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11 results found

Article

Hodgson Russ LLP | USA | 31 Oct 2011

Agencies issue summary of benefit coverage guidance

The Department of Labor (DOL), Department of the Treasury, and Department of Health and Human Services (HHS) jointly issued proposed regulations regarding the Summary of Benefit Coverage (SBC).

Article

Morgan Lewis | USA | 26 Aug 2011

New summary of benefits and coverage required for health plans in 2012

On August 22, the Departments of Treasury, Labor, and Health and Human Services (the Departments) jointly published proposed regulations on the new Summary of Benefits and Coverage (SBC) that insurers and group health plan administrators will be required to distribute beginning next year.

Article

Venable LLP | USA | 5 Jul 2011

Health care reform: more changes to the claims and appeals process

The Internal Revenue Service (IRS), Department of Labor (DOL), and Department of Health and Human Services (HHS) modified the review process for claims for benefits under non-grandfathered health plans once again.

Article

Greenberg Traurig LLP | USA | 16 May 2011

Which employers will be responsible for health coverage in 2014?

The new health care law, otherwise known as the Patient Protection and Affordable Care Act (PPACA), requires that, beginning after December 31, 2013, "applicable large employers" must provide affordable health coverage to their full-time employees.

Article

Eversheds Sutherland (US) LLP | USA | 29 Dec 2010

IRS issues guidance delaying enforcement of nondiscrimination rules for insured health plans

On December 23, 2010, the IRS issued Notice 2011-1 regarding the application of the nondiscrimination rules under Internal Revenue Code (Code) section 105(h) to non-grandfathered insured group health plans pursuant to the Patient Protection and Affordable Care Act (PPACA).

Article

Smith, Gambrell & Russell, LLP | USA | 29 Dec 2010

Update on health care reform: agencies delay application of nondiscrimination rules to fully-insured plans

On December 22, 2010, the Internal Revenue Service ("IRS") issued IRS Notice 2011-1 (the "Notice") delaying the application of the nondiscrimination rules under Section 105(h) of the Internal Revenue Code (the "Code") to fully-insured group health plans.

Article

Reinhart Boerner Van Deuren SC | USA | 24 Sep 2010

Health care reform: external review process

In March, President Obama signed the Patient Protection and Affordable Health Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010 (HCERA), together referred to as the Act.

Article

Katten Muchin Rosenman LLP | USA | 17 Sep 2010

New rules published for external claims appeals procedures

The Internal Revenue Service, Department of Labor and Department of Health and Human Services published new rules in the Federal Register on August 26 regarding the new requirements for external claims appeals procedures for group health plans.

Article

Baker & Hostetler LLP | USA | 31 Aug 2010

Regulatory agencies publish interim procedures for federal external review processes for non-grandfathered self-insured health plans and model notices for internal appeal and external review determinations

Non-grandfathered self-insured group health plans now have guidance regarding the new requirements for federal external reviews of adverse benefit determinations.

Article

Bricker & Eckler LLP | USA | 23 Aug 2010

Federal Register announcement

On August 26, 2010, the Departments of Treasury, Labor, and Health and Human Services published in the Federal Register an announcement of the availability of EBSA Technical Release No. 2010-01 providing an interim enforcement safe harbor for non-grandfathered self-insured group health plans not subject to a state external review process and, therefore, subject to the federal external review process.

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