State Benchmarks to Define “Essential Health Benefits” under Affordable Care Act

In a surprising move, the Department of Health and Human Services will not impose a uniform definition of “essential health benefits” (EHB) that individual and small group health insurance plans must provide in order to be offered on state exchanges starting in 2014. Read More..
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The health care law raises lots of questions that can’t yet be answered

While the debates over health care reform may have seemed endless to most people watching the battle on Capitol Hill last year, for small business owners, they were only the beginning. When President Obama signed the Patient Protection and Affordable Care Act into law, it put small bu
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Job Lock and the Potential Impact of the Patient Protection and Affordable Care Act

Empirical research generally indicates that certain types of workers are more likely to remain in jobs they would otherwise leave in order to keep their employer-sponsored health care coverage, although research does not allow for a definitive answer on the prevalence or implications
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Year in Review 2011: The year in benefit management

2011 was the year in which employers began to amend their plans to comply with the health care reform law. The initial changes were modest and relatively simple to put into place. For example, few employers had difficulty amending their plans to extend coverage—as the law requires—to
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Health-care case brings fight over which Supreme Court justices should decide it

Just a little more than an hour after some House Democrats recently demanded an inquiry into Supreme Court Justice Clarence Thomas’s ethics, Senate Republicans stepped up the pressure on Justice Elena Kagan to take herself out of the court’s decision on the health-care reform act. Rea
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Health Insurers Fight PPACA Tax

America’s Health Insurance Plans (AHIP) and other insurance groups are not listed on the website of the Stop the HIT Coalition. Members of the Stop the HIT Coalition, Washington, want to repeal Section 9010 of the Patient Protection and Affordable Care Act of 2010 (PPACA). Read
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Health Care Plan Summary of Benefits and Coverage: Still No Final Model, But Substantial Excise Taxes Are Looming Anyway

In our prior blog, we explained that under principles of triage, employers may need to focus on the current annual enrollment and wait to take care of the Summary of Benefits and Coverage (“SBC”). Although the SBC does not need immediate attention, we caution employers not to wait too
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ERIC Urges Simplified Process in Administering and Determining Exchange Eligibility

Washington, D.C. – The ERISA Industry Committee (ERIC) yesterday submitted two comment letters on proposed regulations under the Patient Protection and Affordable Care Act (ACA). The first letter addresses a proposed regulation to implement provisions relating to how the exchanges int
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