Complianceadministrators.com

Transparency in Coverage (TiC) Rule — ComplianceDashboard: …

WEBTransparency in Coverage (TiC) Rule. The Transparency Rule of 2020. On November 12, 2020, the Departments of Treasury, Labor, and Health and Human Services (the …

Actived: 1 days ago

URL: https://complianceadministrators.com/transparency-in-coverage-tic-rule/

Wellness Plan Compliance — ComplianceDashboard: Interactive …

WEBThe maximum incentive under Health-Contingent wellness plans is 30% of the cost of coverage in which the individual is enrolled. This can include the cost of dependent …

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ACA: PHSA Mandates By Plan Type — ComplianceDashboard: …

WEBThe Affordable Care Act (ACA) implements its various market reforms and mandates by amending the Public Health Service Act (PHSA). These are often referred to as the …

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HIPAA Nondiscrimination — ComplianceDashboard: Interactive …

WEBHIPAA Nondiscrimination. The Health Insurance Portability and Accountability Act (“HIPAA”) provides rights and protections for participants and beneficiaries in group …

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Medicare Coordination of Benefits — ComplianceDashboard: …

WEBThe term “Coordination of Benefits (“COB”)” is used when assigning responsibility for first and second payment. The Medicare Secondary Payer Rules …

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Health FSAs — ComplianceDashboard: Interactive Web-Based …

WEBBACKGROUND. A health FSA is a type of cafeteria plan. Broadly speaking, a cafeteria plan is one which permits employees to elect between taxable and qualified non-taxable …

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Retiree Coverage — ComplianceDashboard: Interactive Web …

WEBCOBRA applies to group health plans without regard to whether they are retiree only plans. If a person becomes covered under a retiree-only plan, COBRA initial notices are …

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Non-Federal Government Exemptions — ComplianceDashboard: …

WEBThis notice must be submitted in an electronic format through the Non-Federal Government Plans Module (Non-Fed Module) in the Health Insurance Oversight …

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High Deductible Health Plans — ComplianceDashboard: …

WEBAn HDHP is a health plan that has statutorily prescribed minimum deductible and maximum out-of-pocket limits. The limits are adjusted annually for inflation and are published by …

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HIPAA Plan Portability (Pre-Ex) — ComplianceDashboard: …

WEBHIPAA Plan Portability (Pre-Ex) Section 1201 of the Affordable Care Act (“ACA”) adds a new section to the Public Health Service Act, Section 2704, which amends the HIPAA …

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Section 105(h) Nondiscrimination — ComplianceDashboard: …

WEBSection 105(h) sets forth the nondiscrimination rules that apply to self-insured (or level-funded) medical reimbursement plans.These rules only affect whether reimbursements …

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NJ Shared Responsibility Requirement — ComplianceDashboard: …

WEBThis applies to both part-year and full-year New Jersey residents. A part-year resident is a primary enrollee who was domiciled in New Jersey for at least 15 days in …

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Security (Protection of ePHI) — ComplianceDashboard: Interactive …

WEBThe Security Rule addresses various physical, technical, and administrative safeguards that must be implemented by Covered Entities and their Business Associates for protection …

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ACA: Prohibition Against Rescission of Coverage

WEBSection 2712 of the Public Health Service Act (the “Act”), as added by the Affordable Care Act (“ACA”), generally prohibits group health plans and health insurance issuers …

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Medical Expenses under IRS Section 213(d) — …

WEBSection 213 of the Internal Revenue Code (IRC) allows a deduction for expenses paid during the taxable year, not compensated for by insurance or otherwise, for medical care …

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Medical Child Support Order — ComplianceDashboard: Interactive …

WEBMedical Child Support Order. Medical Child Support Orders (MCSOs) A 1993 amendment to the Employee Retirement Income Security Act (ERISA) requires employer-sponsored …

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Mental Health Parity Act of 2008 — ComplianceDashboard: …

WEBThe Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) mandates that Group Health Plans that provide mental …

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Level Funding — ComplianceDashboard: Interactive Web-Based …

WEBThe stop loss carrier may also insure against annual claims for a specific individual that are greater than a stated amount. A level funded arrangement differs in several key …

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