Important compliance updates in 2025 are coming. Are you ready for the upcoming changes?
Medicare Part D Changes
In 2025, there is a new enhanced Part D benefit design that may impact the creditable status of the prescription drug coverage provided under employer sponsored group health plans. Are you prepared to determine your plan’s status as creditable or non-creditable for the upcoming plan year?
Nondiscrimination Testing for Cafeteria Plans and Self-Insured Plans
Avoid potential employee relations and imputed income issues by conducting testing and making any adjustments prior to year-end for §125 cafeteria plans, health and dependent care FSAs, HRAs, and other self-insured plans. Corrections cannot be made after year-end!
HIPAA Privacy Manuals Must be Updated for 2025
As of January 1, 2025, all plans subject to HIPAA Privacy, including self-funded medical plans, health FSAs, and Health Reimbursement Arrangements (HRAs), must include provisions securing rights to privacy regarding reproductive healthcare information. If you have not yet updated your HIPAA Privacy Manual to comply with these new rules, we are here to assist you. For support in ensuring your manual meets the latest requirements, contact OneGroup.
ACA Reporting – the Most Heavily Enforced Provision of the ACA
If you employed an average of 50 or more full-time equivalent employees in the prior calendar year, you’re an applicable large employer (ALE) and are subject to ACA reporting (forms 1094-C and 1095-C). These forms must be filed electronically! Be prepared to e-file for 2024 in the first quarter of 2025.
Form 5500 Applies to Large Health & Welfare Plans
Most small health and welfare plans are exempt from filing a form 5500; however, once a plan has 100 or more employees participating on the first day of the plan year, the plan must file a form 5500 by the last day of the seventh month following the end of the plan year. This applies to all ERISA plans.
Contact Us
At OneGroup, we prioritize keeping you informed of legislation and compliance updates through our comprehensive service model. We work as an extension of your HR team throughout the year, allowing you to focus on your core responsibilities. Reach out to our Employee Benefits team and we’ll be happy to help.
This content is for informational purposes only and not for the purpose of providing professional, financial, medical or legal advice. You should contact your licensed professional to obtain advice with respect to any particular issue or problem. Please refer to your policy contract for any specific information or questions on applicability of coverage.
Please note coverage can not be bound or a claim reported without written acknowledgment from a OneGroup Representative.