This webcast will examine the just-released grandfathered health plan regulations that determine whether health plans have to comply with the full scope of PPACA, or whether certain important provisions can be avoided. You'll learn the 12 main ways grandfathered status can be lost, special rules for collectively bargained plans and whether the law applies to retiree-only plans, dental, vision and more.
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[Guidance Overview]
Does It Pay to Remain 'Grandfathered'?
Excerpt: "The interim final rules say employer plans would no longer be grandfathered, for instance, were they to increase co-pays by more than $5 or the rate of medical inflation plus 15 percent (whichever is greater). Similarly, the plans would lose that status if the premiums being paid by the employer were to decrease by more than 5 percent."
(Human Resource Executive Online)
[Guidance Overview]
DOL Clarifies the FMLA's Definition of 'Son or Daughter'
Excerpt: "The Administrator's Interpretation states that 'where an employer has questions about whether an employee's relationship to a child is covered under FMLA, the employer may require the employee to provide reasonable documentation or [a] statement of the family relationship."
(Gray Plant Mooty)
[Guidance Overview]
Guidance Relating to Grandfathered Health Plans Under Health Reform Law (PDF)
5 pages. Excerpt: "BUCK COMMENT. The regulations do not specifically address an employer contribution strategy under which an employer pays a percentage of the lowest cost plan or a salary-based contribution strategy. Nor do they address whether changes to tier structures or wellness incentives would affect grandfathering."
(Buck Consultants)
[Guidance Overview]
New Regulations Address Assorted Health Care Reform Topics
Excerpt: "The regulations make several significant clarifications, including: A 'rescission' is defined to be the retroactive discontinuance of coverage. The rules do not apply to prospective terminations. Retroactive termination for the failure to pay premiums timely will be permitted. At least 30 days' advance written notice must be provided for a rescission (even though the effect will be retroactive)."
(Ballard Spahr LLP)
$2 Billion in COBRA Subsidy Benefits Paid in 2009, According to Report
Excerpt: "The report, which for the most part uses data collected from Form 941, emphasizes that because many health benefit plans cover spouses and dependents, subsidized coverage for two million households translates into coverage for substantially more than two million individuals."
(Wolters Kluwer)
Health Care Reform: A Survey of What Employers Are Considering (PDF)
Excerpt: "The survey offers benchmarks of how employers are responding to a host of health care reform challenges with particular emphasis on immediate considerations and approaches for complying with the new law."
(International Foundation of Employee Benefit Plans via International Society of Certified Employee Benefit Specialists)
Federal Health Care Site www.healthcare.gov Coming July 1
Excerpt: "A federal government website that starts July 1 takes a step in that direction. The site, for the first time, will give consumers a list of all private and government health care plans for individuals and small businesses in their areas."
(USA TODAY)
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