Forc.org

THE COLORADO OPTION STANDARDIZED HEALTH BENEFIT PLAN

WebThe Commissioner of Insurance (“Commissioner”) is allowed to update the standardized plan annually through the rulemaking process. He is required to contract with an …

Actived: 3 days ago

URL: https://forc.org/Public/Journals/2023/Articles/Fall/Vol34Ed3Article2.aspx

Cybersecurity and Data Privacy in the Insurance Industry

WebA good example is the Health Insurance Portability and Accountability Act (HIPAA), which is the United States’ primary health privacy and security law, and applies …

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Repeal of the Federal Annual Fee on Health Insurance Providers

WebDuring the 2021 legislative session of the New Mexico Legislature, the State of New Mexico enacted legislation that created a new “Health Care Affordability Fund” …

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COUNTER-TRENDS: OVERHAUL OF HEALTH INSURANCE …

WebPPACA effectively creates a uniform, national standard for health insurance benefits (referred to as the “essential health benefits” package) in the small group market2 and a …

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LEARNING FROM PAST EXPERIENCE: THE LONG-TERM CARE …

WebThe long-term care insurance (“LTCi”) market has grown significantly since the first LTCi policies were marketed over 30 years ago. In those days Americans were spending less …

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NJ's Out of Network Consumer Protection, Transparency, Cost

WebIntroduction. The Out-Of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act, P.L. 2018, c. 32 (codified at N.J.S.A. 26:2SS-1 to -20), (“NJ Act”), …

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NEW HITECH LAW CHANGES TO HIPAA

WebAlthough changes made to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)1 by the new HITECH (Health Information Technology for Economic and Clinical …

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INSURANCE BROKER COMPENSATION IN A PATIENT …

WebThe health insurance broker who receives compensation from both an insured and insurer with respect to the same insurance policy purchase and sale transaction runs the risk of …

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THE CO-OP PROGRAM UNDER THE AFFORDABLE CARE ACT: …

WebQualified health plans are defined in Affordable Care Act § 1301(a)(1) as plans that offer essential health benefits and that are certified as meeting the criteria for being offered on …

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HEALTHCARE REFORM AND SMALL EMPLOYER STOP LOSS …

WebThe authors recognize that under American Medical Security, Inc. et al. v. Bartlett, 111 F.3d 358, (4th Cir. 1997)a court found that a Maryland statute that deemed …

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THE FUTURE OF INSURANCE RESCISSION

WebAlthough this article will focus on non-health care rescissions, it is health insurance rescissions which have received recent attention by the media, the courts and …

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NEW MEXICO’S SURPRISE BILLING PROTECTION ACT

WebIn 2019, the New Mexico Legislature passed, and the Governor signed into law, the new Surprise Billing Protection Act. This new law provides for a defined way for health …

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SUMMARY OF THE NEW FEDERAL MLR STANDARDS AND …

WebThe Patient Protection and Affordable Care Act ("PPACA") added a new Section 2718 to the Public Health Service Act, which mandates that insurance carriers in the group and …

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UTAH'S FEDERAL AND STATE HIGH RISK POOLS AND THEIR …

WebIn 2010, the year Federal-HIPUtah was implemented, HIPUtah's budget from subsidies was $8.5 million annually to care for over 4000 individuals. 16 Since 2010, this budget has …

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MEDICARE SECONDARY PAYER REPORTING: EXTRATERRITORIAL …

WebBackground.Section 111 added new mandatory reporting requirements for group health plans (“GHPs”) (42 U.S.C. 1395y(b)(7)) and for Liability Insurance (including Self …

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THE PPACA CO-OP PROGRAM

WebIn general, the Secretary of Health and Human Services ("Secretary") is tasked with establishing the Consumer Operated and Oriented Plan ("CO-OP" program") to carry out …

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FLORIDA ASSIGNMENT OF BENEFIT ABUSE: RECENT …

WebRECENT DEVELOPMENTS. The debate in Florida over a controversial practice known as Assignment of Benefits, otherwise known as “AOB,” has ramped up in …

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ACCIDENT AND HEALTH THIRD PARTY ADMINISTRATOR …

Web12 The Tennessee exemption also applies to licensed nonprofit hospitals, medical, dental and vision service corporations, and health maintenance organizations. 13. Consistent …

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VEBAS, ERISA, AND OTHER CLOAKING DEVICES

WebVEBAS. A voluntary employees' beneficiary association (VEBA) is a tax-advantaged welfare benefits funding vehicle defined under the Internal Revenue Code (IRC). The operations …

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DIRECT PROCUREMENT: RECENT DEVELOPMENTS IN THE LAW

WebHasse, 30 Wis. 2d 339, 141 N.W. 2d 287 (Sup. Ct. Wis. 1966), the Supreme Court of Wisconsin held that the state could tax a mail order life and health insurer that was not …

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A SUMMARY OF ILLINOIS INSURANCE EFFECTIVE JANUARY 1, …

WebBelow is a list of Illinois insurance legislation that became law effective on January 1, 2023. This insurance legislation, passed by the 102 nd Illinois General …

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REGULATORY CONSIDERATIONS FOR INVESTMENTS BY …

WebThese assessments and reporting requirements are intended to ensure, among other things, that insurance holding company systems continually monitor and assess the …

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