Compliance Services

Employers who offer health benefits to their employees must ensure compliance with various regulations under the Health Insurance Portability and Accountability Act (HIPAA). These compliance obligations include implementing policies, procedures, and notices as required under HIPAA privacy rules, security rules, and final discrimination rules. Failure to comply with HIPAA regulations can lead to penalties of $100 per violation per day up to a maximum of $25,000 in a calendar year.

HIPAA Nondiscrimination rules prohibit discrimination against individuals or beneficiaries based upon a health factor in group health coverage, plan eligibility, and rewards for wellness programs.

Health factors include: health status, medical condition, claims experience, receipt of health care, medical history, genetic information, evidence of insurability and existing disability.

Navigating these guidelines requires experience, contact an ENV professional for compliance assistance with these regulations. 

Benefits and regulations are always subject to change through legislation. This makes understanding benefits and regulations confusing and complex. Since our 1988 founding, our professionals have worked through decades of fluctuating benefits and regulations.

ENV can explain relevant benefits and regulations to you and your organization. You can obtain these education services via telephone or email. Our approachable, competent agents will answer any questions you have about benefits and regulations.

Contact an ENV agent today.