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Medical loss ratio refunds - next steps

  • Fennemore Craig
  • -
  • USA
  • -
  • August 16 2012

Employers sponsoring fully insured medical plans for their employees may be eligible to receive a medical loss ratio refund under new rules set forth under the Patient Protection and Affordable Care Act

Medicare settlement reporting requirements; MDL master complaints after Twombly and Iqbal; and ex parte communication with treating physicians in an MDL setting

  • Nelson Mullins Riley & Scarborough LLP
  • -
  • USA
  • -
  • June 17 2010

Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007 (“MMSEA” or “Section 111”), 42 U.S.C. 1395y(b)(8), obligates entities that resolve certain claims with Medicare beneficiaries to report details of the settlement to the federal government

New IRS guidance for health care reform: more news you can use

  • Stoel Rives LLP
  • -
  • USA
  • -
  • April 6 2011

Health care reform requires employers to report the cost of health coverage on employees' W-2 forms

FAQs issued on the summary of benefits in coverage

  • Stinson Leonard Street LLP
  • -
  • USA
  • -
  • June 1 2012

The Departments of Labor, Health and Human Services, and Treasury have jointly issued another set of FAQs on the Patient Protection and Affordable Care Act (PPACA), the health care reform law

Health care reform -- Patient Protection and Affordable Care Act

  • Sherman & Howard LLC
  • -
  • USA
  • -
  • January 17 2011

This Client Advisory focuses on important updates in employer mandates under the Patient Protection and Affordable Care Act ("health care reform"

Affordable Care Act shared responsibility penalty delayed until 2015

  • Morgan Lewis & Bockius LLP
  • -
  • USA
  • -
  • July 3 2013

On July 2, the U.S. Department of the Treasury (Treasury) made a surprise announcementin an unusual placethat implementation of the employer Shared

New IRS regulations imposing fees upon self-insured plans and health insurance policies

  • Katten Muchin Rosenman LLP
  • -
  • USA
  • -
  • April 20 2012

On April 17, the Internal Revenue Service published in the Federal Register proposed Regulations setting forth the details for the new fees imposed upon self-insured plans and health insurance policy issuers

New rules for group health plans and health insurance issuers relating to coverage of preventive health services without cost sharing

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • July 16 2010

On July 14, 2010, the U.S. Treasury Department, Internal Revenue Service, the Department of Labor’s Employee Benefits Security Administration and the U.S. Department of Health and Human Services issued interim final rules to implement the provisions of the new Patient Protection and Affordable Care Act (“PPACA”) requiring non-grandfathered group health plans and health insurance issuers in the group and individual markets to provide coverage for preventive health services listed in certain recommendations and guidelines without imposing any cost-sharing requirements on covered individuals

Affordable Care Act: proposed regulations on employer shared responsibility

  • Sidley Austin LLP
  • -
  • USA
  • -
  • January 10 2013

The Treasury Department recently published proposed excise tax regulations under section 4980H of the Internal Revenue Code of 1986, as amended (the

Health care reform update benefits of grandfather status likely to be short-lived

  • Foley & Lardner LLP
  • -
  • USA
  • -
  • July 12 2010

The government agencies responsible for implementing the health care reform bill recently released regulations suggesting that grandfathering will be treated as a transitional rather than a permanent facet of the health care law