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15 Sep 2015, 5:37 am by Cynthia Marcotte Stamer
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training… [read post]
5 Aug 2008, 11:00 pm
GINA imposes new restrictions on group health plans (including both large and small group plans, church plans and non-federal government plans), insurance issuers, employers, employment agencies, labor organizations, and joint labor-management committees. [read post]
5 Aug 2008, 11:00 pm
GINA imposes new restrictions on group health plans (including both large and small group plans, church plans and non-federal government plans), insurance issuers, employers, employment agencies, labor organizations, and joint labor-management committees. [read post]
9 May 2013, 3:31 am by Cynthia Marcotte Stamer
  Accordingly, group health plans and the fiduciaries and administrators involved in their administration will want to take proper steps to identify claims that may involve individuals covered by MA Plans in a manner that allows the group health plan to track and distinguish the coverage provided by the MA Plan from other insurance coverage as needed to comply with the MSP Act. [read post]
2 Apr 2020, 11:00 pm
This Legal Update summarizes key provisions of the Families First Coronavirus Response Act (the “FFCRA,” enacted on March 18, 2020), the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act,” enacted on March 27, 2020), as well as certain actions taken by the Internal Revenue Service and the Department of Labor that directly impact employer-sponsored retirement plans, group health plans, flexible spending accounts,… [read post]
15 Jul 2012, 8:04 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites you to catch up on what private employer and union health plans, their sponsors, fiduciaries and administrators need to do to update and administer their group health plans to comply with MHPAEA and other federal health plan mandates in addition to updating their health plans in response to the ACA requirements already effective or scheduled to take effect in upcoming months by… [read post]
15 Jun 2010, 7:44 am by Cynthia Marcotte Stamer
Departments of Health and Human Services, Labor and Treasury on Monday (June 14, 2001) published regulations on when group health plans and insurance qualify as “grandfathered plans” for purposes of determining certain deadlines for complying with certain health care reform requirements imposed under the Patient Protection & Affordable Care Act (Affordable Care Act). [read post]
15 Sep 2015, 6:04 am by Cynthia Marcotte Stamer
NORTH TEXAS HEALTHCARE COMPLIANCE PROFESSIONALS ASSOCIATION  Invites Members and Guests to Our Next Group Luncheon Employee Benefit Security Administration Insights On Healthcare Organization’s Health & Other Employee Benefit Plan Rights & Responsibilities Under Employee […] [read post]
19 Mar 2020, 9:00 pm
The Families First Coronavirus Response Act (Act), signed into law Wednesday, requires group health plans to provide coverage for coronavirus (COVID-19) diagnostic testing, including the cost of healthcare provider visits (as well as telehealth visits), urgent care center visits, and emergency room visits in order to receive testing. [read post]
16 Jun 2017, 12:06 pm by Cynthia Marcotte Stamer
MHPAEA also imposes several disclosure requirements on group health plans and health insurance issuers. [read post]
The post Group Health Plans Cannot Categorically Exclude Coverage for Gender Dysphoria, Say Two More Federal Courts appeared first on Health Employment and Labor. [read post]
23 Jul 2010, 8:26 pm by Cynthia Marcotte Stamer
  These existing claims and appeals requirements generally will continue to apply to all ERISA-covered group health plans without regard to whether the group health plan qualifies as grandfathered or non-grandfathered for purposes of the affordable care act. [read post]
30 Aug 2023, 12:24 pm by Evangelina Cantu
Regulators have recently released a significant amount of information related to group health plan compliance with the Mental Health Parity and Equity Addiction Act of 2008, as amended (MHPAEA). [read post]
27 Sep 2021, 1:01 pm by Cynthia Marcotte Stamer
An impending change in the Medicare Secondary Payer (”MSP”) recordkeeping system could slightly lighten group health plan reporting burdens. [read post]
9 Sep 2015, 2:21 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. is happy to share information about this upcoming free health industry study group meeting on 9/15/2015 in Irving, Texas. [read post]
15 Sep 2015, 6:05 am by Cynthia Marcotte Stamer
NORTH TEXAS HEALTHCARE COMPLIANCE PROFESSIONALS ASSOCIATION Invites Members and Guests to Our Next Group Luncheon Employee Benefit Security Administration Insights On Healthcare Organization’s Health & Other Employee Benefit Plan Rights & Responsibilities Under Employee Retirement Income Security Act Featuring Kristi Gotcher U.S. [read post]
29 Apr 2013, 4:56 pm by Cynthia Marcotte Stamer
  While HHS no longer allows new applications for waivers, certain group health plans previously timely applied and qualified to for waiver of compliance for the Annual Limit Rule for their group health plan for the plan or policy year in effect when the plan or issuer applied for the waiver. [read post]
29 May 2013, 10:42 pm by Cynthia Marcotte Stamer
New final wellness program regulations jointly published May 29, 2013 by the Departments of Labor, Health & Human Services and Labor tell employers and insurers how to design health risk assessment and other wellness and disease management tools in their group health plans and policies to incentivize and reward employees and other plan members to better manage their health and help manage health plan costs without… [read post]
3 Jan 2022, 10:00 pm
The Department of Labor (Department) issued Field Assistance Bulletin No. 2021-03 (FAB) on December 30, 2021, announcing a temporary enforcement policy for group health plan service provider disclosures under ERISA Section 408(b)(2)(B). [read post]