© 2021 Zywave, Inc. All rights reserved Agencies Issue No Surprises Act and Transparency Rule FAQs On Aug. 20, 2021, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) issued frequently asked quesons (FAQs) regarding the implementaon of the No Surprises Act and transparency provisions of the Consolidated Appropriaons Act, 2021 (CAA). The FAQs provide that Departments will defer enforcement of the rules regarding: Publishing transparency in coverage machine-readable files related to prescripon drug pricing (pending further rulemaking); Publishing other types of machine- readable files (unl July 1, 2022); Providing a price comparison tool (unl Jan. 1, 2023); Providing a good faith esmate of expected charges and Advanced Explanaon of Benefits to certain individuals (pending further rulemaking); and Reporng of pharmacy benefit and drug costs (pending further rulemaking). The Departments plan to issue regulaons on several other issues, including the interacon of the CAA and the transparency in coverage final rules, as well as the provider directory and connuity of care requirements. Regulaons may not be issued unl aſter Jan. 1, 2022. Unl then, plans and issuers should use good faith, reasonable interpretaons of the statute. They do not expect to issue regulaons on provisions prohibing gag clauses or balance billing disclosure requirements. Plans and issuers are expected to use good faith, reasonable interpretaons of the statutory requirements. Proposed Rule Would Expand Electronic Filing On July 23, 2021, the IRS published a proposed rule that would expand the requirement to file certain informaon returns electronically, including those under the Affordable Care Act’s (ACA) reporng requirements in Internal Revenue Code Secon 6055 and Secon 6056. For Form 1094 series, Forms 1095-B and 1095-C, Form 1099 series and Form 5498 series, electronic filing would be required for enes that file 100 or more returns for due dates in 2022, and 10 or more returns aſter that. The proposal would also require aggregaon of most informaon returns when calculang these thresholds. Enes that file at least 10 returns of any type would be required to electronically file Form 5330 for tax years ending on or aſter the date final rules are published, and Form 8955-SSA for plan years beginning on or aſter Jan. 1, 2022. For enes required to file Form 5500, the proposed rule would require enes that file at least 10 returns of any type to file Form 5500 electronically for plan years beginning aſter Dec. 31, 2021. This proposal would effecvely eliminate paper filings for most employers. However, the proposed rule has not been finalized and is not effecve at this me. Provided to You by Pierce Group Benefits SEPTEMBER 2021
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
© 2021 Zywave, Inc. All rights reserved
Agencies Issue No Surprises Act and Transparency Rule FAQsOn Aug. 20, 2021, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) issued frequently asked questions (FAQs) regarding the implementation of the No Surprises Act and transparency provisions of the Consolidated Appropriations Act, 2021 (CAA).
The FAQs provide that Departments will defer enforcement of the rules regarding:
Publishing transparency in coverage machine-readable files related to prescription drug pricing (pending further rulemaking);
Publishing other types of machine-readable files (until July 1, 2022);
Providing a price comparison tool (until Jan. 1, 2023);
Providing a good faith estimate of expected charges and Advanced
Explanation of Benefits to certain individuals (pending further rulemaking); and
Reporting of pharmacy benefit and drug costs (pending further rulemaking).
The Departments plan to issue regulations on several other issues, including the interaction of the CAA and the transparency in coverage final rules, as well as the provider directory and continuity of care requirements. Regulations may not be issued until after Jan. 1, 2022. Until then, plans and issuers should use good faith, reasonable interpretations of the statute.
They do not expect to issue regulations on provisions prohibiting gag clauses or balance billing disclosure requirements. Plans and issuers are expected to use good faith, reasonable interpretations of the statutory requirements.
Proposed Rule Would Expand Electronic FilingOn July 23, 2021, the IRS published a proposed rule that would expand the requirement to file certain information returns electronically, including those under the Affordable Care Act’s (ACA) reporting requirements in Internal Revenue Code Section 6055 and Section 6056.
For Form 1094 series, Forms 1095-B and 1095-C, Form 1099 series and Form 5498 series, electronic filing would be required for entities that file 100 or more returns for due dates in 2022, and 10 or more returns after that. The proposal would also require aggregation of most information returns when calculating these thresholds.
Entities that file at least 10 returns of any type would be required to
electronically file Form 5330 for tax years ending on or after the date final rules are published, and Form 8955-SSA for plan years beginning on or after Jan. 1, 2022.
For entities required to file Form 5500, the proposed rule would require entities that file at least 10 returns of any type to file Form 5500 electronically for plan years beginning after Dec. 31, 2021.
This proposal would effectively eliminate paper filings for most employers. However, the proposed rule has not been finalized and is not effective at this time.
Provided to You byPierce Group Benefits
SEPT
EMBE
R 20
21
Related Documents
