Health Plans (Including ACA, COBRA, HIPAA)

2,993 topics in this forum

1. MLR Rebate on Marketplace Subsidized Policy

   By Flyboyjohn, October 7, 2019
   • 6 replies
   • 4.3k views
   • 
   • dbenton
   • September 30, 2020

2. Medicare Advantage Retiree Medical Plan - Avoidance of Doughnut Hole

   By rocknrolls2, September 30, 2020
   • 0 replies
   • 486 views
   • 
   • rocknrolls2
   • September 30, 2020

3. Cash in lieu of group health plan benefit

   By KdGal, September 25, 2020   

   • health benefits
   • group health
   • (and 1 more)

     Tagged with:

     • health benefits
     • group health
     • opt-out
   • 4 replies
   • 3.9k views
   • 
   • BenefitJack
   • September 28, 2020

4. ACA Reporting - Are Late Filing Penalties Being Imposed?

   By kmhaab, June 21, 2019
   • 11 replies
   • 2.9k views
   • 
   • kmhaab
   • August 26, 2020

5. Prohibited Transaction in Funded Welfare Fund

   By Chaz, August 12, 2020
   • 3 replies
   • 1k views
   • 
   • Chaz
   • August 13, 2020

6. 6055/6056 Reporting

   By GoBro, August 7, 2020
   • 5 replies
   • 977 views
   • 
   • leevena
   • August 12, 2020

7. Able to change plan options when electing COBRA

   By shERPA, August 6, 2020
   • 8 replies
   • 14.1k views
   • 
   • shERPA
   • August 7, 2020

8. terminees, medical stipend, erisa

   By TPApril, July 30, 2020
   • 2 replies
   • 838 views
   • 
   • Chaz
   • July 30, 2020

9. COBRA coverage while moving abroad?

   By Ash M, July 2, 2020
   • 1 reply
   • 2.5k views
   • 
   • Luke Bailey
   • July 6, 2020

10. ACA Section 1557 Covered Entity?

    By Footnote12, July 2, 2020   

    • aca
    • 0 replies
    • 513 views
    • 
    • Footnote12
    • July 2, 2020

11. Open Enrollment Overlooked Dependent

    By NJ_BenAdmin, June 30, 2020
    • 0 replies
    • 4.4k views
    • 
    • NJ_BenAdmin
    • June 30, 2020

12. Retiree Health Insurance Premiums - Employer wants to pay former employee's share of cost

    By waid10, May 2, 2019
    • 6 replies
    • 3k views
    • 
    • Ken Peterson
    • June 19, 2020

13. Telemedicine - ACA?

    By Catsby, June 17, 2020   

    • affordable care act
    • health plans
    • 1 reply
    • 898 views
    • 
    • leevena
    • June 17, 2020

14. COVID-19 No Cost Sharing Mandate - Permissible to Exclude Due to Lack of Medical Necessity?

    By rocknrolls2, May 20, 2020
    • 4 replies
    • 942 views
    • 
    • leevena
    • June 11, 2020

15. Insurer Premium Rebates/Reductions = MLRRs?

    By Flyboyjohn, June 10, 2020
    • 3 replies
    • 1.5k views
    • 
    • Scooter
    • June 11, 2020

16. Retiree Premium Reimbursement - Categorization

    By EBECatty, May 14, 2020
    • 6 replies
    • 4.9k views
    • 
    • EBECatty
    • May 21, 2020

17. Insurance Deductions From STD or LTD Payments

    By PhilB, April 23, 2003
    • 7 replies
    • 9.7k views
    • 
    • Cbholder3@yahoo.com
    • May 14, 2020

18. Health Plan Coverage After Rehire Under CARES Act

    By Benefits Vet, March 31, 2020
    • 9 replies
    • 1.3k views
    • 
    • Benefits Vet
    • April 23, 2020

19. HIPAA requirements for Actively At Work treatment

    By Benefits Vet, January 20, 2020
    • 7 replies
    • 3k views
    • 
    • sharonfoster
    • April 22, 2020

20. Health Plan :Limits Hospital Benefits to $1,800 a Day

    By rocknrolls2, January 31, 2020
    • 3 replies
    • 1.2k views
    • 
    • sharonfoster
    • April 22, 2020

21. Late Employee Notice of Divorce - Options under COBRA and Change in Status

    By rocknrolls2, April 9, 2008
    • 2 replies
    • 4.4k views
    • 
    • sharonfoster
    • April 22, 2020

22. Covid-19 and privacy

    By Belgarath, March 20, 2020
    • 4 replies
    • 1.4k views
    • 
    • sharonfoster
    • April 22, 2020

23. Coverage of COVID-19 testing - end date?

    By t.haley, April 20, 2020
    • 1 reply
    • 702 views
    • 
    • sharonfoster
    • April 22, 2020

24. PEO's calculation of Cobra rates

    By TxMike, April 19, 2020
    • 8 replies
    • 3.3k views
    • 
    • sharonfoster
    • April 22, 2020

25. Change of Plan Sponsor / Plan Name

    By IhrtERISA, April 16, 2020
    • 0 replies
    • 630 views
    • 
    • IhrtERISA
    • April 16, 2020

26. Third Party COBRA Premiums

    By Chaz, April 14, 2020
    • 2 replies
    • 1.2k views
    • 
    • Roberta Casper Watson
    • April 15, 2020

27. Paycheck Protection Program-health costs

    By J-Lo, April 6, 2020
    • 3 replies
    • 895 views
    • 
    • J-Lo
    • April 7, 2020

28. Tax Credit for Health Coverage During Layoff

    By Benefits Vet, March 31, 2020
    • 0 replies
    • 593 views
    • 
    • Benefits Vet
    • March 31, 2020

29. Does a Self-Funded Health Plan have to rebate premiums that produce a surplus?

    By ERISAQuestions1234, February 24, 2020
    • 3 replies
    • 4.7k views
    • 
    • leevena
    • March 13, 2020

30. ERISA Plan Document for ICHRA?

    By Ken_BenefitScape, March 3, 2020   

    • ichra
    • 0 replies
    • 834 views
    • 
    • Ken_BenefitScape
    • March 3, 2020

31. Retiree allowance to help pay for medicare premiums

    By TheEA, February 12, 2020
    • 1 reply
    • 666 views
    • 
    • ratherbereading
    • February 13, 2020

32. ICHRA APTC Rules..and practice

    By Ken_BenefitScape, January 25, 2020   

    • ichra
    • ptc
    • (and 1 more)

      Tagged with:

      • ichra
      • ptc
      • affordability
    • 2 replies
    • 1k views
    • 
    • Ken_BenefitScape
    • January 30, 2020

33. COBRA Triggered by Employer's Loss of Service Contract

    By 401 Chaos, January 28, 2020
    • 2 replies
    • 705 views
    • 
    • 401 Chaos
    • January 28, 2020

34. Small Employer Paying Varying Percentages of Group Health Premiums for Different Employees

    By 401 Chaos, January 22, 2020
    • 4 replies
    • 2.4k views
    • 
    • 401 Chaos
    • January 24, 2020

35. Premium Tax Credit and Retiree HRA account

    By bveinger, January 21, 2020
    • 0 replies
    • 868 views
    • 
    • bveinger
    • January 21, 2020

36. VEBA, retiree drug subsidy and inurement issue

    By JJD, September 22, 2005
    • 2 replies
    • 2.1k views
    • 
    • ERISA25
    • January 9, 2020

37. Davis-Bacon Act/HRA funds and death of participant

    By t.haley, January 7, 2020
    • 0 replies
    • 762 views
    • 
    • t.haley
    • January 7, 2020

38. ICHRA For Small Employers

    By Chaz, January 3, 2020
    • 2 replies
    • 1.3k views
    • 
    • Scooter
    • January 6, 2020

39. Control Group, Plan Administrator, and SPD

    By awnielsen, December 18, 2019   

    • spd
    • control group
    • 3 replies
    • 1.2k views
    • 
    • BreakfastForDinner
    • December 25, 2019

40. When Will Enrollment in Medicare Part D Cause A Participant to Lose Medical Coverage?

    By rocknrolls2, December 16, 2019
    • 1 reply
    • 795 views
    • 
    • Scooter
    • December 24, 2019

41. Self-Funded Benefits Plan Approval Request Under Service Contract Act ("SCA")?

    By RodeoWrigley, December 17, 2019
    • 4 replies
    • 1.9k views
    • 
    • Chaz
    • December 19, 2019

42. Health Insurance opt out

    By Myboys931, December 15, 2019
    • 1 reply
    • 896 views
    • 
    • leevena
    • December 15, 2019

43. Reimbursing one employee for health insurance premium?

    By SHill2019, December 12, 2019
    • 1 reply
    • 1.4k views
    • 
    • leevena
    • December 13, 2019

44. ERISA Plan administrator Address vs. Plan Situs

    By CaliBen, December 12, 2019
    • 4 replies
    • 4.9k views
    • 
    • Luke Bailey
    • December 12, 2019

45. Successful ESRP Avoidance

    By Renafesq, November 14, 2019
    • 3 replies
    • 1.3k views
    • 
    • JWK
    • November 19, 2019

46. Does a health plan that prohibits coverage of an occupational illness, i.e. one that arises from work for profit including self-employment, have to cover a participant who engages in a for-profit surrogacy?

    By Pxhesq, October 26, 2019
    • 6 replies
    • 1.2k views
    • 
    • Luke Bailey
    • October 30, 2019

47. Plan coverage when leaving a company

    By Shark, October 16, 2019   

    • insurance premium
    • coverage
    • 7 replies
    • 1.7k views
    • 
    • Luke Bailey
    • October 28, 2019

48. PHI - family member - service provider letters

    By chuTzPA, October 10, 2019
    • 6 replies
    • 2.7k views
    • 
    • GBurns
    • October 27, 2019

49. Davis-Bacon and level funded health plan

    By t.haley, August 28, 2019
    • 2 replies
    • 811 views
    • 
    • GBurns
    • October 26, 2019

50. HRA - employee accidentally not covered by group plan

    By WalkingAssets, October 2, 2019   

    • hra
    • erisa
    • (and 1 more)

      Tagged with:

      • hra
      • erisa
      • group health plans
    • 3 replies
    • 986 views
    • 
    • WalkingAssets
    • October 2, 2019