Benefits Compliance Consulting

Trust our compliance experts’ attention to detail, providing peace of mind that health insurance requirements are being met.

Our benefits compliance advisors operate as an extension of your HR and leadership teams.

Keeping up—and staying compliant—with changing health insurance requirements could be a full-time job, and for Corporate Synergies’ in-house compliance team, it is. Careful research of new and changing rules supports our compliance advisors’ personalized recommendations. Our comprehensive review uncovers risk, provides a remediation plan and keeps your organization protected.

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Working with your benefits partners will be essential to navigating these CAA benefits changes| Corporate Synergies

Health & Welfare Plan Compliance Assessments

checks employee benefits plans, procedures and filings for errors.

ERISA Plan Document/SPD Amendment

preparation and participant-friendly Summary Plan Descriptions.

Filing & Reporting Assistance

for IRS Form 5500, DFVCP and more.

HIPAA Training

for privacy officers and PHI handlers.

Accredited Educational Events

share actionable information on regulatory developments.

Latest Compliance Resources Entries

ALERT
11.12.2024

Massachusetts Health Insurance Reporting Form Must be Filed by December 15

News & Policy
10.29.2024
CMS Releases Cost Sharing Limits For 2026 Plan Years

On October 8, 2024, the Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) released the updated cost sharing limitations under the Affordable Care Act (ACA) for plan years beginning in 2026. As background, the ACA requires cost sharing limits on essential health benefits, commonly referred to as the “ACA out-of-pocket maximum,” and CMS adjusts these amounts every year. The updated ACA out-of-pocket maximum for cost sharing for 2026 has been increased to $10,150 for individual coverage, and $20,300 for other-than-individual coverage, up from 2025’s $9,200 and $18,400 respectively. Employers and plan sponsors should work with their advisors to ensure compliance with these new limits on an annual basis.

It’s like retaining a full-time compliance department for regulatory guidance.

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