Insurance solutions



SELF-COMPLIANCE TOOLS FOR HEALTH BENEFITS LAWS:

There’s no denying it — numerous provisions of Health Insurance Portability and Accountability Act (HIPAA) and Affordable Care Act (ACA) are complicated and confusing. To help with this confusion, the Department of Labor (DOL) now provides two tools on its website that group health plans, plan sponsors, plan administrators, and health insurance issuers can use to test their compliance. These tools, or checklists, deal specifically with group health plan requirements (Part 7) of ERISA.

The first checklist focuses on HIPAA portability and other law provisions, such as pre–existing conditions exclusions, certificates of creditable coverage, special enrollment rights, wellness programs, and more. The questions and explanations of applicable statutes and other regulatory/administrative interpretation materials assist those involved in operating a group health plan in understanding the laws and their related responsibilities.


The second checklist focuses on ACA provisions, including a plan’s status as a "grandfathered" plan exempt from some ACA requirements, and such ACA requirements as limitations on rescission and annual and lifetime limits, and more. The various sets of questions and answers allow users                                to assess their plan's c    compliance with the ACA provisions that have already taken place, or will take place in the near future





COVERED CALIFORNIA-FORMALLY "EXCHANGE"

                                                   LINK TO COVERED CALIFORNIA PORTAL

HEALTH CARE REFORM & AFFORDABLE CARE ACT RESOURCES

Health Care Reform ALERT:  


Large Employers with 50 or more full-time or full-time equivalent employees Responsibility and Information Reporting Requirements Delayed Until 2015



Department Of Labor Links: