For plan years beginning on or after January 1, 2014, all non-grandfathered employer-sponsored group health plans must comply with annual out-of-pocket maximums on essential health benefits.PHSA § 2707(b). Deductibles, copays, and coinsurance applied to essential [...]
On February 14, 2012, federal agencies (the DOL, IRS, and HHS) published final regulations implementing PPACA’s requirement that group health plans and insurers provide applicants and enrollees with a four-page uniform summary of benefits and coverage [...]
New Guidance Related To Health Plans & Health Care Reform (PPACA) Summary of Benefits and Coverage Requirement Delayed; New Regulations Published Last August, the government issued proposed regulations implementing PPACA’s four-page uniform summary of benefits and coverage [...]
New Guidance Related To Health Plans & Health Care Reform (PPACA) Proposed Safe Harbor on Determining "Affordability" for Employer Excise Tax Purposes & Proposed IRS Regulations on the PPACA Premium Tax Credit Starting in 2014, large [...]
In August 2011, federal regulators issued proposed regulations implementing PPACA's requirement that group health plans and insurance issuers provide applicants and enrollees with a four-page uniform summary of benefits and coverage ("SBC"), and separately issued model [...]
In June 2011, federal regulators issued new guidance on PPACA's internal claims and external review procedures for non-grandfathered group health plans and insurers. The guidance includes an amendment to the interim final regulations issued last year, [...]
The first half of 2011 has seen a number of new legal developments impacting employee benefit plans. The DOL, IRS and HHS continue to issue guidance under the Patient Protection and Affordable Care Act (PPACA), more [...]
The first part of 2011 has seen a number of new developments related to the Patient Protection and Affordable Care Act (PPACA), more commonly known as the Health Care Reform law. These include guidance from the [...]
At the end of last month, President Obama signed into law sweeping health care reform legislation affecting multiemployer and single-employer health plans and sponsors, health insurance issuers, and individuals in myriad ways. The legislation consists of [...]
Changes Affecting All Existing Health Plans, Including Multiemployer Plans* Effective Immediately: Health care coverage for an employee's child through year of 26th birthday is now tax free even if not a dependent (i.e., no "imputed income" [...]