Healthcare Transparency Timing Requirements

Click here for a printer-friendly version. In recent years, Congress and federal agencies have pushed for greater transparency into the cost of healthcare through the passage of the 2021 Consolidated Appropriations Act and Transparency in Coverage rules.Consolidated Appropriations Act, [...]

2024-02-22T22:28:48+00:00January 2024|

10th Circuit Invalidates Plan’s Arbitration Term

In the last several years, courts have grappled with ERISA plan terms that require participants to arbitrate their claims on an individual basis. Recently, the 10th Circuit invalidated a plan’s arbitration term in Harrison v. Envision Management Holding because it would have restricted the statutory ERISA remedies participants were otherwise entitled to seek.

2023-02-27T20:52:53+00:00February 2023|

Legal Developments Impacting Health & Welfare Plans 2022 Year-End Update

In June, the Supreme Court ruled the Constitution does not guarantee a right to abortion, leaving states free to regulate them. This means state law may dictate coverage of abortions by insured health plans while ERISA plan sponsors may decide whether self-funded health plans will cover abortions. Limits on coverage will apply—for example, plans generally will not cover medical procedures that are illegal in the state where performed. Other issues remain open—for example, coverage of abortifacient drugs obtained out-of-state and reimbursement for out-of-state travel to obtain an abortion. Upcoming legislative sessions will likely produce additional laws.

2023-02-27T21:00:27+00:00February 2023|

Consolidated Appropriations Act, 2021

  On December 27, 2020, the Consolidated Appropriations Act, 2021Pub. L. No. 116-260, 134 Stat. 1,182 (2020). (the Act) was signed into law. The Act includes COVID-related and other provisions that impact health and retirement plans, [...]

2022-02-08T20:56:33+00:00February 2021|