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9 Mar 2016, 9:01 am by Cynthia Marcotte Stamer
Along with this individual mandate, the ACA: Dictates that all group and individual health insurance policies other than a narrow list of “excluded” plans include the rich and generally expensive package of ACA-mandated “essential health benefits,” pay a host of ACA-imposed taxes and assessments, and comply with a host of tight ACA market reforms; Penalizes employers with 50 or more full-time employees (large employers) that fail to offer… [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
HFSA, HDHP & MSA, Adoption & Other Adjustments Impacting Cafeteria Plan Elections The Revenue Procedure announces a host of inflation adjustments that could impact employee’s 2024 cafeteria plan and health plan elections. [read post]
19 Oct 2016, 1:04 pm by Cynthia Marcotte Stamer
Offending Party Action in Question ERISA Section Penalty As of August 15, 2016 Penalty Effective August 16, 2016 Employer   Failure to maintain records or furnish information sufficient to determine benefits 209(b) $11 per employee $28 per employee Plan administrator   Failure/refusal to file annual report (Form 5500) with DOL 502(c)(2) $1,100 per day $2,063 per day Administrator of multiemployer plan   Failure to certify endangered or critical (funding) status… [read post]
13 Dec 2018, 12:15 pm by Cynthia Marcotte Stamer
Stamer also has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group and other health benefit programs and coverages including but not limited to advising… [read post]
1 Nov 2018, 4:00 am by Staff Report
Visit the State Bar of Texas Member Benefits site today to shop for health care plans designed to meet your needs. [read post]
7 Jul 2014, 6:56 am by Lee Tankle
However, most employers are still seeking clarity in terms of how the decision impacts their group health plans. [read post]
28 Jul 2015, 8:05 am by Cynthia Marcotte Stamer
Board certified in labor and employment law by the Texas Board of Legal Specialization, a Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, an ABA Joint… [read post]
30 Jun 2015, 10:53 am by Cynthia Marcotte Stamer
  Businesses and their leaders who have held off updating their health plan compliance and expect to delay completion of these activities until the beginning of their upcoming health plan year are likely to be in for a rude awakening, however, particularly since a much underappreciated Sarbanes-Oxley style provision of the Internal Revenue Code will require employer or other group health plan sponsors to self-report,… [read post]
18 Aug 2015, 7:52 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group,  an ABA Joint Committee on Employee Benefits Council Representative and Board… [read post]
1 Mar 2018, 12:49 pm by Ed. Microjuris.com Puerto Rico
Las entidades que participan en el proceso de RFP son: APS Health, First Medical Health Plan, Inc.; Golden Cross Health Plan, Corp.; HPM Foundation, Inc. d/b/a HealthproMed; Humana Health Plans of Puerto Rico; MCS Health Management Options, Inc.; y Migrant Health Center, Western Region, Inc. [read post]
8 Aug 2024, 2:22 pm by Cynthia Marcotte Stamer
  The HIPAA Breach Notification Rule imposes specific requirements on health care providers, health plans, health care clearinghouses and their business associates (“HIPAA Entities”) to protect individually identifiable health information (“PHI”) against improper use, access, disclosure or destruction and to provide breach notification to individuals, the Department of Health and Human Services Office of Civil… [read post]
16 Jul 2024, 8:00 am by Sherica Celine
New and Updated Practical Guidance Content ACA Preventive Service Coverage Rules ACA Nondiscrimination Rules for Health Programs and Activities (ACA Section 1557) Current Awareness: New DOL Fiduciary Regulation and Associated Prohibited Transaction Exemptions Video Surprise Medical Billing Disclosure to Participants (Group Health Plan) Transparency Reporting and Compliance Rules for Group Health Plans The New Fiduciary Rule and Amended… [read post]
11 Jun 2020, 4:26 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
Here are a few suggestions to consider: Expand Your Employee Assistance Program According to a recent study from the Society for Human Resource Management (SHRM) Foundation and Otsuka America Pharmaceutical, Inc., titled “Mental Health in America: A Workplace Report,” 78% of organizations currently offer workplace mental health resources or plan to offer such resources in the next year. [read post]