“PrEP Test” to be required as Preventive Service for Persons at risk of HIV Acquisition
On June 11, 2019, the The United States Preventive Services Task Force (USPTF) added pre-exposure prophylaxis (“PrEP”) for persons at high risk of HIV acquisition […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> Transitional Reinsurance Form Available
The Centers for Medicare and Medicaid Services (CMS) announced that the Transitional Reinsurance Program Annual Enrollment and Contribution Form will be available on October 24, […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> How Do We Prepare a Plan Document for Our Self-Insured Health Plan?
Q: We are changing our company’s group health plan from insured to self-insured. Do we need to create a plan document, or can we use […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> What Exclusions Are Common Under Self-Insured Health Plans?
Question of the Week From Thomson Reuters QUESTION: We are considering some design changes to our company’s self-insured major medical plan. Can we amend the […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> 3-Month Waiting Period Compliant?
Question of the Week From Thomson Reuters QUESTION: We sponsor a grandfathered, non-calendar-year self-insured health plan that imposes a three-month eligibility waiting period (our next […]
<span style="color: rgb(0, 119, 168); font-family: arial;"><b>H&W:</b></span> How Does Health Care Reform’s Clinical Trials Mandate Affect Our Self-Insured Health Plan’s Exclusion of Experimental or Investigational Items and Services?
Question of the Week from Thomson Reuters QUESTION: Our company’s self-insured health plan contains an exclusion for items and services that are experimental or […]