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Documents on Employee Benefits, Health Care
 

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HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 23: The Impact of Employment Contract Terms on Variable Hour Employee Status
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
July 22, 2014, previously published on July 20, 2014
For applicable large employers (i.e., employers who employed at least 50 full-time and full-time equivalent employees on business days during the preceding calendar year) endeavoring to comply with the Affordable Care Act’s employer shared responsibility rules, determining an employee’s...

 

Adobe PDFUpdated Model Cobra Continuation Coverage Election Notice
Lamb Barnosky LLP;
Legal Alert/Article
July 22, 2014, previously published on July 9, 2014
The U.S. Department of Labor recently issued an updated Model COBRA Continuation Coverage Election Notice (a copy is attached to this memo and available at http://www.dol.gov/ebsa/COBRA.html). The Updated Notice must be provided to COBRA qualified beneficiaries within 14 calendar days after the...

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 24: Can Offers of Group Health Plan Coverage Under Code Section 4980H Qualify as “Bona Fide Fringe Benefits” for Service Contract Act Purposes?
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
July 17, 2014, previously published on July 15, 2014
The Employer Shared Responsibility provisions of the Affordable Care Act (“ACA”) generally require “applicable large employers” (i.e., employers who employed at least 50 full-time and full-time equivalent employees on business days during the preceding calendar year) to...

 

HTMLInsurer’s Motion to Dismiss Hospital’s Bad Faith Breach of Contract Claim Denied (New Jersey Federal Court)
Fineman Krekstein Harris P.C.;
Legal Alert/Article
July 17, 2014, previously published on July 8, 2014
In Conn. Gen. Life Ins. Co. v. Roseland Ambulatory Surgery Ctr., the plaintiff/counterclaim-defendant insurer brought claims against defendant/counterclaim-plaintiff hospital for failure to require patients to pay certain out-of-pocket expenses. The insurer originally brought a claim alleging that...

 

HTMLSupreme Court Rules Closely Held Companies Not Subject to Contraceptive Coverage Mandate of Health Care Reform Law
Jackson Lewis P.C.;
Legal Alert/Article
July 8, 2014, previously published on June 30, 2014
In a highly publicized decision, the Supreme Court, 5-4, has ruled that closely held corporations cannot be required to provide contraceptive coverage as mandated by the Affordable Care Act (ACA). Burwell v. Hobby Lobby Stores, Inc., et al., No. 13-354 (June 30, 2014) (together with Conestoga Wood...

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 29: Wellness Programs, Smoking Cessation and e-Cigarettes
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
June 11, 2014, previously published on June 9, 2014
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) generally prohibits discrimination in eligibility, benefits, or premiums based on a health factor, except in the case of certain wellness programs. Final regulations issued in 2006 established rules implementing these...

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 36: Hacking the Affordable Care Act’s $100/Day Penalties for Insurance Market Reform Violations
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
April 25, 2014, previously published on April 21, 2014
Particularly with the issuance of final regulations under the Affordable Care Act’s employer shared responsibility rules, employers have been concerned—justifiably—with the pay-or-play penalties. Human resource, finance, even senior management personnel of affected employers...

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 38: Congress Eliminates Separate Cap on Deductibles
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
April 10, 2014, previously published on April 7, 2014
+In a rare display of bipartisanship, Congress voted to eliminate the Affordable Care Act’s separate cap on deductibles that applies to individual and small group insurance products. (These limits never applied to large fully-insured groups or to self-funded plans.) While this change affects...

 

HTMLIs Your Employer-Sponsored Medical Reimbursement Plan Compliant?
Lauren B. Dunn, Mindi M. Johnson; Foster, Swift, Collins & Smith, P.C.;
Legal Alert/Article
March 31, 2014, previously published on March 14, 2014
The Patient Protection and Affordable Care Act (“PPACA”) provides that a group health plan must not impose any annual limit on essential health benefits (the “Essential Health Benefits Rule”). A group health plan must also provide certain preventive care services without...

 

Adobe PDFThe Affordable Care Act: Considerations for Employers with Unionized Workers
Patricia A. Dunn, F. Curt Kirschner, Catherine E. Livingston; Jones Day;
Legal Alert/Article
March 25, 2014, previously published on March 2014
As of April 1, 2014, the UK will have a new competition law enforcer. To date, the UK has been unusual among European Union (EU) Member States in having two distinct competition authorities, the Office of Fair Trading (OFT) and the Competition Commission (CC). They will now be replaced by a...

 


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