Archive | July, 2010

105 Non Discrimination Rules aka Grandfathering Non Discrimination Testing

Technorati Tags: nondiscrimination testing for health plans,grandfathering rules,health insurance reform By Todd Martin, JD Reinhart Law http://www.publications.pwc.com/DisplayFile.aspx?Attachmentid=3332&Mailinstanceid=16373 Note that the result for a failure to pass the test for self-funded plans was that the benefits became taxable to the highly compensated employees.  The result for failing the PPACA test is $100/day per participant.  -Ouch.   Here [...]

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Which guideline should be followed when determining if an employee meets eligibility based on hours worked a week, state or federal?

Moderated by Ric Joyner, MBA, CEBS, GBA, CFCI Technorati Tags: insurance agent,insurance reform,discrimination in health plan Agent Question: We have a Hotel chain who, as most do, have many employees who work less than 40 hours a week and currently they have a Plan for Highly compensated. The general questions are as follows. – Which [...]

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US DOL ADA/Hall of Fame Webcast Today at 2 p.m. EDT

DOL Email: Technorati Tags: ADA,DOL,Webcast Join us on Friday, July 30th from 2:00 – 3:00 p.m. for an event commemorating this important anniversary.  Former U.S. Congressman Tony Coelho, author and sponsor of the ADA, will share his thoughts on the Act and Christine Griffin, Deputy Director, Office of Personnel Management, will deliver closing remarks.  The [...]

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Internal Appeals and External Review Processes under the Affordable Care Act

Technorati Tags: Claims,PPACA,Health care reform,health insurance July 26, 2010 On July 22, 2010, the Departments of Labor, Treasury and Health and Human Services (the “Departments”) issued another round of guidance implementing the Affordable Care Act group health plan provisions. (Prior guidance and our related Legal Alerts may be accessed from our Emerging Issues webpage at [...]

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Recommended Preventative Services from HHS, Treasury and Labor

By Larry Grudzien, JD Technorati Tags: preventative care,HHS,DOL,Treasury The Departments of Health and Human Services (HHS), Labor, and Treasury issued interim final regulations on July 14, 2010 requiring new plans and issuers to cover certain preventive services without any cost-sharing for the enrollee when delivered by in-network providers.  The interim final regulations do not apply [...]

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New Regs for Preventative Care Starting 1-1-2011

Technorati Tags: Preventative care,Obama Administration,Health Insurance By Jerry Geisel Business Insurance WASHINGTON-Health care reform regulations issued Wednesday by the Obama administration make clear that employers will be able to continue to impose cost-sharing requirements on preventive services employees receive from out-of-network providers. Under the new law, beginning Jan. 1, 2011, employers with calendar-year plans will [...]

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