EBIA Weekly Archives - HIPAA - Questions
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Results (71 articles found)
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- What's a "hidden" preexisting condition exclusion?
- From the August 31, 2006 EBIA Weekly
- QUESTION: Our group health plan has a preexisting condition exclusion (PCE) provision that complies with the HIPAA portability regulations. However, we’ve been warned that we should examine the plan for “hidden” PCEs. What’s a ...
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- Is an employee allowed to change from one health plan option to a different option when exercising special enrollment rights upon the birth of a baby?
- From the July 20, 2006 EBIA Weekly
- QUESTION: Our health plan offers two options—an HMO and a PPO. An employee who was enrolled in the HMO just had a new baby, and now wants to enroll the new baby and switch from the HMO to ...
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- Are health FSAs subject to the HIPAA privacy and security rules?
- From the April 27, 2006 EBIA Weekly
- QUESTION: Our company has a fully insured major medical plan and a health FSA that we administer in-house (without a TPA). We know that the fully insured plan is subject to the HIPAA privacy and security rules, and we'...
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- Under what circumstances is exhaustion of COBRA coverage a requirement for special enrollment?
- From the April 20, 2006 EBIA Weekly
- QUESTION: We’re not sure about special enrollment rights for our group health plan—in particular, the requirement to exhaust COBRA coverage is confusing us. We have an employee whose wife is on COBRA from her former employer, ...
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- Does a small health plan have to do a risk analysis in order to comply with the HIPAA security rule?
- From the March 02, 2006 EBIA Weekly
- QUESTION: We have a small health plan and we’ve heard that all health plans must do a risk analysis in order to comply with the HIPAA security rule. Is that true and, if so, just what is a ...
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- What are the HIPAA security requirements that a small health plan will have to meet by the April 2006 deadline?
- From the January 19, 2006 EBIA Weekly
- QUESTION: We have a small health plan—what are the HIPAA security requirements that we will have to satisfy by the April 2006 deadline? If our small plan is fully insured, is the insurer responsible for HIPAA security compliance? ...
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- 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, ...
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- 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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- How do we know if our plans have to offer extended deadlines because of Hurricane Katrina?
- From the October 27, 2005 EBIA Weekly
- Question: We have read about recent guidance that extended COBRA, HIPAA, and ERISA claims deadlines in the aftermath of Hurricane Katrina. How do we know if our ERISA health and welfare plans need to comply with this guidance, what deadlines ...
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- Does a change of insurers under a health plan trigger an obligation to issue HIPAA Certificates?
- From the October 13, 2005 EBIA Weekly
- QUESTION: We recently changed insurers for our company’s group health plan. Is the insurer whose coverage is no longer in place required to issue certificates of creditable coverage (HIPAA Certificates)? ANSWER: No, but the insurer is not completely ...
