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Documents on Employee Benefits, Health Care
 

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HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 16: So What, Exactly, is an “Offer of Coverage”?
Alden J. Bianchi, Edward A. Lenz; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
September 12, 2014, previously published on September 8, 2014
Whether an employer makes the requisite offer of group health plan coverage is critical to the application of the Affordable Care Act’s employer shared responsibility rules as reflected in final implementing regulations issued earlier this year (and see here for a useful IRS summary of those...

 

HTMLEnd of Year Planning and Compliance Deadlines for Health Plans
Bret Busacker, John Franklin Clark; Holland & Hart LLP;
Legal Alert/Article
September 2, 2014, previously published on August 29, 2014
Now that fall is in the air and school has started, we thought this would be a good time to summarize some of the key health and welfare benefit deadlines that are approaching this fall:

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 18: Emerging Strategies to Reduce or Eliminate Exposure for Assessable Payments under the Affordable Care Act’s Pay-or-Play Rules
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
September 2, 2014, previously published on August 25, 2014
The Affordable Care Act’s employer shared responsibility, or “pay-or-play,” rules require “applicable large employers” (generally employers with 50 or more full-time and full-time equivalent employees) to offer group health plan coverage (i.e., “play”) or...

 

HTMLHealthcare Reform in the U.S. Territories; Prepayment of Taxes for Puerto Rico Retirement Plans
Karen N. Brandon, Grace Huang Ristuccia; Ogletree, Deakins, Nash, Smoak & Stewart, P.C.;
Legal Alert/Article
September 1, 2014, previously published on August 28, 2014
The summer of 2014 has brought further guidance for health plan coverage in the U.S. territories and for retirement plan coverage in Puerto Rico. Issuers and employer sponsors of Puerto Rico group health plans and employer sponsors of Puerto Rico retirement plans should review their plans to ensure...

 

HTMLTwo Important Deadlines Approaching for Self-Insured Group Health Plans
Casey K. Fleming, Leigh C. Riley; Foley & Lardner LLP;
Legal Alert/Article
September 1, 2014, previously published on August 26, 2014
If you sponsor a self-insured group health plan, then November includes two important deadlines: (1) you must obtain a health plan identifier for your plan, and (2) you must report the number of participants for whom a transitional reinsurance fee is due.

 

HTMLResistance WAS Futile—California Conforms to ACA Waiting Period Requirement
Timothy G. Verrall; Ogletree, Deakins, Nash, Smoak & Stewart, P.C.;
Legal Alert/Article
August 29, 2014, previously published on August 20, 2014
After wandering in the wilderness for a year, California has now come in from the cold and conformed its requirements for eligibility waiting periods to the federal standard adopted in the Affordable Care Act (ACA). Effective January 1, 2015, SB 1034 imposes a 90-day limit on eligibility waiting...

 

HTMLHealth Care Reform: Employers Should Prepare Now for 2015 to Avoid Penalties
Jackson Lewis P.C.;
Legal Alert/Article
August 12, 2014, previously published on August 8, 2014
Under the Patient Protection and Affordable Care Act, beginning in 2015, certain large employers who do not offer affordable health insurance that provides minimum value to their full-time employees may be subject to significant penalties. These penalties are explained below.

 

HTMLBig Increase in 2014 Service Contract Act Health & Welfare Rate Announced
Jackson Lewis P.C.;
Legal Alert/Article
July 31, 2014, previously published on July 28, 2014
The U.S. Department of Labor (DOL) has released its annual memorandum with the rate increase for Service Contract Act (SCA) Health and Welfare (H&W) Fringe Benefits. The new rate of $4.02 per hour (up from last year’s $3.81 per hour) is required in all government contract bids or other...

 

HTMLThe Affordable Care Act—Countdown to Compliance for Employers, Week 22: Charting the Future of the Premium Subsidies (and Employer Penalties): Halbig v. Burwell and King v. Burwell
Roy M. Albert, Alden J. Bianchi, Stephen M. Weiner; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
July 29, 2014, previously published on July 28, 2014
On July 22, 2014, two federal appellate courts issued conflicting decisions, within hours of each other, regarding the IRS final rule published on May 23, 2012 (the “IRS Rule”), intended to implement the exchange-related tax credit provisions of the Affordable Care Act...

 

HTMLFederal Government Report on Data Breaches in Health Care
Margaret Young Levi; Wyatt, Tarrant & Combs, LLP;
Legal Alert/Article
July 28, 2014, previously published on July 21, 2014
The U.S. Department of Health and Human Services, Office for Civil Rights (OCR) has issued two reports to Congress required by Section 13402(i) of the Health Information Technology for Economic and Clinical Health (HITECH) Act:

 


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