EBIA Health Care Reform for Employers and Advisors

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Practice Area: Pension & Benefits Brand: Checkpoint

EBIA Health Care Reform for Employers and Advisors
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The Supreme Court’s landmark ruling has upheld health care reform. Are you ready for the compliance challenges ahead? EBIA’s Health Care Reform for Employers and Advisors offers the relevant, expert analysis and source materials you need.

Details

Table of Contents

Topics Covered:

Overview of Health Care Reform for Employers and Advisors
Effective Dates and Timeline
Which Plans and Insurers Must Comply With the PHSA Mandates?
Grandfathered Health Plans
PHSA Mandates: Consequences of Noncompliance
Lifetime, Annual, and Cost-Sharing Limits
Preexisting Condition Exclusions, Waiting Periods, and Rescissions
Dependent Coverage for Adult Children
Patient Protections, Preventive Health Services, and Clinical Trials
Nondiscrimination in Plan Design
Insurance Mandates
Appeals Process and External Review Requirements
Summary of Benefits and Coverage (SBC)
Mechanisms to Allocate Risk
Exchanges, Qualified Health Plans (QHPs), and CO-OPs
Temporary High Risk Pool: PCIP Program
Small Business Health Care Tax Credit
Early Retiree Reinsurance Program (ERRP)
Shared Responsibility for Employers (Play or Pay Penalty Tax)
Shared Responsibility for Individuals (Individual Mandate)
Tax on High-Cost Health Coverage
Automatic Enrollment
HIPAA Electronic Transactions and Operating Rules
Employee Protections
Special Issues for FSAs, HRAs, HSAs, and Cafeteria Plans (Including Simple Cafeteria Plans)
Reporting and Fees
Participant Notices and Disclosures

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