Health Plans (Including ACA, COBRA, HIPAA)

2,982 topics in this forum

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

   By waid10, May 2, 2019
   • 6 replies
   • 2.6k views
   • 
   • Ken Peterson
   • June 19, 2020

2. Telemedicine - ACA?

   By Catsby, June 17, 2020   

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

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

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

4. Insurer Premium Rebates/Reductions = MLRRs?

   By Flyboyjohn, June 10, 2020
   • 3 replies
   • 1.3k views
   • 
   • Scooter
   • June 11, 2020

5. Retiree Premium Reimbursement - Categorization

   By EBECatty, May 14, 2020
   • 6 replies
   • 3.9k views
   • 
   • EBECatty
   • May 21, 2020

6. Insurance Deductions From STD or LTD Payments

   By PhilB, April 23, 2003
   • 7 replies
   • 7.6k views
   • 
   • Cbholder3@yahoo.com
   • May 14, 2020

7. Health Plan Coverage After Rehire Under CARES Act

   By Benefits Vet, March 31, 2020
   • 9 replies
   • 1.1k views
   • 
   • Benefits Vet
   • April 23, 2020

8. HIPAA requirements for Actively At Work treatment

   By Benefits Vet, January 20, 2020
   • 7 replies
   • 2.2k views
   • 
   • sharonfoster
   • April 22, 2020

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

   By rocknrolls2, January 31, 2020
   • 3 replies
   • 1.1k views
   • 
   • sharonfoster
   • April 22, 2020

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

    By rocknrolls2, April 9, 2008
    • 2 replies
    • 4.1k views
    • 
    • sharonfoster
    • April 22, 2020

11. Covid-19 and privacy

    By Belgarath, March 20, 2020
    • 4 replies
    • 1.3k views
    • 
    • sharonfoster
    • April 22, 2020

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

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

13. PEO's calculation of Cobra rates

    By TxMike, April 19, 2020
    • 8 replies
    • 2.6k views
    • 
    • sharonfoster
    • April 22, 2020

14. Change of Plan Sponsor / Plan Name

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

15. Third Party COBRA Premiums

    By Chaz, April 14, 2020
    • 2 replies
    • 1k views
    • 
    • Roberta Casper Watson
    • April 15, 2020

16. Paycheck Protection Program-health costs

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

17. Tax Credit for Health Coverage During Layoff

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

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

    By ERISAQuestions1234, February 24, 2020
    • 3 replies
    • 4k views
    • 
    • leevena
    • March 13, 2020

19. ERISA Plan Document for ICHRA?

    By Ken_BenefitScape, March 3, 2020   

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

20. Retiree allowance to help pay for medicare premiums

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

21. ICHRA APTC Rules..and practice

    By Ken_BenefitScape, January 25, 2020   

    • ichra
    • ptc
    • (and 1 more)

      Tagged with:

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

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

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

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

    By 401 Chaos, January 22, 2020
    • 4 replies
    • 1.5k views
    • 
    • 401 Chaos
    • January 24, 2020

24. Premium Tax Credit and Retiree HRA account

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

25. VEBA, retiree drug subsidy and inurement issue

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

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

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

27. ICHRA For Small Employers

    By Chaz, January 3, 2020
    • 2 replies
    • 1.1k views
    • 
    • Scooter
    • January 6, 2020

28. Control Group, Plan Administrator, and SPD

    By awnielsen, December 18, 2019   

    • spd
    • control group
    • 3 replies
    • 1k views
    • 
    • BreakfastForDinner
    • December 25, 2019

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

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

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

    By RodeoWrigley, December 17, 2019
    • 4 replies
    • 1.5k views
    • 
    • Chaz
    • December 19, 2019

31. Health Insurance opt out

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

32. Reimbursing one employee for health insurance premium?

    By SHill2019, December 12, 2019
    • 1 reply
    • 1.1k views
    • 
    • leevena
    • December 13, 2019

33. ERISA Plan administrator Address vs. Plan Situs

    By CaliBen, December 12, 2019
    • 4 replies
    • 4.1k views
    • 
    • Luke Bailey
    • December 12, 2019

34. Successful ESRP Avoidance

    By Renafesq, November 14, 2019
    • 3 replies
    • 1.1k views
    • 
    • JWK
    • November 19, 2019

35. 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
    • 1k views
    • 
    • Luke Bailey
    • October 30, 2019

36. Plan coverage when leaving a company

    By Shark, October 16, 2019   

    • insurance premium
    • coverage
    • 7 replies
    • 1.5k views
    • 
    • Luke Bailey
    • October 28, 2019

37. PHI - family member - service provider letters

    By chuTzPA, October 10, 2019
    • 6 replies
    • 2k views
    • 
    • GBurns
    • October 27, 2019

38. Davis-Bacon and level funded health plan

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

39. 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
    • 847 views
    • 
    • WalkingAssets
    • October 2, 2019

40. MEWAs and Statutory Employees

    By Chaz, September 25, 2019
    • 1 reply
    • 957 views
    • 
    • AKowalski
    • October 2, 2019

41. Form 1094-C Correction

    By Catsby, October 1, 2019
    • 1 reply
    • 810 views
    • 
    • Flyboyjohn
    • October 2, 2019

42. Anyone have experience with Pharmacy Tourism

    By CaliBen, February 15, 2018
    • 9 replies
    • 2.2k views
    • 
    • davidm
    • September 26, 2019

43. Self Funded/TPA Question

    By Slammed, August 30, 2019
    • 12 replies
    • 2.2k views
    • 
    • leevena
    • August 31, 2019

44. Can Self Insured Health Plan cap payments for air ambulances, or is it prohibited from doing so under ACA?

    By Pxhesq, August 28, 2019
    • 4 replies
    • 2.3k views
    • 
    • BVoss
    • August 29, 2019

45. Protected Health Information

    By Mel B., November 20, 2018
    • 5 replies
    • 1k views
    • 
    • leevena
    • August 25, 2019

46. Imputing Income for Discriminatory Premiums Under 105(h)

    By EBECatty, October 19, 2018
    • 11 replies
    • 3k views
    • 
    • MichaelMinix
    • August 23, 2019

47. Shan Montoya

    By Chaz, August 19, 2019
    • 7 replies
    • 1.8k views
    • 
    • Kari Petersen
    • August 21, 2019

48. Extended COBRA For Highly Compensated

    By CaliBen, August 5, 2019   

    • cobra
    • hci
    • (and 5 more)

      Tagged with:

      • cobra
      • hci
      • duration
      • executives
      • subsidy
      • discrimination
      • 105(h)
    • 15 replies
    • 2.3k views
    • 
    • leevena
    • August 14, 2019

49. Payroll Deduction Question

    By ERISAgeek111, August 9, 2019
    • 1 reply
    • 723 views
    • 
    • hr for me
    • August 11, 2019

50. Insured health coverage for different classes of employees

    By cathyw, July 22, 2019
    • 8 replies
    • 1.7k views
    • 
    • cathyw
    • July 29, 2019