EBIA Weekly Archives - GHPM

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Results (297 articles found)


  1. CMS Updates Medicare Secondary Payer User Guide With Guidance for Responsible Reporting Entities and Group Health Plans
    From the June 04, 2009 EBIA Weekly
    CMS has again updated the User Guide for group health plans on its Medicare Secondary Payer (MSP) mandatory reporting website. Like the earlier versions of the guide (see our article at http://www.ebia.com/WeeklyArchives/GHPM/Statutes/19686 (Premium ...
    [MMSEA Section 111 MSP Mandatory Reporting GHP User Guide, Version 2.3 (May 22, 2009); and Alert: Compliance Guidance Regarding Obtaining Individual HICNs and/or SSNs for Group Health Plan (GHP) Reporting and MMSEA 111 - HICN, SSN Collection - Model Language (May 26, 2009)]
  2. Informal Discussion Letter Indicates That Requiring Health Risk Assessments to Obtain Health Coverage Violates the ADA
    From the May 07, 2009 EBIA Weekly
    In this informal discussion letter, an EEOC official addresses whether an employer’s requirement that employees participate in a health risk assessment in order to obtain coverage under the employer’s self-funded health plan violates the ADA. ...
    [EEOC Informal Discussion Letter (Mar. 6, 2009)]
  3. Requiring Older, Medicare-Eligible Retirees to Pay Larger Portion of Premium Contribution Under Health Plan Did Not Violate ADEA
    From the April 30, 2009 EBIA Weekly
    After years of providing 100% employer-paid coverage under two retiree health plans, the employer in this case amended the plans so that more recent retirees would have to share in future premium increases under a specified formula. Benefits under ...
    [LeFevre v. Niagara Mohawk Power Corp., 2009 WL 1076785 (N.D.N.Y. 2009)]
  4. 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 ...
  5. CMS Issues Medicare Part D Benefit Parameters for 2010
    From the April 09, 2009 EBIA Weekly
    Under Medicare Part D regulations, most group health plan sponsors offering prescription drug coverage to Part D eligible individuals (including active or disabled employees, retirees, COBRA participants, and beneficiaries) must disclose to Part D eligible individuals and to CMS whether ...
    [Announcement of Calendar Year (CY) 2010 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies (Apr. 6, 2009)]
  6. CMS Updates Creditable Coverage Disclosure to CMS Form
    From the April 02, 2009 EBIA Weekly
    Under Medicare Part D regulations, most group health plans offering prescription drug coverage to Part D eligible individuals must disclose to CMS whether the coverage is creditable or noncreditable. In September 2007, CMS updated the “Disclosure to CMS Form&#...
    [Creditable Coverage Disclosure to CMS Form (Mar. 24, 2009)]
  7. CMS Delays MSP Mandatory Reporting for HRAs and Provides Other Guidance for Group Health Plans
    From the March 05, 2009 EBIA Weekly
    CMS has updated the User Guide for group health plans on its Medicare Secondary Payer (MSP) mandatory reporting website. Like the earlier versions of the guide (see our article at http://www.ebia.com/WeeklyArchives/GHPM/Statutes/19626 (Premium Access ...
    [MMSEA Section 111 MSP Mandatory Reporting GHP User Guide, Version 2.1 (Mar. 4, 2009)]
  8. EEOC Issues Proposed Regulations on GINA's Employment Nondiscrimination Requirements
    From the March 05, 2009 EBIA Weekly
    The Genetic Information Nondiscrimination Act of 2008 (GINA) was enacted to prevent discrimination on the basis of genetic information in health insurance and employment (see our article at http://www.ebia.com/WeeklyArchives/HIPAA/Statutes/19394 (Premium Access subscription required)). ...
    [Regulations Under the Genetic Information Nondiscrimination Act of 2008, Prop. DOL Part 1635, 74 Fed. Reg. 9056 (Mar. 2, 2009)]
  9. EEOC Announces Proposed Regulations on GINA's Employment Nondiscrimination Provisions
    From the February 26, 2009 EBIA Weekly
    The Genetic Information Nondiscrimination Act of 2008 (GINA) was signed into law in May 2008 to prevent discrimination on the basis of genetic information in health insurance and employment (see our article at http://www.ebia.com/WeeklyArchives/HIPAA/Statutes/...
    [EEOC Seeks Public Comment on Proposed Regulations Implementing Genetic Information Non-Discrimination Act (Feb. 25, 2009)]
  10. Health Plan Insurer Could Not Terminate COBRA Coverage When Qualified Beneficiary Became Covered Under Medicaid
    From the February 12, 2009 EBIA Weekly
    A mother sued her health plan insurer after it denied medical benefits for her minor son, who incurred overwhelming medical expenses after a near drowning accident. The son was a COBRA qualified beneficiary who had elected COBRA coverage under the ...
    [Mellor v. Wasatch Crest Mut. Ins. Co., 2009 WL 172773 (Utah 2009)]

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