Current Edition of Employee Plans News

The IRS has released the June edition of its Employee Plans News. Document Excerpt The edition includes new information on submitting ESOPs for determination letters including the newly prepared worksheet to be used by the reviewer. Link

Revised Model Notice of Final External Review

The agencies release a revised version of the model notice of final external review decision. Document Excerpt Link IABDModelNotice3

Revised Model Notice of Final Internal Adverse Benefit Determination

The agencies release a revised version of the model notice of final internal adverse benefit determination. Document Excerpt Link IABDModelNotice2

Revised Model Notice of Adverse Benefit Determination

The agencies release a revised version of the Model Notice of Adverse Benefit Determination. Document Excerpt Link IABDModelNotice1

Technical Release 2011-02

The DOL issues Technical Release 2011-02 providing additional guidance on the external review for group health plans and healthissurers offering group and individual health coverage, and guidance for states and state external review processes. Document Excerpt The Departments understand that many States have been working to make changes to implement NAIC-parallel processes. HHS continues to […]

Amendments to Interim Final Rules on Claims

The Agencies release amendments to the interim final rules on internal clais and external review under the Affordable Care Act. Document Excerpt This document contains amendments to interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group¬†health plans and health insurance coverage in the group and individual markets […]

Final Rule Implementing PPA Provision Treating Bankruptcy Filing Date as Termination Date

The PBGC has released its final rule implementing the PPA provision treating a plan sponsor’s bankruptcy filing date as the plan termination date for certain PBGC purposes. Document Excerpt This final rule implements section 404 of the Pension Protection Act of 2006. Section 404 amended Title IV of ERISA to provide that when an underfunded, […]

GAO Study on Waiver Applications

The GAO’s internal study found that applications with a projected premium increase of 10 percent or more tended to be approved while applications with a projected premium increase of 6 percent or less tended to be denied. Applications with a premium increase between 7 and 9 percent warranted additional staff reviews Document Excerpt ¬†CCIIO granted […]

Instructions to New 5500 EZ

Plans may choose to file electronically or via paper. Document Excerpt Link

July Lump Sum Rates

The PBGC has released the interest rate for valuing lump sums payable in July. Document Excerpt The immediate interest rate for valuing lump sum payments for the month of July 2011 is 2.25%. The deferred interest rate I1 is 4.00%, I2 is 4.00%, and I3 is 4.00%. (The immediate interest rate for June 2011 was […]

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