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Results: 11-20 of 24

Insurer not a fiduciary when negotiating rates

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • February 11 2011

The Court of Appeals for the Sixth Circuit ruled that an insurer was not acting as a fiduciary when it negotiated rates with hospitals that favored its health maintenance organization clients over its self-funded plan clients

New guidance regarding debit card use for OTC expenses

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • January 4 2011

Under the Affordable Care Act, expenses incurred for a medicine or a drug would be treated as a reimbursement for a medical expense only if the medicine or drug is a prescribed medicine or drug or is insulin

Enforcement of insured plan nondiscrimination rules delayed

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • January 4 2011

As many employers are by now well aware, the Affordable Care Act imposes nondiscrimination rules on insured non-grandfathered group health plans

More health care reform FAQs issued

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • January 4 2011

Over the past several months DOL, HHS, and the IRS (collectively, the Agencies) have issued a series of frequently asked questions (FAQs) regarding the implementation of the Affordable Care Act

IRS issues notice regarding nondiscrimination rule for insured plans

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • November 29 2010

The IRS issued Notice 2010-63 inviting public comments on the application of rules prohibiting insured group health plans from discriminating in favor of highly compensated individuals (HCIs

Health reimbursement arrangements and waivers: immediate action required

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • November 19 2010

Under the Patient Protection and Affordable Health Care Act (PPACA), a group health plan's ability to impose annual limits on essential health benefits is restricted for plan years beginning before January 1, 2014 and prohibited altogether for plan years beginning on or after January 1, 2014

Grace period provided for compliance with health plan claims procedures

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • October 29 2010

Treasury, the Department of Labor, and the Department of Health and Human Services jointly issued a technical release giving group health plans until July 1, 2011, to comply with the new internal claims and appeals procedures required under the Patient Protection and Affordable Care Act (PPACA

Mandatory W-2 reporting of the cost of medical coverage delayed

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • October 29 2010

Under the PPACA, employers are required to report the cost of employer-sponsored health coverage on their employees' 2011 Forms W-2 (generally issued in early 2012

HHS issues proposed regulations on HIPAA’s privacy, security, and enforcement provisions

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • September 29 2010

The Department of Health and Human Services recently published proposed regulations for the implementation of statutory changes made to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as provided by the Health Information Technology for Economic and Clinical Health Act (HITECH

Health care reform update

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 30 2010

Regulations implementing the Patient Protection and Affordable Care Act (PPACA) have been coming out at a steady pace