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5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
5 Jan 2021, 10:00 pm
The Consolidated Appropriations Act, 2021 (Act) that was signed into law on December 27, 2020 contains provisions impacting employer sponsored group health plans, including protecting group health plan participants from surprise medical bills, ensuring health plan price transparency, and offering relief related to health and dependent care flexible spending accounts. [read post]
2 Aug 2012, 3:05 pm
We have prepared for employers a timeline of the highlights of the upcoming deadlines for compliance with the ACA that apply to non-grandfathered group health plans. [read post]
3 Aug 2012, 8:00 am
We have prepared for employers a timeline of the highlights of the upcoming deadlines for compliance with the ACA that apply to non-grandfathered group health plans. [read post]
2 Dec 2022, 7:50 am
With increasing regulatory scrutiny and litigation by employees against employer sponsored group health plans, now would be a good time to find out if your employer-sponsored group health plan is compliant with behavioral health parity rules. [read post]
1 Apr 2019, 9:00 am
In this several part Blog Series entitled The Basics of an ERISA Life, Health and Disability Insurance Claim, we discuss the basics of an ERISA life, health and disability claim, from navigating a claim, handling a claim denial and … The post The Basics of an ERISA Life, Health and Disability Insurance Claim – Part Two: Plan and Claims Administrators appeared first on McKennon Law Group PC. [read post]
8 Aug 2010, 11:00 am
Therefore, group health plan sponsors, insurers, fiduciaries and administrators of all group health plans should review and tighten their claims and appeals procedures in response to the guidance recently published in connection with the ACA Appeals Rules. [read post]
11 Jul 2015, 2:14 pm
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing… [read post]
8 Aug 2010, 5:23 am
Therefore, group health plan sponsors, insurers, fiduciaries and administrators of all group health plans should review and tighten their claims and appeals procedures in response to the guidance recently published in connection with the ACA Appeals Rules. [read post]
20 Jul 2012, 8:15 pm
Although the Affordable Care Act does not directly obligate self-insured group health plans, large group market health plans, and grandfathered health plans to design their plan to provide the coverage included in the required EHB package after 3014, the EHB package design also will affect the costs of these plans by prohibiting these plans from imposing annual and lifetime dollar limits on… [read post]
8 Oct 2020, 11:26 am
On Monday, the White House issued President Trump’s Executive Order on Saving Lives Through Increased Support For Mental-and Behavioral-Health Needs, which orders the creation of a Coronavirus Mental Health Working Group (“the Working Group”), the submission of a plan by the working group for addressing mental health impacts of COVID-19, and calls for agencies to maximize support, including safe in-person services, for… [read post]
3 Dec 2014, 11:04 am
Under Final Rules published March 5, 2014, the insurer pays the fee for insured plans but where a group health plan is self-insured, the plan itself pays the fee. [read post]
12 Mar 2013, 10:25 am
The prohibition on cost-sharing limitations under Section 1301(c)(1) applies to all non-grandfathered group health plans, including self-insured group health plans and large group insured health plans. [read post]
10 May 2017, 10:20 am
While many excellent reasons may exist for a business to offer group health coverage for qualifying employees, all employers regardless of size considering offering group health coverage obtained through the SHOP or other sources should keep in mind that employers that establish and maintain group health coverage, the group health plans they establish and the company or persons with discretionary authority or… [read post]
9 Jan 2012, 9:58 am
Most employers will be required to report the cost of group health plan coverage on 2012 Forms W-2 to be issued in January of 2013. [read post]
20 Mar 2012, 7:42 am
In addition, most group health plans and insurers, their sponsors, administrators and fiduciaries also generally want to identify and make changes to their health plan design, documents, summary plan descriptions and other materials and practices in response to the new requirements. [read post]
