July 2010 - Employee Benefits I AP Benefit Advisors

The Affordable Care Act: Internal & External Appeals for Patients

On July 23, 2010, Interim Final Rules relating to Internal Claims and Appeals and External Review Processes under PPACA and HCEARA were issued by the Departments of Health and Human Services (HHS), Labor (DOL), and the Treasury (IRS). These requirements do not apply to Grandfathered plans. Group health plans (and health insurance issuers) need to […]

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Health Reform Rules Regarding Preventive Care and Cost-Sharing

Clarification from HHS/DOL/Treasury: Health Reform Rules Regarding Preventive Care and Cost-Sharing The Departments of Health and Human Services (HHS), Labor (DOL), and the Treasury issued new regulations today, requiring new private health plans to cover evidence-based preventive services and eliminate cost sharing requirements for such services. The agencies have concluded that cost sharing, including deductibles, […]

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New Compliance Chronicles Article Posted – DOL Model Notices

A new article discussing the Department of Labor’s issuance of model notices has been posted in the Compliance Chronicles section of the AP Benefit Advisors, LLC website. The article states, “The DOL provided three model notices for some of the health care reforms that will take effect for a plan’s first plan year after 09/23/2010. […]

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