Park City, UT (PRWEB) January 27, 2013
Today, Zane Benefits, Inc. published new information on compliant HRA software. Zane Benefits, which provides comprehensive and flexible alternatives to traditional employer sponsored health benefits, is the leader in defined contribution and health reimbursement accounts.
According to Zane Benefits’ website, many CPAs and employers consider administering an HRA without proper HRA administration software. CPAs and employers often overlook important compliance obligations that put them at financial risk. Read on for an overview of why you need compliant HRA software. Failure to comply with the following requirements can be costly.
According to Zane Benefits’ website, The following ACA (federal health reform) pieces apply to HRAs in certain cases:
- Dependent Coverage for Adult Children up to Age 26
- Coverage of Preventative Care Without Cost-Sharing
- Annual and Lifetime Limit Rules
- Over-the-Counter Medicines and Drugs Require Prescription
- Form 720: Fees to Fund Research on Patient-Centered Outcomes
- Summary of Benefits and Coverage (SBC)
- 60-day Material Modifications
- Form W-2 Reporting of Employer-Sponsored Health Coverage
- Internal and External Claims and Appeals Processes for Health Claims
According to Zane Benefits’ website, an HRA is a self-funded health plan and governed by the HIPAA Privacy Rules. Employers that offer a fully-insured health plan and sponsor an HRA often overlook their HIPAA Privacy obligations. In order to administer an HRA, the entity processing the claims receives protected health information (PHI) which is protected by HIPAA. Employers that offer a fully-insured health plan will rely on the insurance carrier to comply with the HIPAA Privacy Rules. However, the HRA compliance obligations rest with the employer. Employers that do not comply can be subject to civil penalties of up to $100 per violation.
According to Zane Benefits’ website, an HRA is an employee welfare plan under ERISA. ERISA requires that every [welfare] plan be established and maintained pursuant to a written instrument. The written instrument or plan document serves to define what expenses are eligible for reimbursement, the amount of employer contribution, and whether the funds may be rolled over from year to year. Not only could an enforcement action be brought against an employer for failure to have a plan document, but it is difficult for the employer to prove plan terms and enforce its provisions.
About Zane Benefits
Zane Benefits was founded in 2006 to provide a revolutionized SaaS (Software-as-a-Service) administration platform ("ZaneHRA") for Health Reimbursement Arrangement (HRAs) and defined contribution healthcare. The flagship software provides a 100% paperless administration experience to employers and insurance professionals that want to offer better health benefits without a traditional group health insurance plan at lower costs. For more information about ZaneHRA, visit http://www.zanebenefits.com.