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Federal Updates
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Legislative Brief: Model COBRA Election Notice Updated for Health Care Reform
Leg Brief overviews the recent DOL release and the COBRA election notice has been updated to reflect the expansion of access to affordable health care (e.g., employees of small business will have access to coverage through the Exchange).
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04.11.2013
National Association of Health Underwriters (NAHU) - Obama Releases 2014 Budget
Leading article: Obama released his 2014 budget, which included many compromises for the entitlement cuts, in order to "entice" Republicans.
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04.04.2013
National Association of Health Underwriters (NAHU) - CMS Issues Guidelines for Navigators
Leading article: CMS issued proposed guidelines for navigators who will assist peope who buy health insurance on state exchanges. Per guidelines, navigators are to be fair and impartial.
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12.19.2012
Nondiscrimination Rules for Fully-Insured Groups
Under reform, fully insured non-grandfathered groups were required to comply with nondiscrimination rules related to compensation. Eff date has been delayed indefinitely until issuance of regulations; this rule could greatly affect your clients.
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12.03.2012
FMLA Rights for Military Families
This Legislative Brief focuses on the FMLA for Military Families. FMLA (50+ employees) allows eligible employees up to 12 weeks of unpaid during a 12 month period, continue benefits, & retain position. *Mandatory notice is required.
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12.03.2012
Proposed Rule on Essential Benefits, Actuarial Value & Accreditation Standards
This Legislative Brief focuses on the Essential Benefits aspect, where HHS named 10 general categories all states must include when designing their essential benefit rules. Also proposed rules on Actuarial Value and Accreditation Standards.
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12.03.2012
Proposed Rule on Workplace Wellness Programs
This Legislative Brief focuses on the Workplace Wellness aspect. The proposed regs would increase max wellness reward from 20 to 30% of cost of coverage; also increasing max reward to 50% for tobacco reduction/use programs
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12.03.2012
Proposed Rule on Health Insurance Reforms & Rate Reviews
This Legislative Brief focuses on the Rate Review aspect but includes topics such as Guaranteed Availability & Renewability, Fair Health Insurance Premiums, Single statewide risk pools, and Catastrophic plans.
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11.27.2012
National Association of Health Underwriters (NAHU) - Challenges Faced Creating Exchanges
Leading article: Obama administration faces challenges creating insurance exchanges. 16 states have said they will not create their own, 9 want federal partnership. HHS is now realizing they will face major logistical and financial challenges.
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11.27.2012
Proposed Rules on Health Insurance Reforms & Wellness Programs
This Legislative Brief discusses how Federal agencies responsible for health care reform released three proposed rules implementing provision of the Affordable Care Act (ACA).
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11.21.2012
Essential Health Benefits, Market Rules & Wellness Programs - HHS Guidance
Two notices were issued on 11/20/12; insurers must send rate changes to HHS; same risk pool by state for ind and grp; 10 categories were defined for Essential Health Benefits but states will create their own benchmark.
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11.09.2012
National Association of Health Underwriters (NAHU) - States Scramble to meet Reform Law’s Deadline
Leading article: The election occurred 10 days before a deadline for states to carry out the law, and those that "were waiting for teh outcome" must now hustle to comply.
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Health Care Reform - Post Election
Health Care Reform continues forward, the attached document overviews the occurred and upcoming effective dates for provisions in Health Care Reform that employers needs to comply.
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10.31.2012
National Association of Health Underwriters (NAHU) - LA Legislature Declines to Block Jindal’s plan
Leading article: Louisiana legislators have boted to "leave the solving the current health care crisis to the governor rather than take responsibility for it themselves"; effectively blocking Jindal's plan for Medicaid.
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10.05.2012
National Association of Health Underwriters (NAHU) - 91 charged in Medicare Fraud Scheme
Leading article: Federal Government charges 91 people, across seven cities, in Medicare fraud schemes totaling $429 million.
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