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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
- -
- 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
Summary of benefits and coverage: final rules issued
- Hodgson Russ LLP
- -
- USA
- -
- February 28 2012
Group health plans and health insurance issuers offering group health insurance coverage are required to provide a written summary of benefits and coverage (SBC) for each benefit package that is offered
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
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
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
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
Current Search
- Jurisdiction - USA
- Workarea - Insurance & Reinsurance
- Workarea - Employee Benefits & Pensions
- Workarea - Healthcare
- Author - Arthur A. Marrapese III
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