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Making the Grandfathered Plan Determination
Employer plans are gearing up for compliance with health care reform requirements that go into effect for plan years beginning on or...
Sep 29, 2010
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Guidance Issued for Annual Dollar Limit Waivers
Certain limited benefit plans or "mini-med" health plans can now apply for waivers from health care reform's restricted annual dollar...
Sep 12, 2010
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New Guidance on Over-the-Counter Medicines and Drugs
Health care reform established new restrictions on the reimbursement of over-the counter (OTC) medicines and drugs purchased after...
Sep 12, 2010
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Health Reform – Are you Ready?
The Patient Protection and Affordable Care Act (the health reform law) requires all group health plans to comply with certain mandates,...
Sep 6, 2010
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First Round of Approvals in Early Retirement Reinsurance Program
The U.S. Department of Health and Human Services (HHS) announced the first round of applicants accepted into the Early Retiree...
Sep 2, 2010
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Legislation Introduced to Repeal Employer Mandate
US Senator Orrin Hatch (R-UT) has introduced the American Job Protection Act (S. 3501); legislation that would repeal the new "pay or...
Aug 31, 2010
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Reminder: Medicare Part D Creditable Coverage Disclosure
The Medicare Modernization Act (MMA) requires group health plan sponsors that provide prescription drug coverage to notify Medicare Part...
Aug 31, 2010
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Health Reform Rules on Claims, Appeals, and External Review –Model Forms Released
Under the health reform law, all non-grandfathered plans must comply with new federal internal appeals and external review requirements...
Aug 29, 2010
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Regulations Released Internal Appeals & External Review Processes Related to Health Insurance Reform
The various rules related to the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act...
Aug 16, 2010
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Health Insurance Reform Law Aids Nursing Mothers
Most of the attention related to health insurance reform has been given to the area of employee benefit coverage, but there are other...
Jul 29, 2010
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Wellness Gets a Boost
Beginning in 2014, under the new health reform law employers can offer increased incentives to employees who participate in a wellness...
Jul 28, 2010
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No Automatic Form 5500 Filing Extension Granted
It has come to our attention that the U.S. Department of Labor (DOL) will not grant an automatic extension of the Form 5500 deadline for...
Jul 22, 2010
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Reimbursement Restriction for Over-the-Counter Drugs
Under the new health reform law, over-the-counter (OTC) drugs are no longer qualified for purposes of distributions/reimbursements under...
Jul 21, 2010
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Determining Parity for Outpatient Benefits Under Mental Health Act
A new FAQ from the Department of Labor (DOL) on the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) provides important...
Jul 21, 2010
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NJ Officials Issue 2011 Expected State Plan Benefit Increases
On July 14, 2010, the commissions that manage the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program...
Jul 19, 2010
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DOL Releases Non-Subsidy COBRA Model Notices
A COBRA premium reduction subsidy was made available under the American Recovery and Reinvestment Act (ARRA) to eligible individuals who...
Jul 18, 2010
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Preventative Care Regulations Released
One of the provisions of the recently passed national health reform law stipulates that for new plans, preventive care must be covered at...
Jul 15, 2010
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HealthCare.gov Website Now Live
The U.S. Department of Health and Human Services (HHS) has created an internet web portal called "HealthCare.gov" through which...
Jul 14, 2010
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Changes Proposed to HIPAA Privacy, Security, and Enforcement Rules
The U.S. Department of Health and Human Services ("HHS") issued new proposed rules to modify and strengthen the Health Insurance...
Jul 13, 2010
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DOL Issues Model Health Care Reform Notices
The Department of Labor (DOL) has published model notice documents that can be used to satisfy notice requirements under the Affordable...
Jul 7, 2010
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