New Wellness Regulations: A Departure from Personal Responsibility & Accountability for Health

On May 29, the U.S. Departments of the Treasury, Labor (DOL) and Health and Human Services issued the final new wellness regulations which amended the 2006 HIPAA nondiscrimination wellness regulations. The new regulations clarify wellness program categories and clearly define and elab
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ERISA issues could surface from staff cuts, reduced hours

Beyond potentially detrimental effects on an employer’s business operations, reducing employees’ hours or cutting staff to avoid an influx of new members to a group health benefit plan could have substantial legal ramifications. Section 510 of the federal Employee Retireme
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Seventh Circuit addresses whether financial service provider is ERISA fiduciary

The U.S. Court of Appeals for the Seventh Circuit has recently decided a case challenging the amount of fees paid by 401(k) plan participants, Leimkuehler v. Am. United Life Ins. Co. This opinion is likely to have vast implications for that type of litigation specifically and the scop
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Self-Insured Employers Must Tell Employees about Health Insurance Exchanges

May 14, 2013 — The Department of Labor (DOL) last week issued model language for the “Exchange Notice” that most self-insured group plans will be required to send to plan participants. The DOL also issued guidance explaining: What employers are required to send the E
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FAQs about the the Affordable Care Act Implementation Part XIV

Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of various provisions of the Affordable Care Act. These FAQs have been prepared jointly by the Departments of Labor, Health and Human Services (HHS), and the Treasury (collectively, the Departments
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Reductions in Transitional Reinsurance Fee Are Possible but Unlikely

Employers might pay less than $63 per covered life per year under health reform’s transitional reinsurance fee rules, but that would require a surplus in the fund, a U.S. Department of Labor official told an employer plan industry group on April 18 in Washington, D.C. Even though poss
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Feds Pressure NAIC to Eliminate Small Business Self-Funding Options

The National Association of Insurance Commissioners (NAIC), under pressure from three federal agencies — the Department of Health and Human Services, Department of the Treasury, and the Department of Labor — is considering a change to the minimum threshold, called the atta
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Congress Sees Self-funded Health Plans’ Financial Strength

Companies that self-fund health benefits are larger than companies that fully insure health benefits and their solvency is just as good as companies that fully insure, a government report required by the health reform law indicates. The reform law requires reports on the prevalence, s
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Federal Regulators Compile Available Data on Self-Insurance Marketplace

April 2, 2013 — The U.S. Department of Labor yesterday transmitted to Congress the third annual report on self-insured employee health benefit plans. The report, which is required by the Affordable Care Act, contains general information on self-insured employee health benefit pl
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Federal Regulators Compile Available Data on Self-Insurance Marketplace

April 2, 2013 — The U.S. Department of Labor yesterday transmitted to Congress the third annual report on self-insured employee health benefit plans. The report, which is required by the Affordable Care Act, contains general information on self-insured employee health benefit pl
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