Supreme Court to Hear Healthcare Subsidy Case

The U.S. Supreme Court has agreed to hear King v. Burwell, a case questioning the legitimacy of providing subsidies to individuals who purchase health coverage through the Federal, rather than through a State, Exchange. Document Excerpt QUESTION PRESENTED: Section 36B of the Internal Revenue Code, which was enacted as part of the Patient Protection and […]

Guidance on State Regulation of Stop-Loss Insurance

The DOL has posted to its site Technical Release 2014-01 providing guidance on state regulation of stop-loss insurance. Document Excerpt The Department of Labor, which is the agency primarily tasked with administration of Title I of ERISA,(9) takes the view that States may regulate insurance policies issued to plans or plan sponsors, including stop-loss insurance […]

Implementation FAQs Part XXII

The DOL has released Frequently Asked Questions Implementation Part XXII regarding the implementation of the Affordable Care Act. Document Excerpt Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of the Affordable Care Act. These FAQs have been prepared jointly by the Departments of Labor (DOL), Health and Human Services (HHS), and the […]

Health Plans failing to Provide In-Patient Hospitalization Do Not Provide Minimum Value

The IRS has released Notice 2014-69 clarifying that a plan that fails to provide in-patient hospitalization services does not provide minimum value without regard to the outcome of the use of the calculator. Document Excerpt  The Department of Health and Human Services (HHS) and the Department of the Treasury (including the Internal Revenue Service) (collectively, […]

Disaster Relief For Parts of California

The PBGC has announced disaster relief for affected plans in California as a result of the earthquake. Document Excerpt Pension Benefit Guaranty Corporation (“PBGC”) is waiving certain penalties and extending certain deadlines in response to the Earthquake that began on August 24, 2014, in California. Link http://www.pbgc.gov/prac/other-guidance/dr/dr14-07.html

Health Plan Identifier Delayed

The Office of e-Health Standards and Services announces a delay in enforcement of compliance with the Health Plan Identifier regulations. Document Excerpt The Health Plan Identifier (HPID) is a standard, unique health plan identifier required by the Health Insurance Portability & Accountability Act of 1996 (HIPAA).  On September 5, 2012 the Department of Health and […]

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