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20 Oct 2021, 10:00 pm
The Consolidated Appropriations Act of 2021 mandates that employers offering medical/surgical and mental health/substance use disorder coverage provide comparative analyses and any supporting documentation demonstrating compliance with parity requirements to the Employee Benefits Security Administration of the Department of Labor upon request. [read post]
20 Oct 2021, 10:00 pm
The Consolidated Appropriations Act of 2021 mandates that employers offering medical/surgical and mental health/substance use disorder coverage provide comparative analyses and any supporting documentation demonstrating compliance with parity requirements to the Employee Benefits Security Administration of the Department of Labor upon request. [read post]
10 May 2017, 10:20 am
The SHOP Marketplace is intended to offer an opportunity for for small employers who want to provide health and dental insurance to their employees. [read post]
9 Sep 2013, 11:11 am
Health care providers, health plans, employers and others concerned about the regulatory and enforcement activities of the Department of Health & Human Services (HHS) have a chance to make their concerns known by speaking up now. [read post]
27 Apr 2018, 2:30 pm
” Just the latest chapter in the Trump Administration’s campaign to sabotage our healthcare system, the rule is a backdoor attempt to gut many of the key consumer protections ushered in by the ACA.Short-term plans are junk — and threaten to increase poverty.Short-term plans, which currently provide coverage for typically 3–6 months and are not renewable, typically exclude coverage of pre-existing conditions, limit the dollar… [read post]
23 Jun 2010, 2:35 pm
July 9 Briefing Provides Key Information The July 9, 2010 “Affordable Care Act & Other Federal Health Plan Guidance Update” teleconference will include an update on the latest regulatory guidance about impending Affordable Care Act group health plan rules and other key information to help employers, group health plans, plan administrators and fiduciaries and others working with these plans to… [read post]
20 Dec 2022, 1:17 pm
A qualified Estate Planning attorney will consider all and provide advice regarding all the elements necessary for a complete Estate Plan. [read post]
2 Aug 2023, 9:56 am
The post What risks do employers face by excluding coverage for gender affirming care in their health plans? [read post]
26 Feb 2021, 2:37 pm
Health insurance plans provide coverage only for health-related serves that they define or determine to be “medically necessary. [read post]
11 Apr 2012, 5:58 pm
Marcus Aurelius is a plan member of the Imperial group health plan. [read post]
26 Dec 2014, 6:17 pm
A family plan will always cost more than an individual plan. [read post]
5 Jun 2017, 7:40 am
Supreme Court today in Advocate Health Care Network v. [read post]
22 Dec 2021, 9:26 am
Schools that currently have counseling centers or plan to add one would get preference for the SBYSP grants. [read post]
26 Oct 2010, 12:33 pm
The Office of the National Coordinator for Health Information Technology (ONC) Governance Workgroup (Workgroup) is developing recommendations on governance mechanisms for the nationwide health information network. [read post]
25 Jun 2015, 3:02 pm
Absent further regulatory or legislative relief, businesses providing group health plan coverage in 2014 or thereafter also should expect to face similar obligations and exposures. [read post]
4 Jan 2015, 6:30 am
Advocate Health Care Network, (ND IL, Dec. 31, 2014), an Illinois federal district court held that the defined benefit pension plan of Illinois' largest health care provider is not exempt from ERISA as a "church plan. [read post]
13 Jun 2011, 12:28 pm
Providence provides or administers health benefits plans to more than 375,000 customers in Oregon and Washington. [read post]
27 Jun 2018, 7:47 am
Others were clearly in favor of any rule that might provide small employers with a new avenue to provide health coverage to their employees. [read post]
Agencies Release Regulations Implementing Affordable Care Act Health Plan Preventative Care Mandates
15 Jul 2010, 6:49 am
With respect to a plan or health insurance coverage that has a network of providers, the Interim Final Regulations make clear that a plan or issuer is not required to provide coverage for recommended preventive services delivered by an out-of-network provider and may impose cost-sharing requirements for recommended preventive services delivered by an out-of-network provider. [read post]
24 Jun 2022, 2:38 pm
Specifically, the Sixth Circuit majority found that the health plan violated the Medicare Secondary Payer Act’s anti-discrimination provision—which prohibits a health plan from differentiating its benefits based on whether an individual has end-stage renal disease—by offering lower reimbursement rates for services offered by dialysis providers. [read post]
