Paperwork Burden Reduction Act

Leah February 25, 2025

To All PBG Employees:

On December 23, 2024, President Biden signed the Paperwork Burden Reduction Act.  As part of this legislation, employers are no longer required to distribute Form 1095-C to covered individuals unless a request is submitted.  The Form 1095-C, which is mandated by the Affordable Care Act, provides details regarding the health insurance coverage offered to employees.

For the tax year 2024, Partners Benefit Group will provide Form 1095-C upon request.  Please note that Form 1095-C will not be mailed automatically to employees.

To request your 2024 Form 1095-C “Employer-Provided Health Insurance Offer and Coverage,” please reach out to us below.  Requests can also be made in person at Partners Benefit Group, 1476 Carpenter Rd S., Tifton GA 31794. You can also contact me at 229-386-5773.

Form 1095 C Request

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What Is Preventive Care

WebAdmin March 8, 2023

Preventive care includes a variety of healthcare services focused on helping you maintain good health. Regular medical care focuses on treating illness, while preventive care aims to keep you from getting sick in the first place.
Most health plans must cover a set of preventive services at no cost to you. These services include the following:

What Is Preventive Care?

Why am I being charged a fee for preventive care?

Your health plan may charge a fee if you receive services from an out-of-network provider or if the preventive service is not the primary purpose of your office visit.

Practice Preventive Care

When preventive care is combined with leading an overall healthy lifestyle, you can significantly increase your chances of avoiding chronic conditions in the first place. Consider the following tips for practicing preventive care:

Schedule a
general checkup.

Avoid excessive alcohol
and tobacco use.

Exercise
regularly.

Ensure you’re up to
date on vaccinations.

Eat a
balanced diet.

Get screened
as recommended.

With preventive care, you and your family could catch signs of health issues before they become more serious. Don’t wait until it’s too late—contact your doctor today to discuss your preventive care options.

Provided to You by
Partners Benefit Group, LLC

Proposed Rule Would Expand Access to Contraceptive Coverage

WebAdmin March 8, 2023

On Jan. 30, 2023, the Departments of Health and Human Services, Labor and the Treasury (Departments) released a new rule that, if finalized, would expand access to contraceptive coverage.

Non-grandfathered health plans must cover certain contraceptive services without cost sharing. However, current rules include an exemption and optional accommodations process for eligible employers with sincerely held religious or moral objections to contraceptive coverage. When an employer qualifies for the exemption but does not use the optional accommodations process, employees and their dependents do not have access to first-dollar contraceptive coverage through these plans.

Proposed Rule Would Expand Access to Contraceptive Coverage

The proposed rule would rescind the moral exemption to contraceptive coverage but retain the existing religious exemption. The proposed rule would also establish a new way for individuals to access contraceptives at no cost when they are enrolled in plans that qualify for an exemption and do not use the optional accommodations process. The proposed rule would allow individuals to obtain contraceptive services at no cost directly from a willing health care provider.

At this time, the rule is only in the proposed form and has not been finalized. The Departments are accepting comments on the proposed rule until April 3, 2023.

Provided to You by
Partners Benefit Group, LLC

White House Announces End of COVID-19 Emergency

WebAdmin March 1, 2023

On Jan. 30, 2023, the Biden administration announced that it plans to end the COVID-19 public health emergency (PHE) and national emergency on May 11, 2023.
The COVID-19 PHE and national emergency were declared in early 2020 and have been extended numerous times since then. The Biden administration intends to extend the emergency periods until May 11, 2023, and then end both periods on that date. According to the White House, this timeline supports an orderly wind-down of emergency measures and aligns with its commitment to give at least 60 days’ notice before the termination of the PHE.
The end of the COVID-19 emergency periods triggers the end of many emergency measures related to the federal government’s pandemic response, including some requirements for employer-sponsored health plans.

When the PHE ends, health plans will no longer be required to cover COVID-19 diagnostic tests and related services without cost sharing. Non-grandfathered health plans will still be required to cover recommended preventive services, including COVID-19 immunizations, without cost sharing, but this coverage requirement will be limited to in-network providers.
In addition, during the COVID-19 outbreak period (which is tied to the national emergency), certain health plan deadlines are extended, including those to request special enrollment under HIPAA, elect COBRA continuation coverage, and comply with plans’ claims and appeals procedures. The COVID-19 outbreak period is scheduled to end on July lO, 2023 (60 days after the national emergency ends). When it ends, health plans can go back to their regular deadlines.

Provided to You by
Partners Benefit Group, LLC

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1476 Carpenter Rd., Tifton, GA 31793
229.386.5773
888.386.5773 (toll free)

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