US Health Care Reform [page under construction]
The laws
Consolidated PPACA and Reconciliation Act PPACA (as enacted) Reconciliation Act (as enacted) Committee Reports (consolidated by ERIC)
Tech release 2012-1 auto entrol, shared responsibilities, waiting periods
CHIP and Medicaid 2011 specimen special enrollment notice
COBRA Form 8928 penalties (COBRA and HIPAA)
GINA Impact on wellness programs (Pepper Hamilton) GINA DOL Site
Government Sources EBSA Home Page HHS regulations and guidance healthreform.gov
CMS Center for Consumer Information and InsuranceOversight -- CCIIO - Regs and Guidance
Overall views Kaiser Org. Summary All health plan notices summary (Kushner) Checklist from Brian Cave (September, 2010) Morgan Lewis analysis Notices required by PPACA (Plan Sponsor) 13 step checklist: Baker Donelson self-insured, unbundled health and vision plans
The topics
Grandfathered plans Interim regulations DOL Grid Model disclosure notice: grandfathering Segal Co comparison: grandfathering ERISA Diagnostics Grid: Worst case analysis BBA Health Law Analysis
Interim regulation to allow change of insurer
Patient Bill of Rights: Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections Proposed regulations Fact sheet (Patient Bill of Rights) Model disclosure notice: physician selection Model disclosure notice: no Lifetime limits
Preexisting Condition Program (proposed regulations)
Annual Limit Waivers June 17, 2011 application info (w/ extension info) June 17, 2011 CCIIO link to Waiver info June 17, 2011 info w/ employee notice Original MiniMed Annual limits waiver procedure (HHS) Original MiniMed Notice for plans with waivers (HHS)
Preventative Care Mandate Contraception and religious organizations Interim regulation
Links to proposed regulations and list of covered services Buck analysis
Nondiscrimination rules for insured plans IRS Notice 2011-1 (extension until further guidance) IRS Notice 2010-63 United healthCare guidance Price Waterhouse guidance Jones Day concerns
Children under age 27 (Tax treatment) IRS Notice 2010-38 (includes 125 plan rules)
Children up to 26th birthday (coverage) DOL / IRS / HHSA interim final rule DOL Q&As Model disclosure notice: special enrollment Comment to expand dfn of child
Cafeteria Plans IRS Notice 2010-59 (prescription drug limit)
Small employer credit Notice 2010-13 list of benchmark premiums IRS web page IRS Notice 2010-44 IRS instructions: Form 8941
Appeals Procedure Allston & Bird comment DOL site w/ regulation links
Uniform Disclosure of coverage terms Final regulations Compliance guide Summary of Benefits Coverage Template Sample completed SBC Instructions to complete group SBC Instructions to complete individual SBC Why this matters language for YES answers Why this matters language for NO answers HHS info for simulating coverage examples Uniform glossary of coverage and medical terms
Mental Health Parity Gallagher Alert
Early Retiree Assurance Program HIS Interim Final Rule (5/5/2010) Sutherland Asbill checklist Deloitte analysis
Long term care (the Class Act) NY Times summary
Nursing Mothers DOL Fact Sheet
Wellness Programs Comments from ERIC (3/8/2011)
w-2 reporting IRS Notice 2011-28
The regulators HHS key personnel
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