HR & Compliance

  • Patient Protections by

    Posted on: August 28, 2014Categories: HR & Compliance

    Among other reforms, the Affordable Care Act (ACA) imposes three requirements on group health plans and group or individual health insurance coverage that are referred to as “patient protections.” These patient protections relate to the choice of a health care professional and requirements relating to benefits for emergency services, and became effective for plan years beginning on or after Sept. 23, 2010. The ACA’s patient protections do not apply to grandfathered plans. Also, the rule ...

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  • Preventive Care Coverage Guidelines by

    Posted on: August 26, 2014Categories: HR & Compliance

      The Affordable Care Act (ACA) requires non-grandfathered health plans to cover certain preventive health services without imposing cost-sharing requirements for the services. This requirement generally became effective for plan years beginning on or after Sept. 23, 2010. It does not apply to grandfathered health plans. On July 19, 2010, the Departments of Health and Human Services (HHS), Labor and the Treasury (Departments) issued interim final rules relating to coverage of preventive ...

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  • IRS Revises ACA Affordability Percentage by

    Posted on: August 25, 2014Categories: HR & Compliance

                    On July 24, 2014, the Internal Revenue Service (IRS) released the Affordable Care Act (ACA)’s employer health plan affordability contribution percentage for 2015 in Revenue Procedure 2014-37. The affordability of an employer’s plan is assessed in three situations: the shared responsibility penalty for applicable large employers, the individual mandate and the premium tax credit for purchasing health coverage through an Exchan ...

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