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CMS finalizes rules on payments to retiree prescription drug plan sponsors
  • Reed Smith LLP
  • USA
  • January 25 2012

The Centers for Medicare & Medicaid Services (CMS) has published a final rule that implements provisions regarding the reporting of gross covered retiree plan-related prescription drug costs and retained rebates by Retiree Drug Subsidy (RDS) sponsors


Obama administration issues rules on ACA insurance exchanges
  • Reed Smith LLP
  • USA
  • August 16 2011

On August 12, 2011, the Obama Administration made a series of announcements related to implement of Affordable Insurance Exchanges (Exchanges) under the Affordable Care Act (ACA


IRS issues ACA employer "shared responsibility" guidance; delays compliance deadlines for certain employers
  • Reed Smith LLP
  • USA
  • February 17 2014

On February 12, 2014, the Internal Revenue Service (IRS) published final regulations modifying the timeline under which certain employers will be


HHS issues ACA benefit, payment parameter rules for 2014
  • Reed Smith LLP
  • USA
  • March 13 2013

HHS published a final rule on March 11, 2013 to establish additional regulatory requirements regarding ACA health insurance provisions that go into


IRS regulations implement insurer fee to fund PCORI trust fund
  • Reed Smith LLP
  • USA
  • December 20 2012

On December 6, 2012, the IRS published final regulations implementing fees on issuers of certain health insurance policies and plan sponsors of certain


PPACA Early Retiree Reinsurance Program
  • Reed Smith LLP
  • USA
  • May 13 2010

On May 5, 2010, the Department of Health and Human Services (HHS) published an interim final rule with comment period on the PPACA's Early Retiree Reinsurance Program, which will reimburse participating employment-based plans for a portion of the cost of health benefits for early retirees and their spouses, surviving spouses, and dependents


DOL guidance on ACA internal claims and appeals procedures, FAQs
  • Reed Smith LLP
  • USA
  • September 30 2010

The Department of Labor (DOL) has issued Technical Release No. 2010-02, "Interim Procedures for Internal Claims and Appeals under the Patient Protection and Affordable Care Act," which sets forth an enforcement grace period until July 1, 2011 for compliance with certain new ACA provisions regarding internal claims and appeals


Obama administration proposes rules on incentives for nondiscriminatory wellness programs in group health plans
  • Reed Smith LLP
  • USA
  • November 29 2012

The Obama administration published a proposed rule on November 26, 2012 that addresses nondiscriminatory wellness programs in group health plan coverage, consistent with ACA requirements, effective for plan years starting on or after January 1, 2014


HHS amends ACA preventive servicescontraception coverage rules
  • Reed Smith LLP
  • USA
  • August 16 2011

On August 3, 2011, the HHS published an interim final rule with comment period amending rules regarding coverage of certain preventive services by group health plans and health insurance coverage in the group and individual markets under the ACA


Obama administration issues amendment to ACA insurance appeals rules
  • Reed Smith LLP
  • USA
  • June 28 2011

On June 24, 2011, the Department of Health and Human Services (HHS), the Internal Revenue Service, and the Employee Benefits Security Administration published an amendment to their July 23, 2010 interim final rule on internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under the Affordable Care Act (ACA