HR & Compliance

  • December 2014 Health Care Reform by

    Posted on: December 2, 2014Categories: HR & Compliance

    On Nov. 21, 2014, the Department of Health and Human Services (HHS) released its 2016 Notice of Benefit and Payment Parameters Proposed Rule. The proposed rule describes benefit and payment parameters applicable to the 2016 benefit year, including standards relating to the: Reinsurance program’s annual contribution rate; Open enrollment period for 2016; and Annual limitations on cost-sharing. HHS may make changes to the proposed rule before finalizing it. However, the proposed rule is a g ...

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  • Embedded and Non-embedded Deductibles by

    Posted on: December 2, 2014Categories: HR & Compliance

    Health insurance is something that everyone should have, but it’s also something that many people don’t completely understand. One of the concepts that is essential to grasp is how your deductible works. There are two basic types of deductibles for family coverage, and knowing which one you have and how it works will help you plan for out-of-pocket health care expenses. Deductibles A deductible is the amount you must pay out of pocket for medical care before the insurance company will begi ...

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  • HIPAA Certificates No Longer Required in 2015 by

    Posted on: December 1, 2014Categories: HR & Compliance

    Effective for plan years beginning on or after Jan. 1, 2014, the Affordable Care Act (ACA) prohibits group health plans and issuers from imposing pre-existing condition exclusions (PCEs) on any enrollees. Prior to 2014 plan years, the ACA prohibited PCEs for enrollees under 19 years of age. The ACA’s restrictions on PCEs apply to both grandfathered and non-grandfathered plans. On Feb. 24, 2014, the Departments of Health and Human Services, Labor and the Treasury (Departments) issued a final r ...

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