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14 results found

Article

Bricker & Eckler LLP | USA | 9 Aug 2010

American health benefit exchanges: requirements

An Exchange is required to be a governmental agency or nonprofit entity that is established by a State and each Exchange must make available only qualified health plans to qualified individuals and qualified employers.

Article

Bricker & Eckler LLP | USA | 16 Jul 2010

Interim Final Regulations released for pre-existing condition exclusions, lifetime and annual limits, rescissions, and patient protections

On June 28, 2010, Interim Final Regulations (the Regulations) were issued implementing certain provisions of the Patient Protection and Affordable Care Act (the Act).

Article

Bricker & Eckler LLP | USA | 13 Jul 2010

Model language for notice of opportunity to enroll in connection with extension of dependent coverage to age 26

The interim final regulations extending dependent coverage to age 26 provide transitional relief for a child whose coverage ended, or who was denied coverage (or was not eligible for coverage) under a group health plan or health insurance coverage because, under the terms of the plan or coverage, the availability of dependent coverage of children ended before the attainment of age 26.

Article

Bricker & Eckler LLP | USA | 7 Jul 2010

Patient protection model disclosure

When applicable, it is important that individuals enrolled in a plan or health insurance coverage know of their rights to (1) choose a primary care provider or a pediatrician when a plan or issuer requires designation of a primary care physician; or (2) obtain obstetrical or gynecological care without prior authorization.

Article

Bricker & Eckler LLP | USA | 7 Jul 2010

Model language notice lifetime limit no longer applies and enrollment opportunity

Plans and issuers are required to give written notice that the lifetime limit on the dollar value of all benefits no longer applies and that an individual, if covered, is once again eligible for benefits under the plan.

Article

Bricker & Eckler LLP | USA | 28 Jun 2010

No lifetime or annual limits - Section 2711 of the Public Health Service Act as added by Section 1001 of the Patient Protection and Affordable Care Act

This section prohibits group health plans and a health insurance issuers from offering group or individual health insurance coverage with lifetime limits on the dollar value of benefits for any participant or beneficiary.

Article

Bricker & Eckler LLP | USA | 28 Jun 2010

Grandfathered plans: preservation of right to maintain existing coverage - Section 1251 of the Patient Protection and Affordable Care Act and Section 2301 of the Health Care and Education Reconciliation Act

This section states that nothing in the new law requires that an individual terminate coverage under a group health plan or health insurance coverage in which the individual was enrolled on March 23, 2010 and that certain provisions of the new law will not apply to the plan or coverage, regardless of whether the individual renews coverage after March 23, 2010.

Article

Bricker & Eckler LLP | USA | 25 Jun 2010

Grandfathered plan regulations

Guidance about "grandfathered" group health plans was issued jointly by Federal agencies on June 17, 2010 (the "Regulations").

Article

Bricker & Eckler LLP | USA | 17 Jun 2010

Credit for employee health insurance expenses of small businesses - Section 1421 of the Patient Protection and Affordable Care Act

This section applies to "eligible small employers," defined as an employer which has no more than 25 full-time equivalent employees for the taxable year, the average annual wages of which do not exceed an amount equal to twice the "dollar amount" in effect under for the taxable year, and which has a "contribution arrangement" in effect.

Article

Bricker & Eckler LLP | USA | 17 Jun 2010

Open enrollment presents opportunities for employers

The 2010 open enrollment period provides employers with an opportunity to explain changes made to benefits, many of which are required as a result of the Patient Protection and Affordable Care Act of 2010 (as amended by the Health Care and Education Reconciliation Act) (collectively, "the Act"), and to allay any fears that employees have regarding their employers' group health plans.

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