Tag: Health plans

Health Coverage Premium Subsidies: One Step Closer to Extension?

At least in the Senate, a consensus is being reached on trade adjustment assistance that could lead to an extension of premium subsidies under the Health Coverage Tax Credit (HCTC) program. Here are two snippets from a joint statement issued Wednesday: [Senate Majority Leader Harry Reid (D-Nev.)]: “My staff and Senator McConnell’s staff have been […]

Women Get More Free Preventive Care — Should Men Be Jealous?

Health reform has got women covered. The U.S. Department of Health and Human Services (HHS), in rules implementing the reform law’s mandate, has enumerated a host of preventive services for women that (non-grandfathered) insurers and plans must cover the services consistent with the rules, without cost sharing, in the first plan year that begins on […]

One Tip on COBRA Compliance: Don’t Phone it In!

It is tempting to use telephonic and e-mail delivery to send notices on COBRA continuation coverage rights, but this is hard to do and not very practical, says COBRA expert Paul M. Hamburger, Esq. of Proskauer Rose in Washington, D.C. So the best way to ensure success compliance with COBRA’s continuation coverage rules – and […]

Did You Know COBRA Notices Make Good Wedding Gifts?

COBRA Administrators: No need to order gifts off a wedding registry for soon-to-be-married employees — just print out and present to the couple a copy of the general/initial notice for COBRA continuation coverage, according to COBRA expert Paul M. Hamburger, Esq. Well, before you take this too seriously, some context is necessary. Hamburger, contributing editor […]

Whistleblowing compliance officer: Trouble from within

Your company’s compliance officer — the person to whom you entrusted your confidential business information — alleges you wrongfully terminated her after she tried to prevent you from violating a federal law. This 8th Circuit opinion rules against the whistleblower in a case that is a fine example of internal breakdown handling a compliance complaint, and sparks […]

Firing Employees for Gross Misconduct: How Is COBRA Coverage Affected?

Employers should tread carefully when deciding not to offer COBRA continuation coverage due to “gross misconduct,” as a recent court case reminds. Here, a federal district court in Ohio held that a former employee’s conviction due to a sex offense, which led to his employment termination, was not yet enough to deny COBRA coverage due […]

Consumer-Directed Health Plans Like HSAs/HRAs Continue to Grow

Does your computer’s spelling function auto-correct “HSA” to “HAS”? Mine used to, not recognizing that this abbreviation is no longer an error, but represents health savings accounts (HSAs), one type of consumer-directed health plan that is fast becoming mainstream in the health benefits industry. Health savings accounts couple a tax-favored savings account that is used […]

6th Circuit Upholds Health Reform’s Individual Mandate

A three-judge panel from the 6th Circuit Court of Appeals just upheld health reform’s controversial mandate that all individuals buy a minimum of health insurance or pay a penalty, saying that individual mandate is a valid exercise of Congress’ authority. This is the first appeals court ruling on such a challenge. … so 1-0 for […]

HIPAA Privacy Expert Discusses Merger Issues

The kind of information exchange that’s necessary before and during a merger or acquisition can raise thorny HIPAA privacy issues, and federal guidance on the subject is sparse at best — especially for employers and other plan sponsors, Senior Editor David Slaughter writes. In such a transaction between companies that are themselves covered by HIPAA […]

A Faulty Wellness Program Can Make Your Pocketbook Sick

Your wellness program is going well, with happier and healthier employees. But then, an employee sues the company alleging that the wellness program violates his rights. So your employees are healthier, but your company’s pocketbook is not in the best of condition, as it puts out money for legal fees. Do not let this happen […]