1. In November 2015, the IRS, HHS, and DOL (the "Agencies") published final regulations on many PPACA benefit mandates , including the rules regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits, rescissions, coverage of [...]
1. Federal law does not expressly require that ERISA health plans cover same-sex spouses . However, in 2015 the Equal Employment Opportunity Commission ("EEOC") took the position that sexual orientation is protected under federal anti-discrimination law (Title VII). [...]
1. In June 2014, the U.S. Supreme Court in Fifth Third Bancorp v. Dudenhoeffer eliminated the "Moench" presumption that employer stock is a prudent investment under ERISA.Fifth Third Bancorp v. Dudenhoeffer, 134 S. Ct. 2459 (2014). And so ESOP [...]
1. Non-grandfathered plans must provide certain preventive care benefits without cost-sharing.All of the USPSTF's recommendation statements are available at http://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/. Plans must comply with new and revised recommendations starting with the first plan year that begins one or [...]
1. In June 2013 the Supreme Court issued its decision in U.S. v. Windsor, invalidating a section of DOMA, the law which limited federal recognition of marriages to opposite-sex couples.U.S. v. Windsor, 133 S. Ct. 2675 (2013). [...]
New Guidance Related To Health Plans & Health Care Reform (PPACA) Further Guidance on PPACA's Summary of Benefits and Coverage (SBC) Requirement In March and May of this year, the IRS, DOL, and HHS issued two new [...]
New Guidance Related To Health Plans & Health Care Reform (PPACA) Summary of Benefits and Coverage Requirement Delayed; New Regulations Published Last August, the government issued proposed regulations implementing PPACA’s four-page uniform summary of benefits and coverage [...]
2010 will be remembered by benefits professionals as a year dominated by Health Care Reform. Health Care Reform aside, there were other significant developments in benefits law. And as always we must tell you that this [...]