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News & Thought Leadership

2019 First Quarter Compliance Digest

Our 2019 First Quarter Compliance Digest presents you with the latest summary of our compliance bulletins from January to March. This compliance digest includes details on Federal Government Eyes Paid Leave and updates in the Employer Mandate in addition to healthcare legislation and policy changes.

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HIPAA FAQs for Health Apps

The Office of Civil Rights (“OCR”), the entity responsible for enforcing the Health Insurance Portability and Accountability Act (“HIPAA”), recently issued FAQs concerning HIPAA’s applicability to apps. The FAQs clarify that once protected health information (“PHI”) has been received by an app that is neither a covered entity nor a business associate, the information is no longer subject to the protections of the HIPAA rules.

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Massachusetts Publishes Family & Medical Leave Rules

The Massachusetts Department of Family and Medical Leave (“DFML”) has recently published regulations for public comment and a guide for employers. Legislation has been enacted to create a statewide Paid Family and Medical Leave (“PFML”) program providing benefits beginning in January 1, 2021 and July 1, 2021.

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2019 PCOR Fee Filing Reminder for Self-Insured Plans

The PCOR fee filing deadline is July 31, 2019 for all self-funded medical plans and HRAs for plan years ending in 2018.

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Self-Funded Health Plans and Cross-Plan Offsetting

A recent court decision highlights an administrative process known as cross-plan offsetting. Based on the court’s ruling, employers should review and understand whether their TPA engages in cross-plan offsetting and whether there is language in the plan documents to support this practice.

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