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Employee Benefits Jobs
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Webcasts and Conferences
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IRS E-File Form Submission Process for Forms 8947 and 8963 (PDF)
27 presentation slides. "The following ACA-related information reports can be submitted electronically: [1] Form 8963 -- Report of Health Insurance Provider Information; [2] Form 8453-R -- Declaration and Signature for Electronic Filing of Forms 8947 and 8963; [3] Form 8947 -- Report of Branded Prescription Drug Information.... The [ACA Form Acceptance] site can only be accessed by registered users. Users can upload completed ACA Forms and obtain submission status."
(Internal Revenue Service [IRS])
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2014 ERISA Advisory Council Report: PBM Compensation and Fee Disclosure
"After receiving testimony and information from multiple sources, including representatives of PBMs, plan sponsors, plan consultants, plan auditors, pharmacy groups, governmental agencies, and other interested persons, the Council recommends that the Department should consider making Section 408(b)(2) Regulations applicable to welfare plan arrangements with PBMs, and thereby deem such arrangements reasonable only where PBMs disclose direct and indirect compensation, including compensation paid among related parties such as subcontractors, in a manner consistent with current Section 408(b)(2) Regulations. The Council also recommends that the Department should consider issuing guidance to assist plan sponsors in determining whether to and how to conduct a PBM audit of direct and indirect compensation."
(Employee Benefits Security Administration [EBSA], U.S. Department of Labor [DOL])
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Telemedicine and Employers: The New Frontier
"[O]nly about 20 percent of U.S. employers offer telemedicine services to employees today, but nearly 40 percent of employers surveyed said that they plan to offer access to such services in 2015, while 33 percent are considering offering access to telemedicine services within the next three years.... Effective use of telemedicine services could eliminate 15 percent of physician office visits, 15 percent of emergency room visits, and 37 percent of urgent care visits. This all results in significant savings to employers that cover any part of the costs of their employees' health care."
(Epstein Becker Green)
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TRI-AD Health and Welfare News, March 2015
Topics: [1] Two new events that allow employees to change benefit elections during a plan year; [2] Government opens special enrollment period for federal marketplace (exchange); and [3] More changes to Summary of Benefits & Coverage form.
(TRI-AD)
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The ACA After Five Years
"[T]oday, due to the law, more than 10 million more people have health insurance than did five years ago, partly because of state-based health insurance exchanges selling coverage to individuals, universal issue of individual policies and rules requiring longer coverage of dependents. Exclusions due to pre-existing conditions are prohibited.... On the other hand, the price of health care is still advancing at a rate higher than that of the consumer price index, many companies and individuals have had large premium increases and progress on care coordination under the law remains to be seen, experts say. A number of experts described good and bad impacts caused by the law since it took effect five years ago."
(Thompson SmartHR Manager)
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King v. Burwell: The Supreme Court Hears Case About Health Insurance Subsidies (PDF)
7 pages. "The King petitioners argue that the plain text of the statutory provision forecloses the IRS Rule and that there is no basis for rejecting the plain text of IRC Section 36B.... In response, the government focuses on the point that the ACA was enacted to provide quality, affordable health care for all Americans; in accordance with the ACA's purpose, the Treasury Department made tax credits available to eligible individuals in all States through the IRS Rule."
(Alston & Bird LLP)
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Amendment to Require Paid Sick Days Passes Senate with Strong Bipartisan Support
"Senate Health, Education, Labor, and Pensions (HELP) Committee Ranking Member Patty Murray (D-WA) introduced an amendment to the Senate FY16 Budget to expand access to paid sick days. The amendment, similar to the Healthy Families Act Murray introduced earlier this year, would allow workers to earn up to seven paid sick days yearly. The amendment passed the Senate with a strong bipartisan vote of 61-39."
(Committee on Health, Education, Labor and Pensions, U.S. Senate)
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Senate Delays Vote on Bipartisan Bill on Medicare Physician Fees
"[As] the Senate worked into Friday's pre-dawn hours on a separate budget-balancing plan, leaders decided to wait until after Congress' two-week spring recess to finish the legislation. Senators from both parties have complained about parts of the measure."
(Associated Press)
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What's in the House Bill to Fix Medicare Payments to Doctors?
"According to a summary of the bill, unveiled by Republican and Democratic committee leaders earlier this week, the current system would be scrapped and replaced with payment increases for doctors for the next five years as Medicare transitions to a new system focused 'on quality, value and accountability.' "
(Kaiser Health News)
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[Opinion]
Five Years Old, Going on Ten: The Future of the ACA
"It is important now to look ahead, rather than counting up past achievements. What will its tenth anniversary look like? Here are three developments to watch. [1] Will the slow-down in growth of health care spending continue? ... [2] Will employer-sponsored health insurance survive?... [3] Will the health exchanges make private health insurance markets work -- at last?"
(The Brookings Institution)
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Press Releases
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