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Results: 1-10 of 42

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


Proposed regulations issued for excepted benefits
  • Hodgson Russ LLP
  • USA
  • February 28 2014

The Departments of the Treasury, Labor, and Health and Human Services recently issued proposed regulations that generally expand the definition of


Failure to notify participant that coverage is out of network may be a fiduciary breach
  • Hodgson Russ LLP
  • USA
  • January 31 2014

The U.S. Court of Appeals for the Seventh Circuit, in an en banc decision, held that the husband of a deceased plan participant may continue with his


Now is the time to "pay or play"
  • Hodgson Russ LLP
  • USA
  • April 30 2013

Now is the Time to "Play or Pay." The so-called play-or-pay mandate becomes effective January 1, 2014. For calendar year plans, 2014 open enrollment


Agencies issue regulations regarding 90-day waiting period for group health plans
  • Hodgson Russ LLP
  • USA
  • May 31 2013

The Departments of Health and Human Services, Labor, and the Treasury issued proposed regulations regarding the Patient Protection and Affordable


Guidance on HRAs and other employer payment plans
  • Hodgson Russ LLP
  • USA
  • November 26 2013

Under ACA for 2014. The Treasury and Department of Labor recently published guidance on the application of the Affordable Care Act Market Reforms on


Religious employers and the Women’s Contraceptive Mandate
  • Hodgson Russ LLP
  • USA
  • November 26 2013

This past July, the U.S. Departments of Labor, Health and Human Services, and the Treasury released final regulations regarding health plan coverage


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


Women’s preventive services and for-profit employers
  • Hodgson Russ LLP
  • USA
  • December 20 2013

The Affordable Care Act (ACA) requires non-grandfathered group health plans to cover certain preventive health services without cost-sharing. For


Modification of “use-or-lose” rule for health FSAs
  • Hodgson Russ LLP
  • USA
  • December 20 2013

Internal Revenue Service (IRS) Notice 2013-71 modifies the "use-it-or-lose-it" rule for health flexible spending accounts (health FSAs) set forth