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High court rules equitable defenses don’t override ERISA plan terms

Ogletree Deakins
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USA
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April 18 2013

On April 16, 2013, the U.S. Supreme Court issued its decision in US Airways, Inc. v. McCutchen (No. 11-1285), deciding the issue of whether equitable

California weighs in on essential health benefits for group health plans and insurers

Ogletree Deakins
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USA
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February 22 2013

As a reminder of the significant role that states will play in implementing the provisions of the Affordable Care Act (ACA), we wanted to highlight

Wellness programs receive welcome tune-up under proposed regulations

Ogletree Deakins
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USA
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December 10 2012

The regulatory log-jam in Washington seems to finally be loosening up in the aftermath of the election, and the troika of agencies primarily responsible for overseeing implementation of the Patient Protection and Affordable Care Act of 2010 (the Affordable Care Act)the IRS, U.S. Department of Health and Human Serviceshave recently issued proposed regulations that will be of interest to employers who are considering new wellness programs or changes to existing programs

The advantages of team work

Ogletree Deakins
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USA
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November 1 2012

There are many things I enjoy about practicing employee benefits law at Ogletree Deakins

Hurry up and waitnew waiting period guidance for health plans

Ogletree Deakins
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USA
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September 10 2012

The government recently issued Notice 2012-59 (August 31, 2012), describing the 90-day limit for waiting periods to enter group health plans, as added by the Affordable Care Act (ACA

New PPACA benefit summary rules clarified

Ogletree Deakins
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USA
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February 14 2012

If their open enrollment periods start before September 23, 2012, health insurers and employers that sponsor health plans will not have to provide new summaries of benefits and coverage, or "SBCs," to new enrollees and existing health plan participants later this year, under new final regulations implementing the 2010 health care reform law

New reporting requirements for availability of health insurance

Ogletree Deakins
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USA
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September 28 2011

Under a law that took effect on July 15, 2011, employers must report to the New York State Department of Tax and Finance if family health insurance is offered when reporting on new hires (IT-2104 and IT-2104-E) and in quarterly wage reports (NYS-45

Short, fast and to the point proposed PPACA benefit summary rules set tight standards

Ogletree Deakins
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USA
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August 18 2011

Starting in March 2012, employers would have to provide much more succinct summaries of their health plan benefits (no more than four double-sided pages), much more quickly (often within seven days) and in a much more standardized form than they do now under proposed regulations issued this week by the three agencies responsible for implementing the benefit summary requirements of the 2010 health care reform law

IRS delays form W-2 reporting requirement under PPACA

Ogletree Deakins
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USA
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October 13 2010

On October 12, the Internal Revenue Service (IRS) announced that employers will not be required to report the cost of employer-sponsored group health coverage on Forms W-2 issued for 2011

Internal claims and appeals and external review under PPACA provides additional participant protection and administrative burden

Ogletree Deakins
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USA
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September 7 2010

On July 23, 2010, the Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Treasury Department issued its next phase of regulations implementing the Patient Protection and Affordable Care Act (PPACA), as amended relating to internal claims and appeals and external review processes under the new Section 2719 of the Public Health Service Act

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