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Monthly Archives: June 2013
Transitional Reinsurance Fees: A Broad Overview
The PPACA established two new programs, both of which are accompanied by new fees. The relatively small PCORI fee of $1 per covered life is due on July 31 of this year for plan years that end after October 1, 2012—the form … Continue reading
HealthCare.gov is Operational
On June 24, the Department of Health and Human Services (HHS) launched a newly redesigned website that is meant to educate consumers on the novel health care options being created through the implementation of the PPACA. To supplement the website’s educational … Continue reading
Posted in Patient Protection and Affordable Care Act
Tagged call center, Center for Consumer Information and Insurance Oversight, Department of Health and Human Services, Enroll America, health insurance, health insurance exchanges, health insurance premiums, HHS, Patient Protection and Affordable Care Act, PPACA, tax breaks, www.healthcare.gov
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Independent Contractors: Financial Trap for Employers?
Most employers are now aware of the fact that the PPACA’s “play or pay” provisions will soon be implemented. These provisions require large employers to provide full-time employees with health insurance. Some employers may hope to reclassify employees as independent … Continue reading
NLC and AGRiP Fight for Public Entity Health Pools
On June 21, 2013, the IRS conducted a public hearing on proposed rules regarding the Health Insurance Providers Fee (the “§ 9010 fee”). The § 9010 fee is an annual fee starting in 2014 for covered entities engaged in the … Continue reading
Posted in Patient Protection and Affordable Care Act
Tagged AGRiP, Association of Governmental Risk Pools, § 9010 fee, health care risk pools, Health Insurance Provider Fees, MEWA, Multiple Employer Welfare Arrangements, National League of Cities, NLC, Patient Protection and Affordable Care Act, PPACA
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Federal Government Permits States to Manage SHOP Exchanges Independently of Individual Exchanges
On June 14, 2013, the Department of Health and Human Services (“HHS”) released a notice of proposed rulemaking entitled “Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards.” The proposed rule addresses many outstanding issues that must be resolved … Continue reading
Indiana Congressmen Lead With Proposed PPACA Changes
Two Indiana Congressmen are in the news for their efforts to make changes to the PPACA. Both Congressmen are working to amend the PPACA to limit the burden of the PPACA shared responsibility penalty upon employers. Senator Joe Donnelly, a … Continue reading
Posted in Patient Protection and Affordable Care Act
Tagged 30 hours of service, 40 Hours Is Full Time Act, 40 hours of service, Exempt schools from insurance mandates, full time employment, Patient Protection and Affordable Care Act, PPACA, reduction of hours, Representative Luke Messer, Senator Joe Donnelly
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COBRA Continuation Coverage: Have You Updated Your COBRA Election Notices Yet?
On May 8, 2013, the Department of Labor (DOL) released changes to the COBRA Model Election Notice. The new model notice will inform “qualified beneficiaries” about the PPACA’s establishment of government-run health care exchanges. Open enrollment for the exchanges should … Continue reading
PPACA: Educating the Uninsured
An organization named Enroll America launched a campaign yesterday to educate Americans on the PPACA and the health insurance marketplaces. Enroll American is “a collaborative organization, working with partners that span the gamut of health coverage stakeholders—health insurers, hospitals, doctors, … Continue reading
Fiscal Year Health Plans: The PPACA Will Be (Slightly) Flexible
Under the PPACA, applicable large employers must decide whether to provide health insurance coverage to their employees (“play”) or face penalties under the law (“pay”) by January 1, 2014. This play or pay choice may be particularly difficult for large … Continue reading
HIPAA Compliance: California Medical Center Sanctioned for Statements to Media and Workforce
In a June 13, 2013 press release, The Department of Health and Human Services (“HHS”) announced that Shasta Regional Medical Center (“SRMC”) has agreed to pay $275,000 and implement a comprehensive corrective action plan to settle an investigation concerning potential … Continue reading
