As your trusted insurance broker, we want to ensure that you are fully prepared for the upcoming 2025 employee benefits communication and compliance requirements. Here’s a clear checklist to help you get ready:
Key Compliance Updates:
- ACA Affordability Standard: Ensure at least one health plan meets the new affordability percentage of 9.02% for employee contributions.
- Out-of-Pocket Maximums: Confirm limits are set at $9,200 for individual coverage and $18,400 for family coverage.
- Preventive Care Coverage: Make sure your plan covers the latest preventive services without cost-sharing.
Required Notices:
- Summary of Benefits and Coverage (SBC): Include an updated SBC with your open enrollment materials.
- Medicare Part D Notices: Inform Medicare-eligible participants whether their prescription coverage is creditable.
- COBRA Notices: Provide initial COBRA notices to new participants within 90 days of coverage.
Communication Strategies:
- Update your Summary Plan Description (SPD) or Summary of Material Modifications (SMM) to reflect any changes in benefits.
- Clearly communicate any changes to health FSA and HSA contribution limits as soon as they are available.
🔍 Need Assistance? We’re here to help you navigate these changes and ensure your open enrollment materials are compliant and effective.Contact us today to make sure your 2025 benefits communication is seamless and ready for your employees!
Click on the documents below to view a comprehensive checklist: