Do New Jersey Infertility Coverage Requirements Apply to My Company’s Health Insurance Plan?
Quick Answer: New Jersey infertility coverage requirements generally apply to qualifying insured group health plans issued or renewed in New Jersey for groups with more than 50 people when the plan includes hospital or medical benefits and pregnancy-related coverage. The mandate generally does not apply to private self-funded employer plans, New Jersey small-group coverage, or […]
Should a New Jersey Employer Use the State TDI and FLI Plan or a Private Plan?
Quick Answer: A New Jersey TDI and FLI private plan is worth considering when its cost, claims administration, or approved benefits offer a meaningful advantage over the State Plan. The State Plan is often simpler because New Jersey administers the benefits and no private-plan approval is required. A private plan must be approved by the […]
Which Employers Must Follow New Jersey 1095 Filing Requirements?
Quick Answer: New Jersey 1095 filing requirements can apply when an employer provides minimum essential health coverage to New Jersey residents. Self-insured employers generally file the coverage information directly with the state, while fully insured employers normally rely on their insurance carrier. Multiemployer plan sponsors generally file for their plans. However, an employer may have […]
How Does New Jersey Small Group Continuation Differ From Federal COBRA?
Quick Answer: New Jersey Small Group Continuation, or NJSGC, can provide continuation coverage through insured New Jersey small-group health plans, including for employers too small for federal COBRA. Federal COBRA generally applies to employers with at least 20 employees and can cover insured or self-funded plans. NJSGC generally gives a qualified person 30 days after […]
How Does the New Jersey DU31 Law Affect Health Coverage When a Child Turns 26?
Quick Answer: The New Jersey DU31 law may allow an employee’s child to remain on or enroll in a parent’s qualifying employer health plan after aging out of regular dependent coverage, commonly at age 26, and continue until age 31. DU31 generally applies to group health benefits plans issued in New Jersey regardless of employer […]
What Benefits Must New Jersey Employers Include in Job Postings?
Quick Answer: New Jersey’s pay transparency law requires covered employers to include a general description of benefits and other eligible compensation programs in advertised new-job and transfer opportunities. The law does not require employers to offer a fixed list of benefits. NJDOL’s currently proposed, non-binding rules identify health, life and disability insurance, paid time off, […]
Which Employers Must Offer New Jersey Pre-Tax Commuter Benefits?
Quick Answer: New Jersey pre-tax commuter benefits generally must be offered by employers with at least 20 employees for each working day during at least 20 calendar workweeks in the current or immediately preceding calendar year. Employees working outside New Jersey can count toward the 20-employee employer threshold. Covered employers must give eligible employees the […]
Why Regular Policy Reviews Should Be Part of Every HR Strategy
Learn why regular HR policy reviews help businesses stay compliant, support employees, and improve workplace practices.
How Strong HR Documentation Protects Pennsylvania Employers
Learn how strong HR documentation helps Pennsylvania employers improve compliance, reduce workplace risks, and create better HR processes.
PCORI Fee Explained: What Employers Need to Know Before the July 31 Deadline
If your organization offers a self-funded, level-funded, or Health Reimbursement Arrangement (HRA), there’s an annual IRS filing requirement that’s easy to overlook but important to complete on time—the Patient-Centered Outcomes Research Institute (PCORI) fee. Although the fee itself is relatively small, missing the filing deadline can result in penalties and interest. Understanding who must pay, […]
