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FAQs on the COBRA Premium Reduction Extension Provisions Related To The Continuing Extension Act Of 2010.

Link http://www.dol.gov/ebsa/faqs/faq-cobra-premiumreductionEE.html

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The American Recovery and Reinvestment Act (ARRA) provided a COBRA premium reduction for eligible individuals who were involuntarily terminated from employment through May 31, 2010. Individuals who qualified on or before May 31, 2010 may continue to pay reduced premiums for up to 15 months, as long as they are not eligible for another group health plan or Medicare. Those individuals who qualified for the premium reduction were only required to pay 35 percent of the COBRA premium otherwise due to the plan. If your COBRA continuation coverage lasts for more than 15 months, you will need to pay the full amount to continue your COBRA continuation coverage.

Link http://www.dol.gov/ebsa/newsroom/fsExpiringSubsidy.html

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This document contains a proposed rule that, if adopted, would supersede the existing procedure governing the filing and processing of applications for administrative exemptions from the prohibited transaction provisions of the Employee Retirement Income Security Act of 1974 (ERISA), the Internal Revenue Code of 1986 (the Code), and the Federal Employees’ Retirement System Act of 1986 (FERSA). The Secretary of Labor is authorized to grant exemptions from the prohibited transaction provisions of ERISA, the Code, and FERSA and to establish an exemption procedure to provide for such relief. The proposed rule would clarify and consolidate the Department of Labor’s exemption procedures and provide the public with a more comprehensive description of the prohibited transaction exemption process.

Link http://edocket.access.gpo.gov/2010/pdf/2010-21073.pdf

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 This document serves as notice of a final external review decision. We have [upheld/overturned/modified] the denial of your request for the provision of, or payment for, a health care service or course of treatment.

Link  iabdmodelnotice3

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This document serves as notice of an adverse benefit determination. We have declined to provide benefits, in whole or in part, for the requested treatment or service described below. If you think this determination was made in error, you have the right to appeal (see the back of this page for information about your appeal rights).

Link      iabdmodelnotice2

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 This document serves as notice of a final internal adverse benefit determination. We have declined to provide benefits, in whole or in part, for the requested treatment or service described below. If you think this determination was made in error, you may have the right to appeal (see the back of this page for information about your appeal rights).

Link iabdmodelnotice1

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The preamble to the interim final regulations provided that the Departments would issue additional guidance on the Federal external review process. This technical release provides guidance on the interim Federal external review process for self-insured group health plans.

Link http://www.dol.gov/ebsa/pdf/ACATechnicalRelease2010-01.pdf

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Section 512 of the Employee Retirement Income Security Act of 1974 (ERISA), 88 Stat. 895, 29 U.S.C. 1142, provides for the establishment of an Advisory Council on Employee Welfare and Pension Benefit Plans (the Council), which is to consist of 15 members to be appointed by the Secretary of Labor (the Secretary) as follows: three representatives of employee organizations (at least one of whom shall be a representative of an organization whose members are participants in a multiemployer plan); three representatives of employers (at least one of whom shall be a representative of employers maintaining or contributing to multiemployer plans); one representative each from the fields of insurance, corporate trust, actuarial counseling, investment counseling, investment management, and accounting; and three representatives from the general public (one of whom shall be a person representing those receiving benefits from a pension plan). No more than eight members of the Council shall be members of the same political party. 

Link http://edocket.access.gpo.gov/2010/pdf/2010-18897.pdf 

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WASHINGTON — The U.S. Department of Labor’s Employee Benefits Security Administration today announced its intention to withdraw the proposed regulation on the definition of a welfare benefit plan under the Employee Retirement Income Security Act from review by the Office of Management and Budget

Link http://www.dol.gov/opa/media/press/ebsa/EBSA20101080.htm

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The NAIC amended this model during the 2010 Spring National Meeting.

Link http://www.dol.gov/ebsa/pdf/externalreviewmodelact.pdf