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Litigation and Regulatory · Managed Care

HHS Issues Final Rule on Data Collection Standards TO Support Essential Health Benefits

  • July 20, 2012

Beginning in 2014, all non-grandfathered health plans in the individual and small group market, and other plans will cover essential health benefits (EHBs) as defined by the Department of Health[…]

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Litigation and Regulatory · Managed Care

Federal Agencies Request Information Regarding Use of Stop-Loss Insurance by Group Health Plans

  • May 1, 2012

In the May 1, 2012 Federal Register, the U.S. Department of Labor (EBSA), Health & Human Services (CMS), and Internal Revenue Service jointly published a Request for Information regarding the[…]

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Litigation and Regulatory · Managed Care

IRS Issues Three Notices Regarding Group Health Plans

  • April 27, 2012

On April 26, 2012, the Internal Revenue Service issued three separate notices regarding certain the tax provisions of PPACA.  The first notice, IRS Notice 2012-31, concerns determination of the minimum[…]

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Litigation and Regulatory · Managed Care

IRS Posts Information Concerning COBRA Coverage Audits

  • March 30, 2012

The Internal Revenue Service recently published guidance concerning the steps that an IRS examiner will take—and the information the IRS will seek—when conducting an audit to determine whether or not[…]

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Litigation and Regulatory · Managed Care

Employer Benefit Group Comments on HHS Essential Health Benefits Bulletin

  • February 29, 2012

The ERISA Industry Committee (“ERIC”), a nonprofit association committed to the advancement of the employee retirement, health, and other welfare benefits of America’s largest employers, has submitted comments on the[…]

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Litigation and Regulatory · Managed Care

HHS Issues Bulletin on Actuarial Value Calculations And Cost-Sharing Reductions for Certain QHP Participants

  • February 25, 2012

On February 24, 2012, HHS released a Bulletin that provides information on the regulatory approach that it plans to propose to define actuarial value (AV) for qualified health plans (QHPs)[…]

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