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Agencies Release Additional Guidance on Affordable Care Act Implementation Issues
Excerpt: "The agencies state that their approach to implementation will focus on assisting plans and issuers, rather than penalizing them, that are working diligently and in good faith to understand and comply with the new law. This includes providing transition periods, grace periods, safe harbors, and other policies, as appropriate. The agencies also state that final regulations are expected to be published beginning in 2011."
New Group Health Plan Internal Claims and Appeals and External Review Procedures Created by PPACA (PDF)
Excerpt: "The interim final regulations issued by the Agencies with regard to rescissions define a rescission as any retroactive cancellation of coverage other than a termination of coverage for non-payment of premiums. A rescission is permitted only in the case of fraud or intentional misrepresentation of a material fact. If a plan is otherwise permitted to rescind coverage, it must provide 30 days' advance notice."
Start Planning for New W-2 Reporting Requirement Now
Excerpt: "[E]mployers [will need to] report the value of the health insurance they provide to an employee on the employee's Form W-2. This requirement is effective for 2011, which means the information will need to be included in W-2s issued in Jan. 2012. But IRS regulations contain a 'quirk' that requires employers to be prepared for this new requirement much sooner. A former employee may request a W-2 at any time during the calendar year . . . ."
Insurers Scramble to Comply With New Rules
Excerpt: "Insurers are cutting administrative staff to lower overhead costs, investing in big technology upgrades and training employees to field the expected influx of customer inquiries."
(New York Times; free registration required)
How Seniors Will Pay for ObamaCare | National Center for Policy Analysis
Excerpt: "Insurers, we are being told, will no longer be able to impose annual limits or lifetime caps on benefits, and they will face a higher standard before they can drop anyone's coverage. Children will be guaranteed access to insurance, regardless of health condition. And there is more to come in the future. Yet the administration is strangely silent about who will bear the cost of these benefits."
(National Center for Policy Analysis)
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