This Article Includes: "Employer Shared Responsibility" A Second Look After New IRS Guidance, Long Awaited Proposed Rules Released Uniform Summary of Benefits and Coverage, 23 Jurisdictions Not Meeting PPACA External Review Standards, HRAs Receive Exemption from Annual Limit Restrictions in Healthcare Reform, ERRP Cost Threshold and Cost Limit Amounts for Plan Years Starting on or After October 1, 2011, 11th Circuit Court of Appeals Rules that the Individual Mandate is Unconstitutional, New Exchange Regulations Regarding Eligibility Determinations, Questions and Answers for Employers
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This Article Includes: Establishing Health Insurance Exchanges: An Update on State Efforts, Guidance Issued On Preventive Women's Health Services, Questions and Answers for Employers
This Article Includes: Uniform Summary of Benefits and Coverage - Coming Soon?, HHS Issues Exchange Regulations, CMS Outlines Compliance With Maintenance-Of-Contribution In Early Retiree Reinsurance, HHS Revises PPACA Annual Dollar Limits Waiver Policy and Issues New Guidance, Taking Aim at 2012, The Demise of Employer-Sponsored Health Insurance may be Greatly Overstated, Questions and Answers for Employers
This Article Includes: New Guidance on Healthcare Reform Claim Appeal and External Review Procedures, IRS Issues Request for Comments - Health Plan and Insurance Fee Assessment to Fund Comparative Clinical Effectiveness Research, Appeals Court Upholds PPACA's Individual Mandate, Questions and Answers for Employers
The Office of Civil Rights (OCR) of the Department of Health and Human Services (HHS) issued new proposed privacy regulations on May 31, 2011. This Technical Bulletin focuses on the potential impact of these new regulations on employer-sponsored health plans.
This Article Includes: The Ins and Outs of Value Based Insurance Design, Cost of Establishing an ACO Higher than CMS Estimate According to an AHA Study, IRS Seeks Input On Health Reform Regulations, Do You Have A Gun?, Court Challenges to PPACA Move Closer to Supreme Court, Update on Annual Limit Waivers, Questions and Answers for Employers
This Article Includes: Essential Health Benefits: The Department of Labor Report May Provide a Sneak-Peek, Cafeteria Plan Amendment Deadline Approaching: June 30 Not Far Away!, DOL FAQ VI – More Guidance for Grandfathered Health Plans, Employee Free Choice Vouchers Repealed, PPACA Regulations Watch List, Healthcare Reform in the Courts: What’s The Score?, President Signs Law Repealing PPACA’s Form 1099 Provision, Questions and Answers for Employers
This Article Includes: Signed Budget Resolution – Impact on Healthcare Reform, Senate Vote on PPACA Repeal, Questions and Answers for Employers
In this issue of Technical Bulletin, we highlight the U.S. District Court ruling in the Southern District of Florida granting summary judgment in favor of an employer and ruled that that the employer’s wellness program did not violate the Americans with Disabilities Act. The Court viewed the wellness program as a term of the employer’s group health plan and ruled that the employer’s program falls under the safe harbor insurance provision of the ADA.
This Article Includes: A Note from GBS, Senate Repeals PPACA’s Form 1099 Provision, New Guidance for Non-Grandfathered Plans: Delay of Enforcement of PPACA Internal Claim and Appeals Provisions, 2012 W-2: So, How Do You Report Health Costs? Guidance from the IRS, DOL Issues Even More Guidance on Retaining Grandfathered Status, California Senate Passes AB 36 on Taxation of Dependent Coverage; Other States Take Steps to Conform With Federal Law, CMS Announces Deadline for New ERRP Applications; Updates Status of ERRP Funding, State Innovation Waiver Regulations Published, FDA Releases Proposed Regulations on Menu Labeling Provisions of PPACA, Questions and Answers for Employers