Tag: health care reform

Government Proposal Refines Reform Fees on Health Plans

A proposed rule put on public display Nov. 26 adjusts Transitional Reinsurance Program rules and tries to put out fires left burning by the ever-moving target of health care reform. For example, it proposes a lower contribution level insurers and self-funded plans would pay in 2015 to a transitional reinsurance fund, and gives employers the […]

Insurers Must Use Standard CMS Letters When Restoring Policies

Insurers may not modify or customize letters telling policyholders they can have their cheap health coverage back for one more year if it was cancelled due to health care reform. States may customize the letters, but only if the result is a letter that is more consumer protective and detailed than the federal template. That’s […]

Administration Loosens Individual Mandate to ‘Un-cancel’ Policies

The Obama administration on Nov. 14 proposed an administrative fix to allow individuals and small businesses losing coverage to keep their plans for another year. The fix was necessary in part because many people who lost coverage: (1) could not enroll for coverage on reform-mandated state-based health insurance exchanges due to problems with the government’s […]

Planning Ahead for Health Care Reform: 2014

Employers — particularly those that sponsor self-funded plans — have important health care reform mandates to comply with in January 2014, many of which are unaffected by the Obama administration’s stay in enforcement of the pay-or-play rules. There is still time for employers to get their health care reform fixes right. The job is more […]

Security Among Questions Dogging Exchange Rollout

New concerns about data security on the health care reform exchanges are being raised by Republican lawmakers, who cite an internal agency memorandum that warned of inadequate testing on the eve of the exchanges’ Oct. 1 rollout. The security control assessment required by the Federal Information Security Management Act “was only partially completed” because the […]

CMS on Premiums, Contributions for Small Employer Exchange Coverage

Small employers enrolling in coverage on Small Business Health Options Program exchanges need to decide what their employer contribution will be and whether to charge different employees different amounts based on their age. The Centers for Medicare and Medicaid Services gives them new health care reform guidance to help them mull over those questions in […]

HHS Secretary Says Sorry Over Failed Launch of Health Care Reform Website

In apologizing for the failed launch of the healthcare.gov website, U.S. Health and Human Services Secretary Kathleen Sebelius conceded to a House committee panel that accessing the site has been a “miserably frustrating experience for way too many Americans.” She expressed frustration regarding the flawed launch of the site, to be used to purchase affordable […]

Some Self-funded Plans Could Escape Reform Reinsurance Fees

Self-funded plans that are also self-administered will be made exempt from paying reinsurance contributions under the health care reform law for the 2015 and 2016 benefit years, the Centers of Medicare and Medicaid Services said in final program integrity rules. The promised relief will occur in future rulemaking, according to the preamble of the program […]

Church Plans Sue HHS Over Contraceptive Mandate

The Southern Baptist Convention’s health and financial benefits entity has filed a putative class-action lawsuit against the health care reform law’s contraceptive mandate on behalf of church plans. The suit contends the religious liberty of the organizations covered by GuideStone Financial Resources (which arranges health coverage and retirement benefits for clergy and others) is violated […]