Understanding Employee Benefits and key developments in the employee benefits field and items of interest to our clients. MORE

The Department of Labor has published two checklists that plan sponsors can use to test their compliance with group health plan requirements. One checklist addresses the Affordable Care Act (ACA or health care reform) provisions, including a plan’s status as a “grandfathered” plan exempt from some ACA requirements, and such ACA requirements as limitations on rescission and annual and lifetime limits and the new Summary of Benefits and Coverage. The other checklist addresses HIPAA portability and other law provisions, such as preexisting conditions exclusions, certificates of creditable coverage, special enrollment rights, wellness programs, mental health parity and others. The check-the-box tools do a good job explaining these compliance requirements.  Employers may want to review the self-compliance tools to make sure that their plans meet these ACA and HIPAA requirements.

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