Search for: "State Health Benefit Plan"
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2 Nov 2011, 11:10 am
In A Comparison of Self-Funded and Insured Health and Welfare Plans, health benefits expert witness Mark Johnson, J.D., Ph.D., ERISA Benefits Consulting, Inc., writes: By working around the state insurance reserve, contribution, and other requirements applicable to insurance companies, MEWAs typically market their coverage at a lower rate than those of regulated companies. [read post]
28 Feb 2024, 4:00 pm
Essentially, the TPA uses the assets of one health plan to pay or reimburse benefits provided under another health plan in violation of ERISA’s exclusive benefit rule. [read post]
23 Jul 2010, 8:26 pm
Furthermore, non-grandfathered group and individual health policies subject to the Appeals Rules also may continue to be required to comply with state-mandated external and/or independent review and other state-imposed claims and appeals procedures. [read post]
20 Nov 2012, 12:54 pm
A companion letter on the flexibility in implementing the essential health benefits in Medicaid was also sent to states. [read post]
11 Jun 2014, 5:30 am
By Ann Caresani The Pennsylvania General Assembly has given us another opportunity to expand our employee benefit plan boundaries discussion. [read post]
21 Sep 2021, 5:00 pm
The Mental Health Parity and Addiction Equity Act (“MHPAEA”) provisions of the Consolidated Appropriations Act, 2021 (“CAA”) introduced a requirement that group health plans and insurance providers offering both medical and surgical benefits (“M/S benefits”) and mental health and substance use disorder benefits (“MH/SUD benefits”) that impose non-quantitative treatment limitations… [read post]
15 Jul 2012, 8:04 pm
Following the release of updates to the MHPAEA portion of the Employer Self Compliance Tool here by the Department of Labor Employee Benefit Security Administration (EBSA) last week and with mental health benefits among those that ACA specifically identifies as an “essential benefit,” employer and union health plans, their sponsors, fiduciaries and administrators should expect greater scrutiny of their plans compliance… [read post]
15 Apr 2024, 6:00 am
Implications for Benefit Plans While IVF treatment is not illegal in Alabama, the LePage case demonstrates how state-level regulation of reproductive care can have broad implications for employers and health plans. [read post]
14 Sep 2022, 8:28 am
” In a letter to members of the State Health Benefits Commission prior to their meeting to consider astronomical increases in health benefits costs, Sen. [read post]
2 Mar 2020, 11:04 am
Along with assisting their health plan clients with these activities, brokers, consultants, TPAs, and other plan vendors also should evaluate the potential implications of the reforms in the 02/06/20 Proposed Rule as well as any relevant state law reforms on the advice and services they provide to their clients, as well as their potential responsibilities and exposures in light of the evolving state health and PBM transparency rules. [read post]
3 Aug 2010, 1:35 pm
Viking Administrators Commerce Benefits Group Agency No entity under these names is currently authorized by the OIR to transact health insurance business in Florida.While this order applies to plans under Florida governance, if residents of Georgia or other states have one of these plans you might want to contact your state insurance department. [read post]
1 Aug 2012, 10:02 am
August 1 marked the effective date of yet another Affordable Care Act mandate: the controversial contraceptive coverage and other women’s health preventive coverage benefits mandates. [read post]
16 Apr 2018, 3:00 am
In the final rule, CMS stresses its goal of providing states greater flexibility and control over their insurance markets, particularly in the areas of: selection of essential health benefits benchmark plans; the operation and establishment of Exchanges, including Small Business Health Options Program Exchanges; rate review requirements; the process for receiving adjustments to the individual market medical loss ratio standard; and certification of… [read post]
22 Feb 2010, 3:18 pm
Cynthia Marcotte Stamer’s article Health Plans & Business Associates Face 2/17 Deadline To Comply With HIPAA Privacy Rule Changes is featured in the Winter, 2010 edition of the SouthWest Benefits Association e-Connection. [read post]
13 Jun 2012, 6:34 am
Topics addressed include employer concerns regarding plan design and funding, methods for communicating with employees, grandfathered plan status, reactions to health insurance exchanges and the potential impact on health care benefit costs. [read post]
13 Sep 2022, 10:22 am
Steven Oroho cautioned that escalating health benefits premiums will increase taxes and crush the budgets of towns, counties and school districts across the state. [read post]
16 May 2019, 8:31 am
” A complaint filed in federal court against Simple Health and its owner alleged that they falsely led people to believe they were buying comprehensive health insurance, when they were really buying medical discount and limited benefit plans that didn’t qualify as health insurance and didn’t deliver the benefits promised. [read post]
10 Aug 2021, 9:57 am
Continue Reading The post Benefits of a Colorado Estate Planning Attorney appeared first on Boulder Estate Planning Legal Blog. [read post]
19 Dec 2011, 3:00 am
So we thought we had finally created a national system of health insurance that would permit near-universal coverage for essential health benefits to every American. [read post]
2 Sep 2014, 9:09 am
Summary of Benefits and Coverage, Women’s Health and Cancer Rights Act Notice, Medicaid/CHIP Premium Assistance Notice, HIPPA Notice of Privacy Practices, and Exchange Notice. [read post]
