Tag Archives: self-insured health plans

Deadline Approaching for PCORI Tax Filing

Sponsors of self-insured health plans are required to report and pay the patient-centered outcomes research fee (PCORI) fee by July 31, 2014. The most significant change this year is an increase in the applicable fee. For plan sponsors of self-insured … Continue reading

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HHS Announces Intent to Exempt Some Self-Insured Plans from Reinsurance Fees

Yesterday, the U.S. Department of Health and Human Services (“HHS”) published a rule finalizing a number of policies related to the implementation of the Patient Protection and Affordable Care Act (“Program Integrity Rule”).  In the Preamble of the Program Integrity … Continue reading

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PPACA External Review Process for ERISA Plans

Under the Patient Protection and Affordable Care Act (“PPACA”), insurers and the sponsors of non-grandfathered self-insured health plans must allow for an external review process in the event of an adverse benefit determination.  An adverse benefit determination is essentially any … Continue reading

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