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The recent regulations on association health plans (AHPs) would make it easier for employers to provide cost-effective health coverage in a variety of situations, according to comments from a major plan sponsor organization. [read post]
The recent regulations on association health plans (AHPs) would make it easier for employers to provide cost-effective health coverage in a variety of situations, according to comments from a major plan sponsor organization. [read post]
6 Nov 2014, 4:49 pm by Cynthia Marcotte Stamer
As a part of the annual cost-sharing limits enacted as part of ACA, Public Health Service (PHS) Act section 2707(b) requires non-grandfathered group health plans to have individual’s maximum out-of-pocket (MOOP) limit for essential health benefits of not more than $6,600 for self-only coverage and $13,200 for coverage other than self-only coverage. [read post]
24 Sep 2013, 6:02 pm by Cynthia Marcotte Stamer
Impending 10/1 Exchange Notice & Other New Notice Deadlines Cut Time Short For Employers To Finalize 2014 Health Plan Terms & Contracts Health Plan Pays $1.2M+ HIPAA Settlement For Not Protecting PHI On Copiers Report Questions Security As HHS Invites Consumers To Set Up Personal Accounts To Prepare For Exchange Enrollment Period For important information about this communication see here. [read post]
3 Dec 2011, 5:54 am by Cynthia Marcotte Stamer
  Americans can best improve health care by not waiting for someone else to step up:  Speak up, step up and help bridge the gap when you or your organization can do so by extending yourself a little bit. [read post]
23 May 2012, 3:07 pm by Cynthia Marcotte Stamer
  During the course of the investigation leading up to the lawsuit, the company previously repaid to the plan $485,000 of the total funds identified as missing by the Labor Department. [read post]
13 Feb 2019, 7:21 am
It's been a while since we discussed MEWAs (Multiple Employer Welfare Arrangement), but this type of plan (along with AHPs and self-funding arrangements) have become hot (again).Why's that? [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
Under Code Section 6039D, businesses sponsoring group health plans are required to self-assess and pay excise taxes of up to $100 per day for each uncorrected violation of a specified list of federal health plan mandates by filing a Form 8928 when the business files its corporate or partnership tax return for the applicable taxable year. [read post]
5 Feb 2013, 9:58 pm by Cynthia Marcotte Stamer
Stamer’s health benefit experience includes extensive and highly-innovative dealings with insured and self-insured managed care, defined contribution, indemnity and other health benefit, disability, life, occupational injury, Medicare and Medicaid Advantage, and other welfare benefit and insurance plans and policies; and a wide range of other employee benefits, compensation, insurance, equity and other related arrangements. [read post]
13 Dec 2013, 3:48 pm by Cynthia Marcotte Stamer
Impending 10/1 Exchange Notice & Other New Notice Deadlines Cut Time Short For Employers To Finalize 2014 Health Plan Terms & Contracts Businesses Urged To Strengthen Their Worker Classification Defenses As IRS, Other Agencies Step Up Audits & Enforcement 13 Employer Tips For Coping With Health Care Reform Now! [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Stamer uses her deep and highly specialized health, insurance, labor and employment and other knowledge and experience to help employers and other employee benefit plan sponsors; health, pension and other employee benefit plans, their fiduciaries, administrators and service providers, insurers, and others design legally compliant, effective compensation, health and other welfare benefit and insurance, severance, pension and deferred compensation,… [read post]
8 Jan 2009, 4:07 am
Not too long ago - but eons ago by blogging standards - blog reader Alan Modlinger over at Lowenstein Sandler favored us with a copy of an opinion, District 1199P Health & Welfare Plan v. [read post]
19 Jul 2022, 10:20 am
Health care - The costs of health insurance, disability insurance, and money put into a health savings account for you, your spouse, and your dependents may be deducted. [read post]
25 Apr 2013, 5:37 am by Cynthia Marcotte Stamer
Employer and union group health plan sponsors and insurers of group and individual health plans (Health Plans) generally will need to update their Health Plans’ Summary of Benefits and Coverage (SBC) to comply with updates to the SBC disclosure mandates to the Patient Protection and Affordable Care Act (Affordable Care Act) the Departments of Health & Human Services (HHS), Labor (DOL) and Treasury… [read post]
21 Nov 2023, 3:15 pm by Cynthia Marcotte Stamer
Accordingly, health plans and their fiduciaries, administrators, and sponsors should confirm their continued compliance in light of the insights provided by the Settlement and related OCR guidance. [read post]