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BenefitsLink Health & Welfare Plans Newsletter
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[Guidance Overview]
How to Comply with the ERRP's Maintenance-of-Contribution Requirement
"[Two sections of this article] discuss options for setting a baseline period for determining its contribution level before a plan can confirm it satisfies the maintenance-of-contribution requirement and methodologies for measuring maintenance of contributions . . . ."
(The Segal Group, Inc.)
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[Guidance Overview]
No Cost Sharing for Preventive Care: Where Can Group Health Plans Draw the Line?
"[T]here are situations in which a plan may impose a deductible, copay or coinsurance. For example, a plan may require cost sharing for a preventive care service: if the service is not recommended by the specified recommending body; if the service is covered and provided out-of-network; or during the implementation period allowed after a service gains 'recommended' status."
(The Bureau of National Affairs, Inc.)
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[Guidance Overview]
State Insurance Exchanges Will Make Key Determinations on Eligibility
"Proposed regulations . . . describe the formidable duties the new state Exchanges will perform in executing two of their key functions: determining whether individuals are eligible to obtain health coverage through the Exchange, and whether those individuals qualify for any of the insurance affordability programs (e.g., premium tax credits, reduced cost-sharing)."
(Deloitte via BenefitsLink.com)
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