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HIPAA Common Questions: Administration (Part 2)
Posted on: December 29, 2014Categories: HR & ComplianceWhen does HIPAA prohibit a group health plan from discriminating against an individual? HIPAA does not allow a group health plan to deny an individual eligibility for benefits or charge a higher premium than is required of a similarly situated individual, based upon health factors. Health factors include: Health status; Medical condition (physical or mental); Receipt of health care; Claims experience; Medical history; Genetic information; Evidence of insurability; Disability; and Any ...
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IRS Guidance on Tax-Free Coverage for Children under Age 27
Posted on: December 23, 2014Categories: HR & ComplianceThe Affordable Care Act (ACA) requires group health plans that provide dependent coverage of children to continue to make the coverage available for an adult child until the child turns age 26. This adult child coverage mandate became effective for plan years beginning on or after Sept. 23, 2010. The ACA also provides for favorable tax treatment for coverage of adult children. Under the ACA, the value of health coverage provided for an employee's child who is under 27 years of age is not subjec ...
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When FMLA Is Exhausted
Posted on: December 22, 2014Categories: HR & ComplianceUnder the Family and Medical Leave Act (FMLA), covered employees are entitled to 12 weeks of unpaid, job-protected leave for specified family and medical reasons. After FMLA is exhausted, or if the employee is not eligible for FMLA, you may face uncertainty about whether you must continue to offer leave or if you may terminate the employee. There are several considerations you should make when FMLA is exhausted but an employee is not ready to return to work. You should consider if any of the fo ...