Group Health Plan Amendments

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HIPAA final rule requires changes for group health plans …

(7 days ago) WEBResponding to the U.S. Supreme Court's 2022 ruling in Dobbs v.Jackson Women's Health Organization (Dobbs) (which overturned Roe v.Wade and its constitutional protection of abortion), the federal agency responsible for HIPAA privacy compliance …

https://global.lockton.com/us/en/news-insights/hipaa-final-rule-requires-changes-for-group-health-plans-in-supporting

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Field Assistance Bulletin No. 2021-03 U.S. Department of …

(Just Now) WEBThe CAA provides that the ERISA section 408(b)(2)(B) amendments apply beginning one year after the date of the CAA’s December 27, 2020 enactment, i.e., …

https://www.dol.gov/agencies/ebsa/employers-and-advisers/guidance/field-assistance-bulletins/2021-03

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Employee Benefits & Executive Compensation Advisory: …

(4 days ago) WEBThe CAA’s amendment to ERISA Section 408(b)(2) covers “group health plans,” which are defined as employee welfare plans that provide “medical care.” …

https://www.alston.com/en/insights/publications/2021/02/group-health-plan-provisions

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DOL Provides Long-Awaited Guidance on Service Provider Health …

(5 days ago) WEBWhich kinds of group health plans do the requirements apply to? The CAA expanded Section 408(b)(2) disclosure requirements to cover all group health plans as …

https://www.usbenefits.law/2022/01/dol-provides-long-awaited-guidance-on-service-provider-health-plan-disclosures-and-related-enforcement-policy/

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Get Your Employer-Sponsored Group Health Plan Ready for 2023

(5 days ago) WEBGroup health plans that exclude or limit coverage for gender affirming care (e.g., care related to gender identity or gender dysphoria) risk discrimination claims on …

https://www.epicbrokers.com/insights/compliance-alert-get-your-employer-sponsored-group-health-plan-ready-for-2023/

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US Department of Labor announces enforcement policy on …

(5 days ago) WEBThe Consolidated Appropriations Act, 2021 included amendments of prohibited transaction exemption provisions in ERISA section 408(b)(2) that govern …

https://www.dol.gov/newsroom/releases/ebsa/ebsa20211230

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Employer health plans have to meet new COVID-19 …

(2 days ago) WEBApril 21, 2020. COVID-19 relief legislation requires employer-sponsored group health plans to cover certain testing and related items without cost sharing. Agency guidance …

https://www.mercer.com/insights/law-and-policy/employer-health-plans-have-to-meet-new-covid-19-coverage-mandate/

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What’s New CMS

(6 days ago) WEBA new chart titled Top 10 Section 111 Group Health Plan Reporting Errors July – December, 2023, is now available in the Download section below. January 3, …

https://www.cms.gov/medicare/coordination-benefits-recovery/mandatory-insurer-reporting-group-health-plans/whats-new

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Are Your Benefits Plans Ready for 2022? - SHRM

(6 days ago) WEBThe new deadline for the informational report for plan years 2020 and 2021 is Dec. 27, 2022. Subsequent reports will need to be filed no later than June 1 for the …

https://www.shrm.org/topics-tools/news/benefits-compensation/benefits-plans-ready-2022

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2021 Plan Amendment Deadlines and Other Looming …

(5 days ago) WEBThe amendment may be retroactive to January 1, 2020, provided that participants were notified of the change. Employers first permitting carryovers of up to $550 in 2021 must …

https://www.jacksonlewis.com/insights/2021-plan-amendment-deadlines-and-other-looming-fourth-quarter-considerations

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IRS Expands Section 125 Mid-year Election Change Rules

(4 days ago) WEBIRS Expands Section 125 Mid-year Election Change Rules. October 25, 2022. On Oct. 11, 2022, the IRS released Notice 2022-41, expanding the situations in …

https://benefit-analysts.com/irs-expands-section-125-mid-year-election-change-rules/

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PURPOSE - Internal Revenue Service

(4 days ago) WEBcoverage under the group health plan, any revocation of an election must satisfy the consistency requirements of § 1.125-4(c)(3)(i) and (iii). Those requirements provide that if an employee’s change in status results in an individual covered by a group health plan due to the individual’s

https://www.irs.gov/pub/irs-drop/n-22-41.pdf

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Group Health Insurance: What It Is, How It Works, Benefits

(8 days ago) WEBGroup Health Insurance Plan: A group health insurance plan is an insurance plan that provides healthcare coverage to a select group of people. Group …

https://www.investopedia.com/terms/g/group-health-insurance-plan.asp

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FAQs on HIPAA Portability and Nondiscrimination …

(2 days ago) WEBGroup health plans may exclude coverage for a specific disease, limit or exclude benefits for certain health factor they may have. (Plan amendments that apply to all …

https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/hipaa-compliance.pdf

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ERISA Compliance FAQs: Health Plan Reporting and Disclosure Rules

(9 days ago) WEBPlan amendment and termination procedures; If the change is a material reduction in group health plan benefits or services, the deadline for providing the SMM …

https://news.leavitt.com/employee-benefits-compliance/erisa-compliance-faqs-health-plan-reporting-and-disclosure-rules/

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2023 End-of-Year Plan Sponsor “To Do” Lists (Part 1) Health and …

(7 days ago) WEBIf a group health plan obtains an insufficient disclosure, it may want to ask the covered service provider follow-up questions and request that the covered service …

https://www.swlaw.com/publications/view/2023-end-of-year-plan-sponsor-to-do-lists-part-1-health-and-welfare

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499-As an employer, I sponsor a group health plan for my …

(6 days ago) WEBCovered entities under HIPAA are health care clearinghouses, certain health care providers, and health plans. A "group health plan" is one type of health plan and is a covered entity (except for self-administered plans with fewer than 50 participants). The group health plan is considered to be a separate legal entity from the employer or other

https://www.hhs.gov/hipaa/for-professionals/faq/499/am-i-a-covered-entity-under-hipaa/index.html

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26 U.S. Code § 5000 - Certain group health plans

(7 days ago) WEBPrior to amendment, text read as follows: “For purposes of this section, the term ‘large group health plan’ means a plan of, or contributed to by, an employer or employee organization (including a self-insured plan) to provide health care (directly or otherwise) to the employees, former employees, the employer, others associated or

https://www.law.cornell.edu/uscode/text/26/5000

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COVID-19: IRS, HHS DOL Employee Benefit Plan Guidance

(Just Now) WEBFurther, high deductible health plans have some relief to cover expenses related to COVID-19, as well as a temporary exemption for telehealth services to be …

https://www.natlawreview.com/article/employers-required-to-extend-group-health-plan-timeframes-retroactively-while-other

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Medicaid State Plan Amendments Medicaid.gov

(5 days ago) WEBOn March 27, 2024, the Centers for Medicare and Medicaid Services (CMS) received North Carolina State Plan Amendment (SPA) NC-24-0014 for Health Home - Tailored Care …

https://www.medicaid.gov/medicaid/medicaid-state-plan-amendments/index.html

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26 USC Ch. 100: GROUP HEALTH PLAN REQUIREMENTS - House

(Just Now) WEBThe requirements of this chapter shall not apply to any group health plan in relation to its provision of excepted benefits described in section 9832 (c) (2) if the …

https://uscode.house.gov/view.xhtml?req=granuleid%3AUSC-prelim-title26-chapter100&edition=prelim

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Amendment to the Interim Final Rules for Group Health Plans and …

(2 days ago) WEBIn applying this amendment, as with other provisions of the interim final regulations, the rules apply separately to each benefit package made available under a …

https://www.federalregister.gov/documents/2010/11/17/2010-28861/amendment-to-the-interim-final-rules-for-group-health-plans-and-health-insurance-coverage-relating

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Reporting and Disclosure Guide for Employee Benefit Plans

(Just Now) WEBDoment Type of nformaton To hom hen Doment Type of nformaton To hom hen 2 The term “group health plan” means an employee welfare plan to the extent that the plan …

https://www.dol.gov/sites/dolgov/files/EBSA/about-ebsa/our-activities/resource-center/publications/reporting-and-disclosure-guide-for-employee-benefit-plans.pdf

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42 U.S. Code § 300gg–91 - LII / Legal Information Institute

(1 days ago) WEBAmendment by Pub. L. 110–233 applicable, with respect to group health plans and health insurance coverage offered in connection with group health plans, for plan …

https://www.law.cornell.edu/uscode/text/42/300gg-91

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953-Can a group health plan disclose to the plan sponsor the PHI

(7 days ago) WEBSpecifically, 45 CFR 164.504 (f) (3) (i) allows a group health plan or a health insurance issuer with respect to the group health plan – or its business associate – to disclose PHI to a plan sponsor to carry out plan administration functions as long as it meets the requirements of 45 CFR 164.504 (f) (2). As such, where the plan sponsor is

https://www.hhs.gov/hipaa/for-professionals/faq/953/can-a-group-health-plan-disclose-to-the-plan-sponsor-information/index.html

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Fact Sheet: Department of Labor Rescinds Invalidated Rule on

(4 days ago) WEBThe final rule removes section 2510.3-5 from Chapter 29 of the Code of Federal Regulations and makes conforming amendments to section 2510.3-3. …

https://www.dol.gov/agencies/ebsa/about-ebsa/our-activities/resource-center/fact-sheets/dol-rescinds-invalidated-rule-on-ahp

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