Health Plans (Including ACA, COBRA, HIPAA)

2,981 topics in this forum

1. HIPAA EDI compliance through business associate system

   By Guest cjthornton, October 22, 2003
   • 0 replies
   • 878 views
   • 
   • Guest
   • October 22, 2003

2. ACA reporting - who is responsible for what form?

   By Belgarath, November 24, 2015
   • 6 replies
   • 877 views
   • 
   • Belgarath
   • November 25, 2015

3. Pros and Cons of In-Sourcing Medical Claims Administration

   By CaliBen, February 15, 2018
   • 1 reply
   • 874 views
   • 
   • ERISAAPPLE
   • February 16, 2018

4. Payment of Employees' Annual Physical Subject to COBRA?

   By Guest ptpnthr, December 20, 2003
   • 0 replies
   • 873 views
   • 
   • Guest
   • December 20, 2003

5. MSAs for Partnerships

   By Guest omajes1, November 14, 2003
   • 0 replies
   • 869 views
   • 
   • Guest
   • November 14, 2003

6. In-network provider sued Patent for Balance Bill self-funded Erisa

   By Stb84, February 4, 2021   

   • self-funded
   • erisa
   • (and 1 more)

     Tagged with:

     • self-funded
     • erisa
     • health plans
   • 1 reply
   • 869 views
   • 
   • Christine Zinter
   • February 4, 2021

7. Please comment on Employer Mandate Regs by Monday

   By Flyboyjohn, March 15, 2013
   • 0 replies
   • 869 views
   • 
   • Flyboyjohn
   • March 15, 2013

8. HIPAA

   By Guest ro32, May 19, 2003
   • 1 reply
   • 864 views
   • 
   • GBurns
   • May 20, 2003

9. Early Retiree Reinsurance Program - Plan Changes

   By rocknrolls2, June 13, 2010
   • 0 replies
   • 863 views
   • 
   • rocknrolls2
   • June 13, 2010

10. Electronic Notice of Reconstructive Surgery Rights

    By Christine Roberts, December 16, 2002
    • 0 replies
    • 862 views
    • 
    • Christine Roberts
    • December 16, 2002

11. Employee premiums as percent of pay

    By kmhaab, November 22, 2016   

    • premiums
    • 3 replies
    • 858 views
    • 
    • Bill Presson
    • November 27, 2016

12. Compliance Testing for An Employee Owned Cooperative

    By metsfan026, August 28, 2024
    • 1 reply
    • 854 views
    • 
    • Peter Gulia
    • August 28, 2024

13. Considering selling TPA

    By Grace2024, September 9, 2024
    • 0 replies
    • 854 views
    • 
    • Grace2024
    • September 9, 2024

14. 50-99 Mid-size employer 1 year delay in penalty exposure

    By Flyboyjohn, June 1, 2015
    • 1 reply
    • 852 views
    • 
    • Brigid Anderson
    • June 3, 2015

15. Gap Plans - Any recommendations?

    By Guest JPHomeDesign, April 4, 2013
    • 1 reply
    • 852 views
    • 
    • rcline46
    • April 4, 2013

16. Unfunded Plan Rules-Bond

    By Guest Pecos, December 30, 2008
    • 0 replies
    • 852 views
    • 
    • Guest
    • December 30, 2008

17. Filling One Year's Worth Of Contraceptive through CCCA

    By metsfan026, February 1, 2022
    • 1 reply
    • 849 views
    • 
    • Chaz
    • February 2, 2022

18. unintended promises of retiree health coverage?

    By Peter Gulia, May 18, 2015
    • 2 replies
    • 849 views
    • 
    • Peter Gulia
    • May 18, 2015

19. High Deductible Out of Pocket Maximum

    By CEB, September 25, 2017
    • 2 replies
    • 848 views
    • 
    • Chaz
    • November 8, 2017

20. No SEP if coverage becomes unaffordable mid year?

    By Flyboyjohn, September 5, 2016
    • 0 replies
    • 846 views
    • 
    • Flyboyjohn
    • September 5, 2016

21. COBRA-like plan for the military?

    By Guest chaug, January 27, 2004
    • 0 replies
    • 845 views
    • 
    • Guest
    • January 27, 2004

22. Consumer directed H&W plan for new hires

    By alexa, December 11, 2016
    • 2 replies
    • 842 views
    • 
    • Chaz
    • December 12, 2016

23. Authorizing Medical Payment

    By karen1027, February 9, 2019
    • 5 replies
    • 842 views
    • 
    • Jennifer Low
    • February 25, 2019

24. Marriage Certificate Requirement increasing in frequency for all?

    By TPApril, June 3, 2022
    • 3 replies
    • 841 views
    • 
    • TPApril
    • June 9, 2022

25. Smoking Cessation Programs--How Many Times Do You Have to Participate?

    By Eric Taylor, March 11, 2014
    • 0 replies
    • 840 views
    • 
    • Eric Taylor
    • March 11, 2014

26. Contract Termination

    By Guest ptren105, February 24, 2003
    • 0 replies
    • 836 views
    • 
    • Guest
    • February 24, 2003

27. Form 5500 Plan Year

    By bzorc, July 2, 2018   

    • benefits in a wrap program
    • 2 replies
    • 835 views
    • 
    • ERISAAPPLE
    • July 3, 2018

28. 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
    • 834 views
    • 
    • WalkingAssets
    • October 2, 2019

29. Status of 2003 proposed notice regulations?

    By J2D2, February 18, 2004
    • 1 reply
    • 834 views
    • 
    • Guest
    • February 18, 2004

30. PBM / Rx Forum / Message Board

    By CaliBen, July 22, 2019   

    • pbm
    • rx
    • (and 1 more)

      Tagged with:

      • pbm
      • rx
      • hsa
    • 2 replies
    • 833 views
    • 
    • david rigby
    • July 23, 2019

31. Employer Mandate - Pay in Lieu of Vacation or Holiday

    By rocknrolls2, December 16, 2015
    • 2 replies
    • 832 views
    • 
    • hr for me
    • December 17, 2015

32. Health insurance for students -- subsidy discrimination?

    By kuharris, December 21, 2015
    • 1 reply
    • 830 views
    • 
    • leevena
    • December 21, 2015

33. COBRA offer followed by FMLA eligibility

    By Guest Nodak, March 13, 2003
    • 1 reply
    • 829 views
    • 
    • mroberts
    • March 17, 2003

34. can medical be denied legally separated spouse?

    By TPApril, May 7, 2021
    • 2 replies
    • 826 views
    • 
    • TPApril
    • May 7, 2021

35. Dropping spouse coverage- not COBRA event?

    By Flyboyjohn, May 4, 2017
    • 2 replies
    • 821 views
    • 
    • Chaz
    • May 8, 2017

36. HIPAA Privacy and Collection of Premiums

    By Guest jac, March 13, 2003
    • 0 replies
    • 821 views
    • 
    • Guest
    • March 13, 2003

37. Stuck in limbo

    By TJHolliday, April 26, 2016
    • 3 replies
    • 820 views
    • 
    • TJHolliday
    • April 27, 2016

38. Reimbursement of Medical Expenses Payable to Adult Dependent Children

    By rocknrolls2, July 18, 2025
    • 2 replies
    • 820 views
    • 
    • Chaz
    • July 24, 2025

39. Options for Switching Plans Mid Year

    By sltbiz, March 2, 2016   

    • cobra switch health plan
    • 1 reply
    • 817 views
    • 
    • Guest
    • April 8, 2016

40. DOL Contact Number/ERISA bonding questions

    By IhrtERISA, July 18, 2016   

    • bonding
    • ERISA
    • (and 1 more)

      Tagged with:

      • bonding
      • ERISA
      • DOL
    • 0 replies
    • 817 views
    • 
    • IhrtERISA
    • July 18, 2016

41. Prohibited Transaction in Funded Welfare Fund

    By Chaz, August 12, 2020
    • 3 replies
    • 817 views
    • 
    • Chaz
    • August 13, 2020

42. Form 8928 for multiple 4980B Failures

    By JustMe, April 13, 2017
    • 0 replies
    • 816 views
    • 
    • JustMe
    • April 13, 2017

43. "frozen" HRA and COBRA

    By t.haley, January 30, 2017
    • 0 replies
    • 816 views
    • 
    • t.haley
    • January 30, 2017

44. Question About Eligibility Language

    By awnielsen, November 25, 2025
    • 9 replies
    • 815 views
    • 
    • austin3515
    • December 2, 2025

45. ABA Self-funded plans under section 1557

    By justasking, October 3, 2016
    • 0 replies
    • 815 views
    • 
    • justasking
    • October 3, 2016

46. HRA's and Medicare

    By coleboy, September 29, 2016
    • 4 replies
    • 814 views
    • 
    • lvena
    • October 3, 2016

47. Health Plan Offered to Part-Timers -- Does it Have to Be Affordable?

    By rocknrolls2, November 12, 2015
    • 1 reply
    • 813 views
    • 
    • Flyboyjohn
    • November 13, 2015

48. COBRA Subsidy for MEWA

    By Stash026, May 19, 2021
    • 2 replies
    • 813 views
    • 
    • LSB
    • July 26, 2021

49. Solicitation of SSN

    By Chaz, November 10, 2015
    • 0 replies
    • 810 views
    • 
    • Chaz
    • November 10, 2015

50. ICHRA APTC Rules..and practice

    By Ken_BenefitScape, January 25, 2020   

    • ichra
    • ptc
    • (and 1 more)

      Tagged with:

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