HIPAA prohibits a group health plan from discriminating against individuals based on a “health factor” and requires such plans to meet five standards in order to comply with the nondiscrimination rules. Proposed regulations under the Affordable Care Act...
For health plans beginning in 2014 employers will need to limit new-hire waiting periods, for employees reasonably expected to work full time, to no more than 90 days. If the employer prefers the effective date of coverage to start on the first of the month following...
Employers with an average of 50 full-time equivalent employees (FTE) in the preceding calendar year must provide minimum essential coverage, which meets minimum value and is considered “affordable”, to “substantially” all its full-time...
New “small” group plans and non-grandfathered renewals starting January 1st, 2014 will have premiums based on community rating. Fully insured plans in the individual and small group markets will only be able to consider family size, geography, tobacco use,...
The Affordable Care Act requires that all employers notify their employees about exchanges. Notices were supposed to go out March 1, 2013, but the Department of Labor has just released an FAQ (see question 1) that says March 1, 2013, is not practical. The new FAQ says...
