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Higginbotham Sample Compliance Checklist and Timeline

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Employee Benefits Compliance Checklist for Large Employers Federal law imposes numerous requirements on the group health coverage that employers provide to their employees. Many federal compliance laws apply to all group health plans, regardless of the size of the sponsoring employer. However, there are some additional requirements for large employers.

The ACA’s market reforms

HIPAA portability, privacy and security rules

Medicare Part D creditable coverage disclosures

Mental health parity

Minimum hospital stays for newborns and mothers

Transparency in coverage requirements

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Unlike smaller employers, large employers must comply with the Affordable Care Act’s (ACA) employer shared responsibility rules, the ACA’s Form W-2 reporting rules and the Family and Medical Leave Act’s (FMLA) requirements.

All Employers

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Federal laws regarding group health plans do not have a consistent definition of “large employer.” However, for purposes of this article, a large employer is generally one with 50 or more employees (unless indicated otherwise). This Compliance Overview provides a checklist for employee benefit laws applicable to large employers.

LINKS AND RESOURCES

 The Department of Labor’s (DOL) Health Plans and Benefits webpage  The Centers for Medicare & Medicaid Services’ (CMS) Transparency in Coverage webpage  The DOL’s Reporting and Disclosure Guide for Employee Benefit Plans  Family and Medical Leave Act Employer Guide, a DOL resource

Provided to you by Higginbotham

Large Employers 

The ACA’s employer shared responsibility rules for ALEs

Section 6056 reporting for ALEs

FMLA

Form W-2 reporting (cost of coverage)


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