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Article

Alston & Bird LLP | USA | 15 Feb 2012

New guidance on distribution of medical loss ratio (MLR) rebates creates issues for group health plan sponsors

Hey, I just got a rebate from my insurance company for my group health plan!

Article

Alston & Bird LLP | USA | 13 Feb 2012

New Michigan law imposes a tax on claims paid by employer-sponsored health plans

In September of 2011, Michigan passed the Health Insurance Claims Assessment Act1 (the “Act”), which imposes a one percent tax on, among others, certain group health plan claims paid by employer-sponsored group health plans subject to ERISA.

Article

Alston & Bird LLP | USA | 29 Aug 2011

When is a summary more than a summary: agencies issue long-awaited guidance on the ACA’s uniform summary of benefits and coverage requirement

On August 22, 2011, the Departments of the U.S. Treasury (“Treasury”), Labor (DOL) and Health and Human Services (HHS) (collectively, the “Agencies”) jointly published proposed regulations (“Regulations”) that identify the standards for the uniform explanation of coverage requirement under the Patient Protection and Affordable Care Act of 2010 (ACA).

Article

Alston & Bird LLP | USA | 25 Aug 2011

HHS issues new women’s preventive services required health plan coverage guidelines

On August 1, 2011, the Department of Health and Human Services (HHS) issued new Guidelines on Women’s Preventive Health (the “Guidelines”).

Article

Alston & Bird LLP | USA | 23 Aug 2011

So what are my internal and external claim review requirements? A question every group health plan is asking.

Recently, the U.S. Departments of Treasury, Labor (DOL) and Health and Human Services (HHS) (collectively, the “Agencies”) jointly issued new interim final regulations (“New Final Regulations”) and new related technical guidance (“New Technical Guidance”) regarding the internal and external claim review requirements set forth in new Public Health Service Act Section 2719 (“Claim Review Rules”), as added by Section 1001 of the Patient Protection and Affordable Care Act of 2010 (ACA).

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