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Final rules for Summary of Benefits and Coverage for health plans

Sutherland Asbill & Brennan LLP
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USA
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March 5 2012

The tri-agency task force has issued several new items of guidance relating to the Summary of Benefits and Coverage required for group health plans and health insurance issuers under the Patient Protection and Affordable Care Act

Supreme Court to hear appeal on constitutionality of health reform law

Sutherland Asbill & Brennan LLP
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USA
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November 16 2011

On Monday, November 14, the U.S. Supreme Court granted certiorari to hear an appeal from a decision by the U.S. Court of Appeals for the Eleventh Circuit that the individual mandate in the Patient Protection and Affordable Care Act (PPACA) is unconstitutional

Guidance on purchasing health coverage in an insurance exchange

Sutherland Asbill & Brennan LLP
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USA
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August 19 2011

On August 17, 2011, the Departments of Health and Human Services and Treasury, respectively, issued guidance on the ability of individuals and small employers to purchase health coverage in an insurance exchange, and the premium tax credits for individuals who buy that coverage and whose income is between 100 and 400 of the federal poverty level

Eleventh Circuit rules PPACA mandate is unconstitutional Supreme Court review likely

Sutherland Asbill & Brennan LLP
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USA
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August 15 2011

On August 12, 2011, the U.S. Court of Appeals for the Eleventh Circuit ruled that the individual mandate under the Patient Protection and Affordable Care Act (PPACA) was unconstitutional because it exceeded enumerated congressional authority under the commerce clause of the Constitution, but that the mandate was severable, with the result that the remainder of PPACA is constitutional

Changes to PPACA claims and external review rules include more transition relief

Sutherland Asbill & Brennan LLP
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USA
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June 29 2011

On June 24, 2011, the tri-agency task force drafting regulations under the Patient Protection and Affordable Care Act (PPACA) published interim final regulations amending the regulations regarding internal claims and appeals and external review processes for group and individual health care coverage issued in July 2010

The latest guidance on health reform: reporting the cost of coverage to employees and more FAQs on grandfathered plans

Sutherland Asbill & Brennan LLP
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USA
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April 8 2011

Recently, the Internal Revenue Service issued guidance under the Patient Protection and Affordable Care Act (PPACA) to implement the requirement that employers report the cost of employer-sponsored health coverage to employees on Form W-2

Another strike against PPACA

Sutherland Asbill & Brennan LLP
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USA
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February 2 2011

A second court has ruled that the individual mandate to maintain health insurance coverage under the Patient Protection and Affordable Care Act (PPACA) is unconstitutional

IRS issues guidance on the deduction limitation of code section 162(m)(6)

Sutherland Asbill & Brennan LLP
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USA
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December 29 2010

On December 23, 2010, the Internal Revenue Service issued Notice 2011-2, providing long-awaited guidance on the application of Internal Revenue Code (Code) section 162(m)(6) as added by the Patient Protection and Affordable Care Act (PPACA

IRS issues guidance delaying enforcement of nondiscrimination rules for insured health plans

Sutherland Asbill & Brennan LLP
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USA
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December 29 2010

On December 23, 2010, the IRS issued Notice 2011-1 regarding the application of the nondiscrimination rules under Internal Revenue Code (Code) section 105(h) to non-grandfathered insured group health plans pursuant to the Patient Protection and Affordable Care Act (PPACA

Court finds individual mandate of PPACA unconstitutional

Sutherland Asbill & Brennan LLP
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USA
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December 16 2010

On December 13, 2010, the U.S. District Court for the Eastern District of Virginia issued a memorandum opinion in Commonwealth of Virginia Ex. Rel. Cuccinelli v. Sebelius (Case number 3:10-cv-00188-HEH), ruling that the individual mandate to maintain health insurance coverage under the Patient Protection and Affordable Care Act (PPACA) must be stricken from the law on constitutional grounds