The Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation in, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department of Health and Human Services (HHS), on the basis of race, color, national origin, sex, age, or disability.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
Plan administrators of group health plans must provide a Summary of Benefits and Coverage (SBC) to eligible individuals. Insurer is responsible for creating the SBC for fully insured plans, and the insurer and plan administrator are both responsible for distributing to participants in insured plans.
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule for benefit payment and parameters for 2021. CMS also released its draft 2021 actuarial value calculator and draft 2021 actuarial value calculator methodology.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
Updated January 2020
A plan sponsor’s requirements under federal law will vary depending on factors such as group health plan design, size, grandfathered status, and whether the plan is fully insured or self-funded.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
Topics: Compliance Issues, Affordable Care Act, Employee Benefits
As employers determine their plan designs for the coming year, those with grandfathered status need to decide if maintaining grandfathered status is their best option. The following are some frequently asked questions and answers about grandfathering a group health plan.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits
The Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation in, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department of Health and Human Services (HHS), on the basis of race, color, national origin, sex, age, or disability.
Read MoreTopics: Compliance Issues, Affordable Care Act, Employee Benefits