Small Business Benefits

Federal Mandates

Consolidated Appropriations Act, 2021, including the No Surprises Act, and The Transparency in Coverage Rule

The Consolidated Appropriations Act, 20211, including the No Surprises Act 2, ushers in new federal mandates, such as those designed to prevent surprise medical bills. And, as provisions in the Transparency in Coverage Rule3 make healthcare price information publicly accessible, consumers will gain even more information to make informed healthcare decisions. 

The changes impact most employer-sponsored, self-funded group health benefit plans. From the beginning, our dedicated team has kept abreast of policy discussions surrounding the need to prevent surprise medical bills and to provide more transparency in healthcare pricing. As requirements from all measures take effect, we will keep brokers updated on important provisions; help plans administered by Star Marketing and Administration, Inc. comply with applicable aspects; and educate members about these sweeping changes.

A timeline for provisions follows for self-funded ERISA plans.

No Surprises Act provisions: effective for plan years beginning on or after 1/1/22

Transparency in Coverage Rule: effective 7/1/22

Provisions with effective date delayed pending federal guidance

Transparency in Coverage Rule and No Surprises Act: effective for plan years beginning on or after 1/1/23 and 1/1/24

No Surprises Act Overview

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Transparency in Coverage summary

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FAQs About Affordable Care Act And Consolidated Appropriations Act, 2021 Implementation Part 49

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