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In the recent draft instructions released by the IRS in regards to employer reporting on Forms 1094 and 1095, the IRS indicates that reporting is required for health reimbursement accounts (HRAs) integrated with fully-insured plans. This comes as a bit of a surprise to many who assumed that HRAs integrated with a major medical plan, regardless of funding method, would be considered “supplemental coverage” and not require any reporting. This guidance affects reporting requirements for both small employers and applicable large employers offering HRAs integrated with a fully-insured medical plan.

With the business and regulatory environment becoming more complex in the post Dodd-Frank world, CCOs are expected to deliver better information to help executive management identify and manage organizational risks. 

Employers can play an important role in strengthening the way employees and health care providers interact and make health care decisions. A more informed partnership can lead to better outcomes, higher satisfaction, lower health care costs and improved productivity.

Captive insurance programs trace their roots to the 1950s as an alternative form of risk financing in which the insurance company is owned by its policy holders. The type, size and complexity of Captives continue to grow and have become an increasingly popular means of risk transfer and financial control. The construction industry is reliant on insurance products and risk management for balance sheet protection, but the cyclical nature of insurance and catastrophic risks inherent in construction makes predictability in rates and coverages elusive at best.