Plan Compliance

By offering a group health plan, an employer is automatically forced to comply with legislation and regulatory bodies such as the Affordable Care Act (ACA), the Department of Labor (DOL), the Internal Revenue Service (IRS) and the Department of Insurance, to name a few. Staying on top of all these rules and regulations can be daunting for even the most seasoned HR professional. Arizona Benefit Consultants works hard to ensure employers have an understanding of their ongoing obligations and fiduciary responsibilities as it pertains to plan compliance and work with clients to deliver the services that make the management of such less burdensome.

Health Care Reform – Affordable Care Act (ACA)
Health care reform is a primary concern for employers. Arizona Benefit Consultants helps you to stay on top of health care reform changes going into effect, guidance being released and other developments with our vast array of health care reform resources. The ACA’s changes affect group health plans, health insurance issuers and employers sponsoring group health plans.

Family Medical Leave Act (FMLA)
Complying with the Family and Medical Leave Act (FMLA) is an important responsibility for HR and benefit managers. We provide clients with the knowledge and forms they need to administer FMLA within the law.

COBRA administration is another vital HR responsibility, but can be complex. We offer clients the support they need, including employer and employee education and model forms and notices.

HIPAA/HIPAA Privacy and Security
The importance of complying with HIPAA and HIPAA Privacy and Security regulations cannot be overstated, but sometimes the implications of those laws on a business can be unclear. We help our clients understand these laws and stay current with updates, and make administration easier with notices and forms.

Medicare Part D
Medicare Part D governs group health plan sponsors that provide prescription drug coverage, except entities that contract with or become a Part D plan. We assist our clients in staying in compliance with Medicare Part D legal requirements.

Anti-discrimination law is another vital but sometimes murky compliance topic for employers. In addition, discrimination complaints are common subjects of lawsuits by current or former employees, further raising the stakes on proper compliance. We assist clients in ensuring their company and policies are ADA compliant.

Section 125
Section 125 plans are a common and attractive way to administer benefits, allowing employees to contribute premium or other plan contributions pre-tax. However, these plans must comply with specific IRS regulations. We have the understanding and experience to ensure our clients’ Section 125 plans are compliant.

Other Compliance Topics
In addition to the common topics discussed above, employers and HR managers are also responsible for complying with a host of other employment- and benefits-related laws. Arizona Benefit Consultants is prepared to assist our clients in all of the following:

  • GINA