Compliance Administration

BRMS Compliance Administration helps employers navigate evolving healthcare regulations with end‑to‑end support for ACA, No Surprises Act, and related mandates. The service combines expert administration with configurable tools for hours tracking, IRS reporting, Minimum Essential Coverage plans, machine‑readable files, and dispute workflows—integrated with BRMS’s MyHealthBenefits platform to streamline processes, reduce risk, and maintain continuous compliance.

Features

• ACA hours tracking and eligibility determination
• Automated 1094/1095 preparation and IRS e‑filing
• Minimum Essential Coverage (MEC) plan setup and administration
• No Surprises Act support, including balance‑billing guidance
• Machine‑readable files publishing and maintenance
• IDR workflow management with timelines and documentation
• Integration with MyHealthBenefits for data, enrollment, and billing
• Optional COBRA and related compliance administration

Capabilities

• Centralized monitoring of regulatory deadlines and rule changes
• Eligibility calculations and measurement/stability period management
• Generation, storage, and audit trails for required filings and notices
• End‑to‑end negotiation and arbitration support for surprise bills
• Automated carrier and payroll data exchanges
• Configurable dashboards and alerts for compliance tasks
• Secure document management and version control

Benefits

• Reduced compliance risk and penalties through accurate, timely administration
• Lower administrative burden via automation and integrated workflows
• Faster dispute resolution under the No Surprises Act
• Improved data integrity and audit readiness
• Consistent employee experience across enrollment and benefits changes
• Scalable approach that adapts as regulations evolve