EBIA Weekly Archives - GHPM - Questions
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Results (48 articles found)
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- Do the MSP mandatory reporting rules require that HICNs or SSNs be provided to CMS?
- From the November 05, 2009 EBIA Weekly
- QUESTION: We’ve heard that the Medicare Secondary Payer mandatory reporting rules require that health insurance claim numbers or Social Security numbers be provided to CMS. In the past, it has been difficult to obtain those numbers for our ...
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- How does the Newborns' and Mothers' Health Protection Act (NMHPA) affect our company's group health plans?
- From the August 27, 2009 EBIA Weekly
- QUESTION: Our company offers a major medical plan that is required to comply with the Newborns’ and Mothers’ Health Protection Act (NMHPA). One of our employees is soon to give birth and she has heard that the NMHPA ...
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- When is a HIPAA authorization required in connection with obtaining a medical certification for FMLA purposes?
- From the July 23, 2009 EBIA Weekly
- QUESTION: In administering our company’s FMLA program, we request a medical certification of a serious health condition in order to approve the leave. Does HIPAA require us to obtain an individual’s authorization when requesting a medical ...
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- Can you explain how the Medicare Secondary Payer (MSP) mandatory reporting requirements apply to our health FSA and HRA?
- From the July 07, 2009 EBIA Weekly
- QUESTION: Our company is subject to the Medicare Secondary Payer (MSP) rules, including the MSP mandatory reporting requirements. We offer employees a health FSA and an HRA. Do the MSP reporting requirements apply to those plans? ANSWER: The MSP reporting ...
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- How do the rules under the Genetic Information Nondiscrimination Act (GINA) affect group health plans and employers?
- From the April 16, 2009 EBIA Weekly
- QUESTION: We’ve heard that group health plans and employers will soon be impacted by rules under the Genetic Information Nondiscrimination Act (GINA). How will group health plans and employers be affected? ANSWER: You’re right that GINA ...
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- Can Medicare Part D creditable coverage disclosure notices be provided electronically?
- From the February 05, 2009 EBIA Weekly
- QUESTION: Our company’s major medical plan includes prescription drug coverage. In the past, we have provided paper Medicare Part D creditable coverage disclosure notices to Part D eligible individuals. Can we provide these notices electronically? ANSWER: CMS has ...
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- What are the new mandatory reporting requirements for group health plans and when are they effective?
- From the January 08, 2009 EBIA Weekly
- QUESTION: We’ve heard that new mandatory reporting requirements apply to group health plans under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA). What are these requirements and when do they become effective? ANSWER: ...
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- How does the Pregnancy Discrimination Act affect our company's group health plans?
- From the December 04, 2008 EBIA Weekly
- QUESTION: We know that our company is subject to the Pregnancy Discrimination Act (PDA). How does this affect our group health plans? ANSWER: The PDA (which amended Title VII of the Civil Rights Act of 1964) prohibits employers from discriminating ...
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- What is meant by the prohibition against taking Medicare entitlement "into account" under a group health plan?
- From the October 23, 2008 EBIA Weekly
- QUESTION: Many of our Medicare-entitled employees are eligible for our company’s major medical plan. We have heard that group health plans cannot take Medicare entitlement “into account.” What does this mean? ANSWER: Under the Medicare ...
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- What rules must we follow under USERRA when reinstating the health coverage of an employee who has returned from uniformed service?
- From the September 25, 2008 EBIA Weekly
- QUESTION: We are reemploying an employee who has returned from service in the uniformed services. She chose not to continue her health plan coverage when she left for her service. We know that we must reinstate her coverage, but can ...
