Return to Normal? Benefit Plan COVID-19 Deadline Extensions to End

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Warner Norcross + Judd

After a long three years of the COVID-19 pandemic, the Biden administration has announced its intent to end the presidential COVID-19 national emergency on May 11, 2023. Employers should prepare their benefit plans for a return to the status quo with respect to plan deadlines.

As background, in response to the national emergency originally declared by President Donald Trump in early March of 2020, the federal agencies extended certain timeframes that applied to benefit plans during the COVID-19 presidential national emergency. The extensions include the delay or suspension of certain COBRA, HIPAA special enrollment, and claims and appeals filing procedure deadlines. These deadlines were paused during a period called the "Outbreak Period" — beginning on March 1, 2020, which was the start of the presidential national emergency, and ending 60 days after the end of the presidential national emergency is announced. For example, if an employee was provided a COBRA election notice on February 1, 2023, the employee would normally have 60 days to return their COBRA election form. However, due to the presidential national emergency, the employee would not need to return the COBRA election form until 60 days after the end of the presidential national emergency.

Now, the “Outbreak Period” is set to expire on July 10, 2023, which is 60 days after May 11, 2023, the intended end of the presidential national emergency. At that time, the following benefit plan deadlines will return to normal and will no longer be extended:

HIPAA Special Enrollment:

  • The 30-day period (or 60-day period if applicable) to request special enrollment for a new dependent through marriage, birth, adoption or placement for adoption; loss of other coverage; becoming eligible for a state Medicaid or premium assistance subsidy (CHIPRA).

    Example: An employer’s health plan provides that an employee must request enrollment of a newborn child within 31 days of the birth. An employee has a new baby on April 1, 2023. The employee must request to enroll the baby by July 10, 2023.

COBRA:

  • The 60-day election period for continuation of coverage.
  • The date for making COBRA premium payments.
  • The date for individuals to notify the plan of a qualifying event or determination of disability.

    Example: An employee is enrolled in COBRA, but does not make a payment due by April 30, 2023. The employee must make the payment by July 10, 2023, in order for COBRA coverage associated with the April 30, 2023, payment to be reinstated.

Claims and Appeals (including retirement plan claims and appeals, and reimbursement claims under health flexible spending accounts):

  • The date within which individuals may file a benefit claim.
  • The date within which claimants may file an appeal.
  • The date within which claimants may file a request for external review.
  • The date within which claimants may file information to perfect a request for external review.

    Example: An employee did not submit claims for reimbursement under their employer’s health FSA by the March 15, 2023, deadline. The employee has until July 10, 2023, to submit the claims for reimbursement.

Employers should work with their benefit plan service providers (e.g., enrollment administrators, COBRA administrators, health plan insurers/TPAs) to address any administrative changes that may be needed to accommodate the end of the Outbreak Period. Employers should also issue a notice to employees that the Outbreak Period is intended to expire in July, so that employees who have taken advantage of the Outbreak Period deadline extensions can prepare to submit necessary documents or forms.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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