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It’s been busy recently for the federal government when it comes to implementing various health reform requirements. Here’s an overview of new guidance issued the week of Feb. 25-March 1 on health insurer fees, market reforms, the Small Business Health Options Program, multiple employer welfare arrangement regulation and information reporting. Self-insured Health Plans Exempt from […]
Employers that retaliate against employees for reporting violations of certain health reform requirements could be subject to government investigations and hearings, as well as damages that include back pay awards and compensatory damages, under interim final rules issued Feb. 22 by the U.S. Department of Labor’s Occupational Safety and Health Administration. The rules flesh out […]
Final health insurance market reform rules issued Feb. 22 could result in higher health premiums, a major association of health insurers predicted, even though the policy goal is make health insurance more dependable and valuable for consumers. The final rules issued by the U.S. Department of Health and Human Services are designed to ensure that […]
Health reform’s final essential health benefits rule makes it clear that self-insured and large group health plans do not need to comply with limits on growth in employee cost-sharing, offer all 10 categories of essential health benefits, or meet actuarial minimums like small-group and individual policies. However, the regime explained in the rule is still […]
Along with newly issued health reform rules finalizing essential health benefits provisions comes a new series of FAQs from the U.S. departments of Labor, Health and Human Services and Treasury. This guidance addresses specific questions raised about the scope of reform’s cost-sharing and preventive services provisions, and provides some transition relief for large group and self-insured […]
Health reimbursement arrangements that are not integrated with group health coverage will violate health reform’s prohibition on annual benefit limits, the federal government recently clarified. HRAs that are integrated with individual policies will be seen as “nonintegrated,” thereby violating the ban on annual limits, the agencies implementing health reform stated. And if employees don’t sign […]
To further accommodate religious organizations outraged over a health care reform requirement mandating the coverage of contraceptive care, three federal agencies — Treasury, Labor and Health and Human Services — jointly issued final regulations Feb. 1 that would exempt more group health plans and policies established or maintained by certain religious organizations from the requirement, […]
Employers will not have to start distributing notices to all employees on the existence of health insurance exchanges on March 1 as required by the health reform law. This requirement is now deemed impracticable because many state exchanges have not been set up, and do not become operational until Jan. 1, 2014. Also, the requirement […]
By: Sarah Swank Credit: Ober|Kaler Published: January 16, 2013 In 2009, concerns about a swine flu pandemic convinced some employers to consider requiring employees to be vaccinated. Now that we are in the midst of another flu epidemic, some employers are once again weighing the costs and benefits of a mandatory flu shot policy. In […]
Federal agencies will accept alternate definitions of full-time employee for purposes of health reform’s play-or-pay mandate, to allow for industry-specific labor norms and seasonal workers. Some business owners and workers requested special methods of calculating hours for employees: (1) whose compensation is not based on hours, such as salespeople on commission; and (2) whose work […]