Compliance Services

Compliance
Services

Without The Necessary Guidance,
You May Be Left In The Dark.

The LaRocca and Associates compliance team meets with clients on a quarterly basis to review regulatory responsibilities and determine management moving forward. A pro-active approach which minimizes liability and ensures our clients are aware of and in front of benefits compliance. All included as part of our standard support package. LaRocca also provides monthly compliance and HR updates, so clients have the latest information at their fingertips. Attorney reviewed, succinct and in plain terms. The Affordable Care Act is complex managing the responsibilities it places on employers doesn’t have to be.

IS YOUR COMPANY IN COMPLIANCE?

Healthcare Reform has brought substantial changes to the compliance reporting landscape. Employers now have many more legal obligations than they used to. Allow LaRocca and Associates and our compliance team to work with your staff to eliminate the tedious task of compliance and more importantly, help you to avoid penalties.

WHAT AM I, THE EMPLOYER, RESPONSIBLE FOR?

Form 5500 Annual Return – Employers with more than 100 participants are required to file a Form 5500 Annual return with the Federal Government. The Form 5500 reports information about the plan, its finances, and its operation. The form is filed and processed under EFAST2.

Summary Plan Description (SPD) – ERISA requires employers to disclose to employees details of the rights and privileges extended to them within a health and welfare benefit plan. These disclosures contain model notices, plan contracts, plan fiduciary and sponsor information, Cobra, FMLA and MLR strategy. The Employee Benefits Security Administration requires the document to be delivered within a specific timeline and acceptable method.

Patient Centered Outcomes Research Institute (PCORI) – Fee for self-funded benefit plans and/or HRA’s between 2012 and 2019. Reported on IRS form 720.

6055 Reporting – Requirement that Health insurance issuers (self-funded benefit plans) report aspects of that plan to the government for the individual mandate (1094B Employer, 1095B Employee).

6056 Reporting – Requirement for Employers with 50 or more employees to report details of employee offers of coverage and cost to the Government to satisfy the employer mandate (1094C and 1095C).

Section 105(h) – Non-Discrimination Testing – Self-funded plans, HRA, FSA benefits must pass key concentration, eligibility & benefits, etc. tests on an annual basis to ensure their structure does not unfairly favor highly compensated individuals, key employees or owners.

Section 125 – Employers who sponsor benefits on a pre-tax basis are required to maintain a written policy provided to employees.

Family Medical Leave Act (FMLA) – Employers with 50 or more employees must establish a policy for handling qualified leaves of absence. Notifications, timetables for delivery, medical certification and hour tracking are all required.

EEO-1 Reporting – The EEO-1 Report is a federally mandated survey that collects workforce data from employers required under Title VII of the Civil Rights Act. The EEOC uses this information to enforce Federal prohibitions against employment discrimination and discriminatory pay practices. Private employers with 100 or more employees and federal contractors with 50 or more employees are subject to this requirement.

Health Insurance Portability & Accountability Act (HIPAA) – Any employer who sponsors a self-funded insurance plan including (HRA, FSA) and uses a third party to administer these programs must have HIPAA documents and policies in place.
Medicare Part D Creditable Coverage Notices – Disclosure notices must be provided to all Medicare Part D eligible individuals who are covered under or apply for, the plans prescription drug coverage, regardless of whether the prescription drug coverage is primary or secondary to Medicare Part D. Plan sponsors must also provide details of their Creditable Coverage Disclosure notice to CMS through the CMS website on an annual basis or upon any change that affects whether coverage is creditable.
Summary of material modification (SMM) – Amendment to ERISA SPD that becomes required if plan changes are made midyear, i.e. Addition of new plan, change in offerings, contributions or plan design, etc.
State Specific Law/Regulation – Insurance regulations are governed on both a Federal & State Level, L&A updates and confirms our shared clients are in compliance with any State mandates where they have operations.
Americans with Disabilities Act (ADA) – employers with 15 or more employees must make reasonable accommodations for employees with disabilities. LaRocca and Associates can assist with making these determinations and providing guidance on an employer’s obligations underneath ADA.

Whether It Is Just To Inquire About Our Agency Or Looking For Guidance...

SOLUTIONS

Changing the way insurance is perceived by employers

Without The Necessary Guidance, You May Be Left In The Dark.

Healthcare Reform has brought substantial changes to the compliance landscape.

Let Our Systems Work So You Don’t Have To.

Our virtual employee benefits portals provide access to customized companies and benefits information for employees in one secure place.

Benefits Consulting

LaRocca & Associates believes in an “outside the box” approach to offer rich programs tailored to each of our clients’ unique needs.

Helping Cut Costs Through Strategy

Our advanced marketing analysis allows us to anticipate the shifting landscape and evolve before your competition can respond.

Balancing Growth At An Exponential Pace.

Benefits and Human Resources inevitably intersect. With many companies growing at an exponential pace, it can be difficult to keep up.

Human Capital Management

Integrating with Best-In-Class payroll vendors to give you a streamlined process.

Streamlining The Open Enrollment Experience

Regardless of whether you are a one location company or a giant conglomerate with operations in all fifty states.

LaRocca Health+

Building a stronger, healthy team means a healthier bottom line.

Philanthropy

Our community, where we live and work, is an extension of our family.