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BenefitsLink Health & Welfare Plans Newsletter
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[Guidance Overview]
CLASS Program Scheduled to Begin Operation in Fall of 2012
"Secretary Sebelius has also stated that HHS wants to make sure the Program is appealing to employers and their employees. Why? Because one of its key components is a mandate for HHS and the Department of Treasury to develop procedures under which you can automatically enroll your employees, allowing them to pay the required premium through payroll deduction."
(Miller, Johnson, Snell & Cummiskey P.L.C.)
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[Guidance Overview]
Traps for the Unwary: COBRA and Retiree Medical
"Whether COBRA coverage must be offered to a terminating employee eligible for retiree medical depends on two factors: the terms of the plan under which retirees are covered and the steps an employee must take to be covered under retiree medical."
(Verrill Dana, LLP)
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[Guidance Overview]
TPA's Disclosure of FMLA File to Employer Was Not Subject to HIPAA Privacy Rule
"Although the TPA did not face liability under these circumstances, the case is a good reminder to exercise caution in responding to requests for employee health information, and to be mindful of which programs are and are not subject to HIPAA's privacy and security rules."
(Thomson Reuters / EBIA)
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[Guidance Overview]
PPACA Internal Claims Procedures for Group Health Plans Are Simplified
"In connection with the amendment, the Labor Department posted a Technical Release, which includes links to a Revised Model Notice of Adverse Benefit Determination, a Revised Model Notice of Final Internal Adverse Benefit Determination, and a Revised Model Notice of Final External Review Decision."
(Deloitte via BenefitsLink.com)
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Sixth Circuit Upholds Health Care Reform's Individual Mandate
"With many challenges underway (including other trial court decisions, for and against constitutionality, still being appealed), we expect the constitutionality of the individual mandate to be ultimately addressed at the Supreme Court level. As the first Court of Appeals to reach the issues, this decision brings us one step closer to reaching judicial resolution."
(Thomson Reuters / EBIA)
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Employers Have Few Tools to Stem FMLA Abuse
"In the article, the authors advise employers on dealing with FMLA requests, intermittent leave requests in particular. While it can be difficult to both comply with the terms of the FMLA and prevent employee abuse, say the authors, there are tools available."
(Vedder Price P.C.)
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What Is a Mini-Med Plan?
"The federal government has identified the employers, unions, and insurers that have been granted waivers, but has not publicly released the details of the coverage people have under these plans. A little Googling, though, reveals what the coverage looks like for some of these mini-med plans that have been granted waivers."
(Henry J. Kaiser Family Foundation)
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National Prevention and Health Promotion Strategy Unveiled
"To increase Americans' health 'at every stage of life,' the federal government has unveiled the National Prevention and Health Promotion Strategy (NPHPS). Mandated by the health care reform law, the NPHPS shifts the focus of the US health care system from sick care to wellness and disease prevention efforts by businesses, health providers, educators, community organizations and government entities."
(Mercer LLC)
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Benefits in General; Executive Compensation
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[Guidance Overview]
Clarifications Proposed to Mil.lion Dollar Compensation Deduction Limit
"Apparently in response to taxpayer confusion over the scope of the transition rule, the proposed regulations explicitly state that the special rule for compensation received after the end of the transition period only applies to stock options, stock appreciation rights and restricted stock (if granted during the transition period)."
(McGuire Woods)
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Press Releases
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