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The Departments of Labor and Health and Human Services, along with Treasury/IRS, released a final rule on the health care reform requirement that group health plans provide a summary of benefits and coverage (SBC) to consumers.
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Categories: Health Care Reform | Tags: SBC , Preventative Care
Recently, the Department of Health and Human Services (HHS) issued a statement indicating that nonprofit employers who, based on religious beliefs, do not currently provide first dollar contraceptive coverage in their health insurance plan, have until August 1, 2013 to comply with the rule. Some expected that such employers would be completely exempt from the rule because churches and other houses of worship are exempt. Since the statement was released, all sides have weighed in and tensions sur...
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Categories: Health Care Reform | Tags: Preventative Services
There are four types of leaves of absences: (i) Paid Leave of Absence; (ii) Unpaid Family and Medical Leave Act (FMLA) Leave of Absence; (iii) Non-FMLA Unpaid Leave of Absence; and (iv) Uniformed Services Employment and Reemployment Rights Act (USERRA) Unpaid Leave of Absence. Each type of leave is subject to different regulations and will affect a participant’s benefits differently.
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Categories: Benefits in General | Tags: Leave of Absence
Recently the Department of Health and Human Services (HHS) issued interim final rules adopting HIPAA transaction standards for health care electronic fund transfers (EFT) and electronic remittance advice (ERA).
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Categories: Health Care Reform | Tags: HIPAA , EFT , ERA

Spouse Job Change & Your Health Care FSA Election

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Participants can make mid-year election changes to their Health Care FSA due to a status change for the employee, their spouse or dependents. See Treas. Reg. §1.125-4. When a status change event occurs, such as a spouse gaining or losing employment or eligibility for their employer’s plan, our participant is allowed to make changes to their Health Care FSA that are on account of and consistent with the event.
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Categories: Benefits in General | Tags: Health Care FSA
In recent blog posts, our guest contributor, Peter Antonie, summarized IRS guidance on Form W-2 reporting requirements and I’ve covered the $2,500 Health Care FSA limit. I’d like to send readers on over to our News Center for some excellent coverage of W-2 Reporting and the $2,500 limit.
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Categories: Health Care Reform | Tags:
The Internal Revenue Code (Code) imposes penalties in the form of excise taxes for various group health plan compliance failures, such as failures relating to COBRA, HIPAA and group health plan mandates, and requires self-reporting of such taxes on Form 8928 (the Form). Some of the excise taxes have been around for a long time, and the self-reporting requirement has been in place since January 1, 2010. However, because the IRS released an updated version of the Form in September 2011 to expres...
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Categories: Compliance | Tags: Form 8929
On December 16, 2011, the Department of Health and Human Services (HHS) released a bulletin outlining its intended approach to rulemaking to define “essential health benefits” (EHB).
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Categories: Health Care Reform | Tags: Essential Health Benefits

OCR HIPAA Audits Underway

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The Office of Civil Rights (OCR) has begun conducting audits of covered entities as part of its HIPAA privacy and security compliance program.
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Categories: Compliance | Tags: HIPAA
On December 5, 2011, the U.S. Department of Labor’s (DOL) Employee Benefits Security Administration announced two proposed rules under health care reform that greatly strengthen DOL’s oversight and enforcement authority for MEWAs.
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Categories: Health Care Reform | Tags: MEWA
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