<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Handling Rebates Arising from the Medical Loss Ratio Requirement
Handling Rebates Arising from the Medical Loss Ratio Requirement Fully Insured Plans The PPACA requires insurance issuers to provide an annual rebate to plan participants […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> End Date for Claims Under ERRP
End Date for Claims Under ERRP: Reimbursements under the Early Retiree Reimbursement Program (ERRP) are approaching the $5 billion funding limit. As a result, the ERRP […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> HRAs Receive Exemption From Annual Limit Restrictions
HRAs Receive Exemption From Annual Limit Restrictions: Under guidance from the HHS Center for Consumer Information and Insurance Oversight (CCIIO), Health reimbursement arrangements (HRAs) have been […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Minimum Threshold for Reporting HRAs to CMS
Minimum Threshold for Reporting HRAs to CMS: The Centers for Medicare and Medicaid Services (CMS) recently announced an increase in the minimum threshold for reporting by […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Summary of Benefits and Coverage Requirements
Summary of Benefits and Coverage Requirements: In a blog dated 8/18/11, I described the proposed Summary of Benefits and Coverage (SBC) and Uniform Glossary that are […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> HIPAA Privacy and Security Audit Program
HIPAA Privacy and Security Audit Program: The Office of Civil Rights (“OCR”), which is the division of the Department of Health and Human Services (“HHS”) that […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Consumer Assistance Web Page
Consumer Assistance Web Page: The DOL’s Employee Benefits Security Administration has created a new consumer assistance web page that provides easy access to useful information and […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Who is Auditing Dependent Eligibility?
Who is Auditing Dependent Eligibility?: Under PPACA, group health plans must allow a participant’s dependent child to remain eligible for coverage until the child’s 26th birthday, […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Health Care Reform Compliance Failures Must Now be Included on Updated IRS Form
Health Care Reform Compliance Failures Must Now be Included on Updated IRS Form: Since January 1, 2010, plan sponsors have been required to report any failure […]