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Now is the time to "pay or play"
- Hodgson Russ LLP
- -
- USA
- -
- April 30 2013
Now is the Time to "Play or Pay." The so-called play-or-pay mandate becomes effective January 1, 2014. For calendar year plans, 2014 open enrollment
Agencies issue new FAQS regarding Affordable Care Act preventive care issues
- Hodgson Russ LLP
- -
- USA
- -
- April 30 2013
The Departments of Labor, Health, and Human Services and the Treasury have once again issued a set of FAQs regarding the implementation of the
Department of Health and Human Services issues final HIPAA Privacy and Security Regulations
- Hodgson Russ LLP
- -
- USA
- -
- March 29 2013
Under the privacy and security provisions of the Health Insurance Portability and Accountability Act (HIPAA) "covered entities," including employer
Notice 2012-58 play-or-pay
- Hodgson Russ LLP
- -
- USA
- -
- September 28 2012
Under Section 4980H of the Code, an “applicable large employer” (i.e., an employer with 50 or more full-time employees, including full-time equivalent employees) will pay a penalty for any month if at least one of its full-time employees is certified as having enrolled for that month in a qualified health plan through an exchange for which premium or cost-sharing assistance is allowed or paid and either (1) the employer fails to offer to its full-time employees (and their dependents) the opportunity to enroll in minimum essential coverage or (2) the employer offers its full-time employees (and their dependents) the opportunity to enroll in minimum essential coverage but that coverage is not affordable or does not provide minimum value
Notice 2012-59 90 day waiting period limitation
- Hodgson Russ LLP
- -
- USA
- -
- September 28 2012
For plan years beginning on or after January 1, 2014, a group health plan or health insurance issuer may not use a waiting period that exceeds 90 days
Medical plan preauthorization language violates SPD standards
- Hodgson Russ LLP
- -
- USA
- -
- August 29 2012
In Koehler v. AETNA Health Inc., the U.S. Court of Appeals for the Fifth Circuit held that Aetna’s benefits decision was not, as a matter of law, entitled to deference where the same document, Aetna’s certificate of coverage, served as both the plan document and summary plan description (SPD
Agencies issue new FAQs regarding summary of benefits and coverage
- Hodgson Russ LLP
- -
- USA
- -
- July 31 2012
The U.S. Departments of Labor, Health and Human Services and the Treasury have issued a set of frequently asked questions (FAQs) regarding the implementation of the Patient Protection and Affordable Care Act
IRS issues final regulations regarding Affordable Care Act’s premium tax credit
- Hodgson Russ LLP
- -
- USA
- -
- July 31 2012
On May 18, 2012, the IRS issued final regulations relating to the health insurance premium tax credit enacted as part of the Affordable Care Act
Agencies issue new FAQs regarding summary of benefits and coverage
- Hodgson Russ LLP
- -
- USA
- -
- April 27 2012
The U.S. Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury have issued a set of frequently asked questions (FAQs) regarding the implementation of the Patient Protection and Affordable Care Act
Supreme Court considers constitutionality of individual mandate
- Hodgson Russ LLP
- -
- USA
- -
- April 27 2012
At the end of March, the U.S. Supreme Court heard arguments on the constitutionality of a provision in the Patient Protection and Affordable Care Act (ACA) that requires most U.S. residents to maintain health care coverage for themselves and their dependents
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