The federal agencies have issued FAQ guidance addressing provisions of the Consolidated Appropriations Act, 2021 that prohibit “gag...

Group health plan (GHP) sponsors that offer prescription drug (Rx) coverage must, at least annually, notify Medicare Part D eligible...

There are several major health cost transparency requirements and data obligations starting in 2022 that will affect employers that offer...

The Department of Labor (DOL) has issued the first annual adjustment of civil monetary penalties for a wide range of benefit-related...

In 2015, Congress passed the 2015 Inflation Adjustment Act which directs agencies across the federal government to determine the last...

Under healthcare reform’s preventive services rules, a non-grandfathered, non-excepted group health plan must cover contraceptive drugs,...

Group health plans are prohibited from imposing excessive waiting periods on an otherwise eligible employee (or dependent) under...

The Patient Protection and Affordable Care Act (PPACA) imposes cost-sharing limits on non-grandfathered group health plans beginning with...

The Affordable Care Act (the “Act”) contains many tax provisions that are in effect and more that will be implemented during the next...

A recently released Fact Sheet provides an updated list of counties for group health plans to use to determine when they must include...

The Patient Protection and Affordable Care Act requires employers with 200 or more full-time employees to automatically enroll all new...

New final Medical Loss Ratio (MLR) rules direct group health plan issuers to provide rebates owed under a plan, if any, to the group...

A non-federal governmental employer that provides self-funded group health plan coverage to its employees (coverage that is not provided...

Healthcare reform mandates that group health plans provide the Summary of Benefits and Coverage (SBC) and Uniform Glossary pursuant to...

The Department of Labor recently released a report required by the national healthcare reform act that provides detailed statistics on...

On June 22, agencies of the federal government released interim final regulations setting forth the requirements for group health plans...

Group health plans in effect on March 23, 2010 are initially considered “grandfathered.” For these grandfathered plans, certain deadlines...

The new national health insurance reform act - the Affordable Care Act - requires group health plans and health insurance issuers that...