Interpreting ARPA’s COBRA Subsidy: Part 1
The IRS published its 41-page FAQs, Notice 2021-31 (the Notice) which provides answers to many questions surrounding the COBRA premium assistance program (Subsidy) created by […]
CAA #7: Clarifying The CAA’s Mental Health Parity Rules
The government has published a new set of FAQs (FAQ 45) elaborating on the enhanced compliance requirements of The Consolidated Appropriations Act of 2021 (CAA) […]
ARPA’s COBRA Subsidy: Part 2: Additional Guidance from the DOL
The Department of Labor (DOL) posted Model COBRA Notices and an accompanying FAQs to “fill in the gaps” on guidance for group health plans and […]
COBRA Provisions in the American Rescue Plan Act of 2021 (ARPA)
In addition to providing stimulus checks to many Americans, ARPA includes provisions designed to make it easier for people who have lost their jobs to […]
CAA #6: Continuity of Care Requirements in the Consolidated Appropriations Act
The Consolidated Appropriations Act (CAA) includes provisions designed to prevent patients from losing access to an in-network provider (including in-network facilities) while in a course […]
New Administration, New Rules
With a new administration comes new rules. Executive actions have put some rules on hold while others remain in force. Watch our Associate General Counsel, […]
CAA #4: A Prohibition on Gag Clauses
The Consolidated Appropriations Act (CAA) prohibits health plans from entering into contracts that would restrict the plan from: Offering provider-specific cost or quality of care […]
CAA #3: Strengthening Mental Health and Substance Abuse Parity Rules
The Consolidated Appropriations Act (CAA) included provisions designed to strengthen the rules for group health plans to impose Nonquantitative Treatment Limitations (NQTLs) on coverage for […]
Advance Explanation of Benefits: the 411
What is it? An Advance Explanation of Benefits (AEOB) starts with the obligation of a health care provider to furnish a patient with an advance […]