Roadmap to compliance: navigating the employer shared responsibility rules *

USA - January 30 2013
Earlier this month, the IRS issued proposed regulations that provide much-needed guidance on the new "pay or play" rules (also called the shared…

Co-authors: Leigh C. Riley.

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Medical loss ratio rebates: implications for sponsors of ERISA group health plans *

USA - July 30 2012
The Patient Protection and Affordable Care Act established medical loss ratio standards for insurance carriers.

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Delayed effective date for summary of benefits and coverage requirements *

USA - December 6 2011
The Patient Protection and Affordable Care Act (PPACA) expanded the disclosure requirements for group health plans and health insurance issuers, mandating that participants and beneficiaries be provided with a four-page summary of benefits and coverage (SBC) for each benefit package offered.

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Medicare Part D creditable coverage notices: new deadline and revised model notice *

USA - October 10 2011
Sponsors of group health plans offering prescription drug coverage must notify Medicare-eligible individuals whether their prescription drug coverage is “creditable coverage” (i.e., whether their coverage is expected to pay on average as much as the standard Medicare prescription drug coverage).

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Connecticut to become first state to require paid sick leave for employees *

USA - June 21 2011
On June 3, 2011, the Connecticut House of Representatives passed a bill (Public Act No. 11-52) that will require employers with 50 or more employees to provide service workers with up to five days of paid sick leave per year

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