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Duane Morris LLP | USA | 19 Feb 2019

May Health Plan Administrators Recoup Overpayments From Providers Through Cross-Plan Offsetting? One Federal Appeals Court Is Skeptical.

Health insurance conglomerates like UnitedHealth Group, Aetna, and Anthem administer benefits and process medical claims for thousands of employee


Mintz | USA | 13 Dec 2017

Memo to Massachusetts Employers for 2018 and 2019: How Not to Comply with the EMAC New Rules

In a November 20, 2017 post, we reported on Massachusetts’ passage of H. 3822, “An Act Further Regulating Employer Contributions to Health Care,” (the


Hunton Andrews Kurth LLP | USA | 29 May 2013

Employers must provide notices to employees of health insurance exchanges by October 1, 2013

Pundits have written much about the Affordable Care Act's forthcoming Health Insurance Exchanges, but they have paid little attention to employers'


Fox Rothschild LLP | USA | 28 Oct 2011

To insure or self-insure: that is a good question

So how does one decide to self-insure a health plan or go the fully-insured route?


Mintz | USA | 6 Oct 2011

TreasuryIRS propose safe harbor under Affordable Care Act’s employer responsibility rule for determining “household income”

The employer responsibility provisions of the Patient Protection and Affordable Care Act generally require “applicable large employers” i.e., those with more than 50 full-time equivalent employees to pay an assessable payment or penalty if any of the employer’s full-time employees is certified to receive a premium tax credit toward, or cost-sharing reduction in connection with, the purchase of health insurance through a state-based insurance exchange.


McDermott Will & Emery | USA | 25 Aug 2011

IRS proposed premium tax credit regulations signal direction of future guidance on employer pay-or-play penalties

The Internal Revenue Service has issued proposed regulations implementing health insurance premium tax credits.


Mintz | USA | 12 Jul 2011

Apportioning the $4.26 million Blue Cross Blue Shield of Massachusetts policy credits among employers and employer-sponsored group health plans

On July 6, 2011, the Board of Directors of Blue Cross Blue Shield of Massachusetts (BCBSMA) announced that the company would credit customers some $4.26 million in the form of policy credits on individual and group health policies.


Foley & Lardner LLP | USA | 26 Apr 2011

Insurance doesn't ensure compliance for discriminatory post-employment health coverage arrangements

Employers, often including those that are publicly traded, traditionally have used fully insured medical programs to provide coverage for certain current and former executive officers and other key employees under employment agreements, severance arrangements and similar programs established to provide non-uniform coverage for such selected individuals.


Baker Donelson Bearman Caldwell & Berkowitz PC | USA | 24 Jan 2011

Severance agreements and employment contracts: they may cost you a lot more than expected

In our prior Tax Alert we discussed the application of new nondiscrimination rules to third-party insured health coverage.


Locke Lord LLP | USA | 30 Dec 2010

Imprudent advice to terminate group health insurance

Once President Obama signed into law the Patient Protection and Affordable Care Act on March 23, 2010, and the Health Care and Education Reconciliation Act on March 30, 2010, (commonly referred to collectively as the "Affordable Care Act" or "ACA") one of the first provisions of the ACA to go into effect was the creation of a temporary high risk insurance pool program to offer coverage to otherwise uninsurable individuals.

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