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21 Nov 2014, 7:03 am
Health Flexible Spending Account Carryover Rule (Optional): The IRS has issued guidance providing that cafeteria plans may be amended to allow up to $500 of unused health FSA funds remaining at the end of a plan year to be paid or reimbursed to plan participants for qualified medical expenses incurred during the following plan year, provided that the plan does not also incorporate the grace period rule. [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]
20 Nov 2012, 12:54 pm
Employers and other health plan sponsors, insurers, and their administrators and service providers should consider the advisability of updating health plan cost projections, plan documents and procedures, communications and other practices in response to new and proposed guidance interpreting federal health plan rules under the Patient Protection and Affordable Care Act (ACA) released today (November 20, 2012). [read post]
20 Mar 2020, 5:41 am
Of these:71 investigations involved fully-insured plans, 91 investigations involved self-insured plans, and24 investigations involved plans of both types (the plan or service provider offered both fully-insured and self-insured options).183 of these closed investigations involved plans subject to MHPAEA, which were reviewed for MHPAEA compliance. [read post]
29 Nov 2018, 10:00 pm
von Briesen continues to monitor the United States Department of Health and Human Services, Office of Inspector General (the “OIG”) Work Plan to provide insight into emerging legal trends in health care through blog posts and Legal Updates, such as this one. [read post]
13 May 2015, 12:01 pm
Neil Carpenter has been named vice president of strategic planning and research, a newly created position within LifeBridge Health, one of the largest health providers in Maryland. [read post]
2 Jun 2014, 2:32 pm
She regularly designs and presents HIPAA and other risk management, compliance and other training for health plans, employers, health care providers, professional associations and others. [read post]
21 May 2009, 10:50 am
While we continue to say "don't do anything yet", it looks like providers, health plans and entities that furnish services to providers and health plans should be ready to make significant changes to their policies and practices relating to information technology beginning in mid-August, 2009. [read post]
21 May 2009, 10:50 am
While we continue to say "don't do anything yet", it looks like providers, health plans and entities that furnish services to providers and health plans should be ready to make significant changes to their policies and practices relating to information technology beginning in mid-August, 2009. [read post]
13 Mar 2020, 6:44 am
On March 11, 2020, the IRS issued Notice 2020-15, allowing health savings account (HSA)-compatible high deductible health plans (HDHPs) to provide coverage for testing and treatment of COVID-19-related services without an annual deductible requirement or with a lower annual deductible than that otherwise required under the HDHP IRS regulations. [read post]
29 Mar 2022, 5:04 pm
Along with this diligent oversight, most plan sponsors, fiduciaries and administrators should review their existing health plan language to determine if their existing plan language provides the currently mandated coverage as well as if the current language expressly provides or is sufficiently ambiguous to open the door for construction of the plan as authorizing coverage beyond existing applicable mandates. [read post]
17 Feb 2017, 12:17 pm
After which, the employee submitted a request to the Board of Trustees of the Canadian Elevator Industry Welfare Trust Fund (the “Trustees”) for his medical marijuana to be covered under his benefit plan which provides health and related benefits to persons working in the unionized sector of the Canadian elevator industry. [read post]
17 Mar 2014, 7:31 am
As medical advances continue to provide us with more information about our health, it will become increasingly more important for employers to ensure that people who make decisions regarding individuals’ employment do not have access to the individual’s health information. [read post]
16 Jun 2020, 5:39 pm
Dallas Cowboy running back Ezekiel Elliott’s outrage about news reports announcing his positive test for the coronavirus called SARS-CoV-2.19 (“COVID-19”) should remind COVID -19 testing, laboratories and other health care providers, health plans and insurers and employers to use care to ensure they and members of their workforce adhere to all applicable privacy and confidentiality […] [read post]
28 Apr 2015, 5:30 am
The duty to provide SBCs imposed by Public Health Service (PHS) Act section 2715, as added by ACA and incorporated by reference into the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code (Code), generally requires group health plans and group and individual insurers to prepare and provide a current SBC using template forms completed and provided in accordance with regulations jointly issued by the Departments.. [read post]
21 Apr 2024, 5:00 pm
Amend the agreements as necessary to ensure vendors will assist group health plan fiduciaries in complying with the transparency and disclosure requirements under the TiC and CAA and to insulate plan fiduciaries against mistakes made by the service provider. [read post]
1 May 2023, 12:27 pm
For example, EBSA’s Los Angeles Regional Office recently investigated a large service provider that excluded coverage for ABA therapy in hundreds of self-insured plans. [read post]
7 Mar 2012, 5:25 am
In the case of a self-insured group health plan, the plan administrator is responsible for providing the SBC to participants and beneficiaries. [read post]
29 Apr 2013, 4:56 pm
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]
26 Aug 2010, 12:51 pm
Learn More About Affordable Care Act Mandates: Order Recording of August 24 “2010 Health Plan Update” Details of recently released guidance about federal health plan rules applicable to employment-based health plans under the Affordable Care Act and other federal health plan regulations were among the topics covered in a “2010 Health Plan Update” internet broadcast briefing… [read post]
