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Results: 1-10 of 24

Agencies issue amendments to the PPACA claims and appeals processes

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 29 2011

The Treasury, DOL, and the Department of Health and Human Services jointly issued amendments to the interim final rules governing the internal claims and appeals and the external review processes required under the Patient Protection and Affordable Care Act (PPACA

Final rules issued regarding reasonable health insurance premium increases

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 29 2011

Under the Affordable Care Act (health care reform), any proposed rate increase at or above 10 percent by an individual or small group market insurer must be scrutinized by independent experts to ensure justifiability

Plan administrator not obligated to provide benefit accruals for unpaid hours

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 29 2011

Nurse participants in a hospital retirement plan were upset that their unpaid meal breaks, during which they were required to work, and an unpaid 20-40 minute period of patient status review before the official start of their shifts were not counted for benefit purposes in the hospital's retirement plans

Treasury, IRS seek public input and comment on health care reform shared responsibility provisions

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 29 2011

Under health care reform, employers with 50 or more full-time employees that do not offer affordable health coverage to their full-time employees may be required to make a shared responsibility payment

Agencies issue new FAQs regarding PPACA implementation

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • July 8 2011

Once again the 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 (PPACA

MEWA held to be not fully insured under ERISA

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • April 15 2011

When unrelated employers join together in an association or other group to purchase or arrange for health insurance, the association is defined as a "multiple employer welfare arrangement" or "MEWA" under the law

Same-sex domestic partner policy does not discriminate against opposite-sex couples

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • April 15 2011

Reversing a decision by the Westchester County Human Rights Commission, a New York appeals court recently held that a policy adopted by a local Board of Cooperative Educational Services (BOCES) to offer health care to same-sex domestic partners did not unlawfully discriminate against opposite-sex domestic partners

Legal challenges to health care reform continue to work through the courts

  • Hodgson Russ LLP
  • -
  • USA
  • -
  • April 15 2011

In late January, a district court in Florida ruled that the Patient Protection and Affordable Care Act (PPACA) is unconstitutional

New grandfathered plan regulations permit insurance contract changes

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

Under the Affordable Care Act, group health plans are required to comply with a number of new insurance market reform requirements

Full-time medical residents subject to FICA

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

The US Supreme Court recently affirmed a decision of the Court of Appeals for Eighth Circuit upholding the IRS's position that remuneration paid to medical residents working full-time is subject to FICA tax