Understanding Employee Benefits
Understanding Employee Benefits and key developments in the employee benefits field and items of interest to our clients. MORE
This is the twelfth in a series of articles about health care reform.
One year after the enactment of the health care reform legislation on March 23, 2010, changes are still being made on both the federal and state levels. This article addresses one recent federal policy and one state law change from the State…
This is the eleventh in a series of articles about health care reform.
In October of this year, we published an article, available here, describing the new health care reform requirement that non-grandfathered fully insured health plans must not discriminate in favor of highly compensated individuals. We mentioned that it was unclear how that…
This is the ninth in a series of articles about health care reform.
This article addresses a provision of the Health Care Reform Law that has not gotten as much press as some of the other provisions, such as the requirement to cover adult children to age 26 or the elimination of lifetime limits on…
This is the eighth in a series of articles about health care reform.
This Q&A focuses on new joint interim final regulations from the Internal Revenue Service, the Department of Labor, and the Department of Health and Human Services. The regulations address the internal and external benefit claims review procedures for nongrandfathered group health plans.…
This is the seventh in a series of articles about health care reform.
Q.1 What do the new rules require?
A.1 The new rules require nongrandfathered group health plans and group and individual health insurance polices see previous grandfathered article to provide certain preventive services to enrollees under the plan without cost-sharing. Generally speaking, this…
This is the fifth in a series of articles about health care reform.
Q.1 What is a grandfathered plan?
A.1 A grandfathered plan is a group health plan or individual insurance policy that was in existence on March 23, 2010. These plans are able to take advantage of certain delayed effective dates for changes required…
This is the fourth in a series of articles about health care reform.
Q.1 I have heard that there are provisions in the Act to encourage the development of wellness programs in health plans. Is that true?
A.1 Yes. One provision in the Act requires the Secretary of Health and Human Services to develop requirements…
This is the second in a series of articles about health care reform.
Q.1 What is a grandfathered plan?
A.1 Group health plans in effect on March 23, 2010, are considered grandfathered plans. Having grandfathered plan status significantly affects the application of health care reform. Certain deadlines for changes are extended and other changes do…
