EBIA Weekly Archives - GHPM

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Results (297 articles found)


  1. Agencies Are Working on MHPAEA Regulations With the Goal of Issuing Them by January 2010, Per HHS Secretary
    From the October 08, 2009 EBIA Weekly
    In an October 2, 2009 letter to Senator Al Franken, HHS Secretary Kathleen Sebelius reported on agency efforts to develop regulations implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). As background, ...
    [Letter from Kathleen Sebelius, HHS Secretary, to Al Franken, U.S. Senator (Oct. 2, 2009)]
  2. EEOC Issues Proposed ADA Regulations and Other Guidance About Disabilities, Major Life Activities, Impairments and More
    From the September 24, 2009 EBIA Weekly
    Effective January 1, 2009, the ADA Amendments Act modified the definition of disability and other portions of the ADA. (See our article at http://www.ebia.com/WeeklyArchives/GHPM/Statutes/19529 (subscription required).) The basic ADA definition of disability was ...
    [Regulations To Implement the Equal Employment Provisions of the Americans With Disabilities Act, as Amended, 74 Fed. Reg. 48431 (Sept. 23, 2009); Questions and Answers on the Notice of Proposed Rulemaking for the ADA Amendments Act of 2008; Notice Concerning The Americans With Disabilities Act (ADA) Amendments Act of 2008 (Sept. 23, 2009)]
  3. CMS Proposes Changes in Disclosure to CMS Form Instructions and Revises Guidance on Disclosure to Part D Eligible Individuals
    From the September 17, 2009 EBIA Weekly
    Most entities that provide prescription drug coverage to Medicare Part D eligible individuals must disclose to CMS (using a web-based Creditable Coverage Disclosure to CMS Form) whether that coverage is creditable coverage. CMS has proposed changes to the Form ...
    [Creditable Coverage Disclosure to CMS Form Instructions and Screen Shots (Aug. 25, 2009); Disclosure of Creditable Coverage to Medicare Part D Eligible Individuals Guidance (July 1, 2009)]
  4. IRS Issues Final Regulations on Excise Tax Reporting and HSA Comparability
    From the September 10, 2009 EBIA Weekly
    The IRS has issued final regulations on the HSA comparability rules, and on reporting and paying excise taxes for failure to comply with comparability requirements or various group health plan mandates (including COBRA and HIPAA). There are few differences between ...
    [Treas. Reg. Secs. 54.4980B-2, 54.4980D-1, 54.4980E-1, 54.4980G-1, 54.4980G-3, 54.4980G-4, 54.4980G-6, 54.4980G-7, 54.6011-2, 54.6061-1, 54.6071-1, 54.6091-1, and 54.6151-1, 74 Fed. Reg. 45994 (Sept. 8, 2009)]
  5. CMS Revises HICN/SSN Collection Form Used for Mandatory Reporting Purposes
    From the September 03, 2009 EBIA Weekly
    In May 2009, CMS issued compliance guidance and model language to assist responsible reporting entities (RREs) in obtaining Medicare Health Insurance Claim Number (HICN) or Social Security Number (SSN) information from Medicare beneficiaries for mandatory reporting purposes (see our article ...
    [MMSEA 111 - HICN/SSN Collection - GHP Model Language Form (Aug. 18, 2009)]
  6. 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 ...
  7. MSP Rules Prohibit Terminating Group Health Plan Coverage Based Solely on ESRD Eligibility, Except as Permitted by COBRA
    From the August 20, 2009 EBIA Weekly
    This case addresses the application of the Medicare Secondary Payer (MSP) rules to Medicare entitlement based on end-stage renal disease (ESRD). A kidney dialysis center (Center), as assignee of a deceased participant’s retiree health care benefits, sued ...
    [Bio-Medial Applications of Tenn. v. Cent. States, SE & SW Areas Health & Welfare Fund., 2009 WL 2516968 (E.D. Tenn. 2009)]
  8. 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 ...
  9. EEOC Staff Members Provide Informal Views on Health Risk Assessments, ADA, and Other Benefit-Related Issues
    From the July 16, 2009 EBIA Weekly
    The Joint Committee on Employee Benefits (JCEB) of the American Bar Association has reported on its May 6, 2009 Q&A session with EEOC staff members. The report includes the following informal, nonbinding remarks regarding health risk assessments, the ...
    [ABA Joint Committee on Employee Benefits, Meeting with EEOC Staff (May 6, 2009)]
  10. 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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