emergency with respect to the coronavirus (COVID19) outbreak (“National Emergency”). The government has provided that the period starting March 1, 2020, and ending 60 days after the announced end of the National Emergency is the “Outbreak Period”. The government has not yet identified the end date of the National Emergency,...

read more

Guidance on the COVID-19 Vaccination

Posted by on November 13, 2020 in Human Resources, Notices

Important notice concerning guidance on the COVID-19 vaccination has been released by the Departments of Labor (DOL).  This is extremely important to your business, as new advances are being made on the vaccination daily. PF Compass will continue to update on any new information found to keep you and your business updated and informed! The Scoop   On Nov. 6, 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (Departments) published an interim final rule requiring Medicare, Medicaid, and private insurers to cover a COVID-19 vaccine without any cost-sharing, once the Food and Drug Administration (FDA) authorizes and approves a vaccine. COVID-19 Vaccine Coverage for Private Health Plans.  The interim final rule implements the requirement in the Coronavirus Aid, Relief and Economic Security (CARES) Act that non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage provide coverage,...

read more

Save Time on Enrollment

Posted by on November 11, 2020 in Human Resources

The future of enrollment is here. No longer are the days of chasing down your co-workers for paper forms and trying to read illegible handwriting. With Ease, you can save time on enrollment and much more!

read more

Caution of Offering Health Coverage to Non-Employees

Posted by on November 4, 2020 in Human Resources

Is offering health coverage to Non-Employees risky? A frequent Compliance Corner question asks whether employers can include independent contractors in their health plans or other benefits.   When dealing with contractors or temporary employees, many think they are not eligible for their health plans or other benefits such as COBRA or FFCRA. The answer to this question is more complicated than one might think. So, is offering health coverage to non-employees risky? The Scoop Most benefit experts advise against including independent contractors or other non-employees such as 1099 employees, non-employee directors, or leased employees on employer’s benefit plans. Here are three (3) reasons why this may be inadvisable: Treating an independent contractor as an employee may undermine an employer’s assertion that the individual is not an employee. The DOL and the IRS, as well as their state counterparts, have aggressive programs to uncover worker misclassification. By offering a non-employee employee...

read more

How to Change Benefits Brokers

Posted by on October 23, 2020 in Human Resources

Many businesses receive poor consulting or service from their brokers. But why don’t they make a change and shift to a new brokerage? Well, it’s mostly because they believe that changing brokerages is a difficult and lengthy process. A process that is full of paperwork, tons of communication, and significant changes to their original plans. But we are here to tell you that it isn’t! In fact, PF Compass makes switching brokers very easy! Let’s explain why you shouldn’t dread changing brokers. You Don’t Have to Switch Insurance Carriers or Benefits Packages There is a large misconception that when you switch brokerages, you have to switch insurance carriers as well as change benefits packages. To many businesses, this would be a headache and a large inconvenience. But, that’s not the case. You can keep the same insurance carriers as well as benefits packages. All you have to do is...

read more

Pin It on Pinterest