Practical HR Tips, News & Advice. Updated Daily.
A health reform requirement that all insurers offer four levels of health coverage to small businesses would be delayed until 2015 under proposed rules scheduled to be published March 11 in the Federal Register. Under the U.S. Department of Health and Human Services proposal, small employers may get one choice of health coverage in 2014. […]
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 […]
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 […]
Gillihan, who is Counsel in the Atlanta office of Alston & Bird LLP, made his suggestions at a recent webinar sponsored by BLR/HRHero. Complying with the Women’s Health Preventive Care Requirement First of all, employers should already be complying with women’s health preventive care requirements, in effect January 1 for calendar plan years, says Gillilan. […]
The federal government seems to be fishing around for evidence showing that self-insured health health plans will siphon off healthy lives from state-run insurance exchanges (a cornerstone of reform). On April 26, the U.S. Departments of Labor (DOL), Health and Human Services (HHS) and IRS/Treasury issued a set of questions about the use of stop-loss […]
The U.S. Department of Health and Human Services (HHS) is refocusing its HIPAA privacy enforcement efforts on seeking monetary penalties in cases of “abject failure” to comply, the head of HHS’ Office for Civil Rights (OCR) indicated. “The majority of matters we handle are going to be resolved through education” as they have in the […]
Approximately 105 million Americans now have health coverage without lifetime limits on benefits — including 95 million individuals with employer-sponsored health coverage — due to health care reform requirements, according to a new report by the U.S. Department of Health and Human Services (HHS). The Affordable Care Act prohibits health plans renewing on or after […]
The departments implementing health reform can turn around a project when they are under the gun. Responding to concerns that the new “summary of benefits and coverage” (SBC) mandated by the health reform law is redundant, HHS, DOL and Treasury/IRS quickly turned around a final rule that eases some SBC requirements. The final rule and […]
After increasing hammering from conservatives, the White House looks like it is ready to compromise on health reform’s contraception mandate. The administration had included contraceptives and sterilization in its list of preventive services all (except the few grandfathered) plans must cover starting plan years in August 2012. It had offered a year-long delay to religious […]
There are 50 states and a few territories, and now there could be that many versions of essential benefit plans under federal health reform. That’s because the U.S. Department of Health and Human Services (HHS) is shunning a centralized approach to dictating “how much health coverage is enough;” that is, what needs to be covered […]