large group health Archives - Page 2 of 4 - Employee Benefits I AP Benefit Advisors

DOL: Affordable Care Act Implementation FAQs, Part 26

Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of the Affordable Care Act. These FAQs have been prepared jointly by the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the Departments). Like previously issued FAQs (available at http://www.dol.gov/ebsa/healthreform/ and http://www.cms.gov/cciio/resources/fact-sheets-and-faqs/index.html), these FAQs answer questions from stakeholders to […]

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New SBCs for 2015 – for use on/after September 1, 2015

The Departments (Departments of Health and Human Services, Labor, and the Treasury) released proposed changes to the regulations regarding SBCs (Summary of Benefits and Coverage) and the uniform glossary that goes with it. These proposed regulations amend the final regulations that were published on 02/14/2012 (the 2012 final regulations) and includes revisions to the templates, […]

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HHS is Consistent! Pre-Thanksgiving Regulation Dump – 2014 Version

The Department of Health and Human Services (HHS) has come through for us again.  This year’s pre-Thanksgiving regulation dump came a bit earlier than expected.  They issued proposed regulations that address a variety of Patient Protection and Affordable Care Act (PPACA) benefit provisions for 2016 affecting both the group and individual markets. There is a 30-day […]

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Update: Health Plan Identifier (HPID 10 digit number) Requirements for Self-Insured Health Plans

12/19/2018  HHS final update:  This proposed rule would rescind the adopted standard unique health plan identifier (HPID) and the implementation specifications and requirements for its use and the other entity identifier (OEID) and implementation specifications for its use. The decision to propose to rescind the adopted standards was made following a careful assessment of industry […]

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COBRA Updates Include Marketplace Options

            The United States DOL (Department of Labor) released some new/revised notices at the end of last week. These include: New Model General Notice (used in IROC & COBRA FAQ letters. IROC = Initial Rights of COBRA notice, given to new plan entrants to remind them that certain events can […]

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DOL: PPACA Final Rules on 90 Day Waiting Period

Today the U.S. Departments of Labor, Treasury, and Health and Human Services have announced the publication of final regulations implementing a 90-day limit on waiting periods for health coverage.   Under PPACA (the Patient Protection and Affordable Care Act), employers and plan sponsors are prohibited from sponsoring/offering health plans that have waiting periods in excess of […]

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Holiday Regulation Dump! That Pesky $63 per head fee and Much More!

More Proposed Regulations from HHS While the Department of Health and Human Services (HHS) has been busy on several fronts (including fixing the healthcare.gov websites), they haven’t taken their “foot off the gas pedal” and are sending out new regulations at a solid pace.  This week they issued proposed regulations that address a variety of […]

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Self-insured win partial PPACA fee exemption

From BenefitsPro.com Self-insured employers and self-administered health plans are about to catch a break, thanks to fine-tuning of the Patient Protection and Affordable Care Act by the Departmentof Health and Human Services. In a soon-to-be-published compendium of rule modifications, HHS says it will exempt certain self-insured employers from the second two years of paying the […]

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