EBSA Issues Model Notices Of Coverage Options In Spanish

The Department of Labor’s Employee Benefits Security Administration (EBSA) has issued Spanish language versions of model notices to employees of health coverage options. The Patient Protection and Affordable Care Act (ACA) requires employers to provide employees with a notice of their health insurance coverage options available through the future health insurance exchanges by Oct. 1, […]

Speakers Ask IRS To Expand And Clarify Exemptions To Health Insurance Provider Fee

  Speakers at a June 21 Internal Revenue Service hearing on the health insurance provider fee asked the IRS and Treasury to expand and clarify proposed regulations by exempting multiemployer plans and governmental risk pools. The speakers expressed concerns that the fee would be imposed inappropriately on self-insured arrangements that are not providing health insurance. […]

CMS Issues Guidance On State Alternative Applications For Health Coverage

  The Center for Consumer Information and Insurance Oversight (CCIIO) has issued guidance on alternative applications that state-based marketplaces, as well as certain Medicaid and Children’s Health Insurance Program (CHIP) agencies, may use in place of the model single, streamlined application for coverage that the Centers for Medicare and Medicaid Services (CMS) issued on April […]

IRS Issues Notices On Determining Minimum Essential Coverage; Transition Relief For Employees At Companies With Non-Calendar Year Plans

The Internal Revenue Service has issued two Notices that deal with different provisions in the Patient Protection and Affordable Care Act (ACA). Notice-2013-41 provides guidelines on how to determine if an individual is eligible for minimum essential coverage for purposes of the premium tax credit allowable under Sec. 36B. Notice 2013-42 provides relief from the […]

One Quarter Of HR Professionals Said Keeping Up With Regs Is Biggest ACA Challenge

In May 2013, 818 HR professionals from SHRM’s membership database participated in SHRM research entitled Health Care Reform: Challenges and Costs. The survey found the following: • What are the biggest challenges HR professionals are facing as a result of the Patient Protection and Affordable Care Act (ACA)? One-quarter (25 percent) report that keeping up […]

CDHP Prevalence Grew In 2012; Reduces Office Visits, Prescriptions

Consumer-driven health plans (CDHPs) were the only type of health insurance plan that grew in 2012, according to recent research from the American Association of Preferred Provider Organizations (AAPPO). Another study, from the Employee Benefit Research Institute, found that CDHPs have been shown to reduce the long-term use of outpatient physician visits and prescription drugs. […]

Nearly Half Of U.S. Employers Contemplating Changes To Reward Programs In Light Of ACA

With provisions of the Patient Protection and Affordable Care Act about to go into effect, 45 percent of U.S. employers are considering making changes to their total rewards programs or workforce strategies. However, most do not anticipate changes that could negatively affect a significant portion of employees, according to the survey of 113 U.S. employers […]

Employee Benefits Being Impacted By New Laws: SHRM

Employers are making gradual changes in the benefits they offer employees in response to new laws and the economy, according to research from the Society for Human Resource Management (SHRM). The 2013 Employee Benefits Survey found that legislation—including the Patient Protection and Affordable Care Act (ACA)—smaller organizational and HR budgets, an uneven economy, and other […]

HHS Issues Proposed Regs On Financial Integrity, Oversight Standards For Exchanges

The Department of Health and Human Services (HHS) has issued proposed regulations on a number of policies related to the implementation of the Patient Protection and Affordable Care Act (ACA), including provisions regarding Affordable Insurance Exchanges, also known as Health Insurance Marketplaces. Much of the proposed rule focuses on program integrity regarding state Exchanges, issuers […]

Complaints For Sex Discrimination In Health Care Coverage Filed Against Five Employers

  The National Women’s Law Center (NWLC) recently filed sex discrimination complaints against five employers, composed of a mix of private and public institutions, that exclude pregnancy coverage from the health insurance benefits provided to their employees’ dependent children. These complaints are believed to be the first to challenge dependent pregnancy coverage exclusions under Sec. […]