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4 Mar 2014, 5:50 pm
Non-grandfathered self-insured and large group health plans must comply with the out-of-pocket limits in 2014 but pending further guidance are excused from the duty to comply with deductible limitations imposed by the cost-sharing limitations of the Patient Protection & Affordable Care Act (ACA) according to new guidance jointly published February 20, 2013 by the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the “Departments”) in… [read post]
7 Jul 2014, 8:34 am
Late last month, the Department of Health & Human Services Office of Civil Rights (HHS) announced that complaints of a retiring physician over the mishandling of her patient records by Parkview Health System, Inc. [read post]
6 Sep 2012, 2:55 pm
Businesses concerned about Obama Administration-backed efforts to promote its pro-labor agenda must stay diligent despite the set back suffered by the National Labor Relations Board (NLRB) in its attempt to a Federal Judge to challenge state laws that purport to require secret balloting in union elections in NLRB v. [read post]
15 May 2014, 10:00 am
Employersyand fiduciaries of 401(k) plans should take note of the potential need to adopt a mid-year amendment to their plans to comply with new guidance of the Internal Revenue Service (IRS) concerning the need to timely amend their plans to comply with IRS recent guidance on when their plans must afford same-sex partners treatment equivalent to opposite-sex married couples issued in response to the Supreme Court’s decision striking down the Defense of Marriage Act (DOMA) in United… [read post]
27 Feb 2019, 10:25 am
Ohio National Fund, Inc. said the “escalating fraud investigation seems to us a thesis changer. [read post]
5 Mar 2013, 1:51 pm
While most employer and union health plan sponsors, fiduciaries and administrators are bracing to cope with “pay or play” and other mandates of the Patient Protection and Affordable Care Act (ACA) in 2014, most report frustration with the continuing lack of clarity and uncertainty about rules and costs. [read post]
6 Feb 2017, 11:20 am
“In the face of these appreciated problems with collective marks,” Fromer writes, “scholars have advocated instead the use of certification marks—in which the mark owner cannot itself do business in the certified goods or services—as a solution to anticompetitive worries. [read post]
12 Aug 2014, 4:59 pm
Group health plan sponsors and third party administrators of certain group health plans who already filed their Form 8963, “Report of Health Insurance Provider Information,” who expect that their group health plan will be exempt in the 2014 fee year from the temporary risk adjustment fee assessment imposed by the Patient Protection & Affordable Care Act (ACA) based on impending guidance scheduled for publication on September 2, 2014 in Notice 2014-47 may… [read post]
9 Mar 2014, 1:12 pm
Employers considering skinny plans and the brokers, third party administrators (TPAs), insurers and consultants recommending the use of these arrangements alone or as part of a broader health plan design should seek qualified legal advice for help with structuring and implementing these arrangements to avoid potential traps and missteps that could trigger unanticipated benefits, costs and/or tax consequences. [read post]
