Important News Updates for June 2015

There’s many important news updates for June 2015 that I think are worth a quick read. You’ll find that in 2016 HSA contribution limits and minimum deductibles have changed, OSHA updates and links to the updated FMLA model forms.

There’s also information about the new IRS 1094-c and 1095-c filing requirements (50+ employees, reporting 2015 data), compliance with “pay or play” and customizable ACA To-Do lists for fully insured plans as well as for self-insured plans.

2016 HSA Contribution Limits and Minimum Deductibles

The IRS has released the 2016 inflation adjusted amounts for health savings accounts (HSAs). To be eligible to make HSA contributions, an individual must be covered under a high deductible health plan (HDHP) and meet certain other eligibility requirements.

High Deductible Health Plan Coverage An HDHP has a higher annual deductible than typical health plans and a maximum limit on the sum of the annual deductible and other out-of-pocket expenses. For 2016, the minimum annual deductible is $1,300 for self-only coverage or $2,600 for family coverage. Annual out-of-pocket expenses (deductibles, co-payments, and other amounts, but not premiums) may not exceed $6,550 for self-only coverage or $13,100 for family coverage.

Annual HSA Contribution Limitation An eligible employee, his or her employer, or both may contribute to the employee's HSA. For calendar year 2016, the annual limitation on HSA deductions for an individual with self-only HDHP coverage is $3,350. For an individual with family coverage under an HDHP, the annual limitation on HSA deductions is $6,750. The limit is increased by $1,000 for eligible individuals age 55 or older at the end of the tax year.

OSHA Updates 'It's The Law' Poster for Employers to Display in the Workplace

The U.S. Occupational Safety and Health Administration (OSHA) has released a new version of its "Job Safety and Health - It's The Law!" poster. Employers must display the poster in a conspicuous place where workers can see it; however, previous versions of the poster do not need to be replaced. (Employers in states operating OSHA-approved state plans should obtain and post the state's equivalent poster).

The newly designed poster informs employers of their legal obligation to provide a safe workplace. It also informs workers of their right to request an OSHA inspection of their workplaces, receive information and training on job hazards, report a work-related injury or illness, and raise safety and health concerns with their employers or OSHA without being retaliated against.

Additionally, the poster has been updated to include the new reporting obligations for employers, who must now report every fatality and every hospitalization, amputation, and loss of an eye. It also informs employers of their responsibilities to train all workers in a language and vocabulary they can understand, comply with OSHA standards, and post citations at or near the place of an alleged violation.

Updated FMLA Model Forms Now Available for Use by Employers

The U.S. Department of Labor recently released updated model forms for employers to use in connection with leave taken by their employees under the federal Family and Medical Leave Act (FMLA). The updated forms reflect a new expiration date of May 31, 2018. (Previously released versions contained month-to-month expiration dates).

Under the FMLA, eligible employees are entitled to take unpaid, job-protected leave for specified family and medical reasons. The law also includes certain family military leave entitlements. Private employers who employ 50 or more employees for at least 20 workweeks in the current or preceding calendar year must comply with the FMLA. Employees must work at a location where the company employs 50 or more employees within 75 miles and meet certain other requirements with respect to time worked before they are entitled to take FMLA leave.

The following forms have been updated with the new expiration date:

  • WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition

  • WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition

  • WH-381 Notice of Eligibility and Rights & Responsibilities

  • WH-382 Designation Notice

  • WH-384 Certification of Qualifying Exigency For Military Family Leave

  • WH-385 Certification for Serious Injury or Illness of Current Servicemember - for Military Family Leave

  • WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

New IRS Q&As on ACA Information Reporting by Large Employers

A new set of Q&As from the IRS provides additional information for large employers that are required to file Forms 1094-C and 1095-C, as part of the information reporting requirements under the Affordable Care Act (ACA). Information reporting is first required in early 2016 with respect to calendar year 2015.

Background The ACA requires large employers (generally those with 50 or more full-time employees, including full-time equivalent employees) to report information to the IRS and to their employees about their compliance with the employer shared responsibility provisions ("pay or play") and the health care coverage they have offered.

New Q&As In addition to basic information regarding employer reporting, the new IRS Q&As also include specific information on reporting offers of coverage and other enrollment information. Specifically, the Q&As address how large employers should:

  • Report whether an offer of coverage was made to an employee for a calendar month, including months in which employees are hired or terminated;

  • Enter applicable safe harbor codes (if applicable);

  • Report enrollment information for self-insured coverage provided to non-employees; and

  • Complete Forms 1094-C and 1095-C if they are eligible to use the qualifying offer method, qualifying offer method transition relief, or the 98% offer method.

The Q&As also address how to report offers of COBRA continuation coverage. For general details about the large employer reporting requirements, employers may refer to the previously released IRS Q&As.

Be sure to stay ahead of all ACA requirements by downloading our customizable ACA To-Do lists for Fully Insured plans Large and Small and Self-Insured plans Large and Small now!