EBIA Weekly Archives - GHPM - Questions

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Results (51 articles found)


  1. What are the obligations of an employer that receives a Data Match Questionnaire?
    From the August 03, 2006 EBIA Weekly
    QUESTION: Our company just received an IRS/SSA/CMS Data Match Questionnaire from the Centers for Medicare & Medicaid Services (CMS) requesting information about certain individuals. What are we supposed to do with it? ANSWER: Employers are generally required to ...
  2. Must an employer continue providing flex credits for major medical coverage to an employee who goes on unpaid FMLA leave?
    From the June 22, 2006 EBIA Weekly
    QUESTION: We provide $200 per month in flex credits to all employees under our cafeteria plan to help pay for health coverage. One employee uses this amount towards payment of his $250 monthly premiums for major medical coverage; he salary-...
  3. What federal mandates might apply to our company's group health plans, other than ERISA, COBRA, and HIPAA?
    From the May 18, 2006 EBIA Weekly
    QUESTION: We have already addressed how ERISA, COBRA, and HIPAA apply to our company’s group health plans, but should we be considering any other federal group health plan mandates? ANSWER: Yes. Here are some others to put on ...
  4. Under the ADA, can an employer condition a job offer on an agreement that the applicant's disabled dependent won't enroll for health coverage?
    From the April 14, 2006 EBIA Weekly
    QUESTION: We were about to hire a job applicant when we learned that his child is seriously disabled. Our health insurance plan covers employees and their dependents—the child’s condition will substantially increase costs under the plan. ...
  5. Can we terminate USERRA health plan continuation coverage for an employee who fails to make premium payments on time?
    From the March 23, 2006 EBIA Weekly
    QUESTION: One of our employees recently left for service in the uniformed services and elected health plan continuation coverage under USERRA. He is late in paying the USERRA premiums. Can we terminate his coverage? ANSWER: The answer generally depends on ...
  6. Do we have to provide any disclosure notices for our health plan under Medicare Part D other than the one that we already provided to Part D eligible individuals in November 2005?
    From the March 09, 2006 EBIA Weekly
    QUESTION: We provided a creditable coverage disclosure notice for our health plan to Part D eligible individuals in November 2005. Do we have to provide any other Medicare Part D notices in the future? ANSWER: Yes. As you know, group ...
  7. Does exclusion of prescription contraceptives from a group health plan raise concerns under federal anti-discrimination law?
    From the February 23, 2006 EBIA Weekly
    QUESTION: Our company is thinking about excluding prescription contraceptives from our group health plan, but we have heard that this may raise concerns under federal anti-discrimination law. Is this true even though the exclusion would apply equally to men ...
  8. What do all those acronyms in employee benefits stand for?
    From the December 30, 2005 EBIA Weekly
    QUESTION: Everybody in the employee benefits field uses acronyms like CDHC, EAP, ADA, USERRA, etc. What do these and other employee benefits acronyms stand for? ANSWER: Here’s a list of common acronyms primarily used in our COBRA, HIPAA, ...
  9. What is a National Medical Support Notice and what are we supposed to do with it?
    From the December 15, 2005 EBIA Weekly
    QUESTION: Our company just received a National Medical Support Notice. What is this and what are we supposed to do with it? ANSWER: A National Medical Support Notice (NMSN, or Notice) is a special type of medical child support order ...
  10. Are ERISA welfare plans required to have an annual open enrollment period?
    From the November 17, 2005 EBIA Weekly
    Question: Our company maintains several ERISA welfare plans for employees, including an insured group health plan and an insured LTD plan. Are we required to offer annual open enrollment for these plans? Answer: Maybe. There is no annual open enrollment ...

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