The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires group health plans (and their business associates) that exchange information electronically in certain "covered transactions" to use standardized formats and uniform codes to conduct such transactions.
Pursuant to section 1104 of the Patient Protection and Affordable Care Act (PPACA), the Department of Health and Human Services issued an interim final rule yesterday afternoon adopting operating rules for two Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions: eligibility for a health plan and health care claim status.
The recent health care reform legislation made two significant changes regarding health benefits provided to an employee's adult child.
Under the ACA, certain group health plans and health insurance coverage existing as of March 23, 2010 (the date of enactment of the ACA), are considered "grandfathered" and excused from complying with some of the ACA's health care improvement and market reform provisions.
On June 14, 2010, the Departments of the Treasury, Labor, and Health and Human Services issued interim final regulations implementing rules for group health plans and health insurance coverage in the group and individual markets regarding status of a "grandfathered" health plan under the Patient Protection and Affordable Care Act (PPACA) (P.
The Patient Protection and Affordable Care Act, as amended ("PPACA"), requires group health plans that offer health coverage to employees' or subscribers' children to make such coverage available until the child's 26th birthday.
Many employers with wellness program that use health risk assessments will have to modify their assessments to avoid running afoul of the Genetic Information Nondiscrimination Act of 2008 (GINA), under final interim regulations set to appear in the Federal Register on October 7, 2009.
Joining Massachusetts and Connecticut, Rhode Island will require employers employing more than 25 employees in the state for six consecutive months to establish and maintain a cafeteria plan (also referred to as a Section 125 plan) to enable employees and their dependants to purchase health insurance with pre-tax dollars.
Minnesota has amended the law imposing a reporting requirement on employers with respect to pre-tax premium payments.
The Children’s Health Insurance Program Reauthorization Act of 2009 (the "Act") creates new special enrollment rights, requires employers to provide a new notice to employees, and requires employers to disclose certain health plan information to states.