ComplianceMnthlyRecap MH 5.16.22

DOL, HHS, and Treasury Publish Final Rules on Health Reimbursement Arrangements

Posted by: Karen Hsu    Jul 25, 2019 12:04:44 PM

shutterstock_1376621375On June 20, 2019, the Department of Labor (DOL), Department of Health and Human Services (HHS), and the Department of Treasury (Treasury) (collectively, the Departments) published their final rules regarding health reimbursement arrangements (HRAs) and other account-based group health plans. The DOL also issued a news release, frequently asked questions, model notice, and model attestations.

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Topics: Department of Labor, Department of Health and Human Services, health reimbursement arrangements

Update on Nondiscrimination Regulations Relating to Sex, Gender, Age, and More

Posted by: Bill Olson    Jun 27, 2019 12:54:41 PM

shutterstock_519463747On May 24, 2019, the Department of Health and Human Services' Office for Civil Rights (OCR) released a proposed rule to revise its regulations under the Patient Protection and Affordable Care Act's Section 1557. OCR also released a fact sheet and press release.

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Topics: health insurance, Department of Health and Human Services, Affordable Care Act, Office for Civil Rights

Treasury, DOL, and HHS Release Two Final Rules on Contraceptive Coverage Exemptions

Posted by: Karen Hsu    Dec 27, 2018 12:30:46 PM

shutterstock_596823812The Department of the Treasury (Treasury), Department of Labor (DOL), and Department  of Health and Human Services (HHS) (collectively, Departments) released two final rules on contraceptive coverage exemptions. These rules finalize the Departments’ interim final rules that were published on October 13, 2017. HHS also issued a press release and fact sheet on these final rules.

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Topics: contraception coverage, Department of Labor, Department of Health and Human Services

Final Rule on Short-Term, Limited-Duration Insurance

Posted by: Karen Hsu    Sep 13, 2018 12:55:19 PM

shutterstock_1039303717On August 3, 2018, the Internal Revenue Service, the Department of Health and Human Services (HHS), and the Department of Labor (collectively, the Departments) published a final rule that amends the definition of short-term, limited-duration insurance. HHS also released a fact sheet on the final rule.

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Topics: health insurance, Department of Labor, Department of Health and Human Services, Internal Revenue Service

Final Rule on Short-Term Limited-Duration Insurance

Posted by: Karen Hsu    Aug 23, 2018 12:04:47 PM

shutterstock_1029985780On August 1, 2018, the Internal Revenue Service, the Department of Health and Human Services (HHS), and the Department of Labor (collectively, the Departments) released a final rule that amends the definition of short-term, limited-duration insurance. HHS also released a fact sheet on the final rule.

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Topics: health insurance, Department of Health and Human Services, short-term insurance

Reference-Based Pricing and Cost-Sharing Limits

Posted by: Linda Rowings    Nov 11, 2014 9:19:00 AM

CTA 2014 Benchmarking SurveyThe Department of Labor (DOL), the IRS, and the Department of Health and Human Services (HHS) have jointly issued a FAQ that addresses how "reference-based pricing" works with the Patient Protection and Affordable Care Act's (PPACA) restrictions on out-of-pocket maximums. PPACA limits the out-of-pocket maximum a non-grandfathered plan may impose, and generally requires that co-pays, coinsurance, and deductibles be counted toward this limit. However, premiums, balance billed amounts for non-network providers, and non-covered services do not need to be applied to the out-of-pocket limit. (For 2015, the limits are $6,600 per individual or $13,200 per family.) The new FAQ explains how the out-of-pocket limit applies to plans that use reference-based pricing--i.e., a design under which the plan pays a fixed amount for a particular procedure (such as a knee replacement), which certain providers have agreed to accept as full payment.

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Topics: Linda Rowings, IRS, HHS, DOL, Reference-Based, Pricing, Cost-Sharing, Limits, Department of Labor, Department of Health and Human Services