Affordable Care Act, Summary of Benefits and Coverage

CMS Advises Preparatory Steps for Anticipated PrEP Coverage Transition to Medicare Part B

McDermott Will & Emery on 4/26/2024

On April 15, the Centers for Medicare & Medicaid Services (CMS) released a fact sheet on the potential national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV. CMS...more

The Cost of Employee Benefits Non-Compliance Just Went Up . . . Again

Fisher Phillips on 11/30/2021

The U.S. Department of Health & Human Services (HHS) just announced increased penalty amounts for entities who violate the privacy, security, and breach notification rules under the Health Insurance Portability and...more

2019 ERISA Welfare Plan Checklist

Bass, Berry & Sims PLC on 10/9/2019

We recognize that many of our clients sponsor ERISA welfare benefit plans and are currently undergoing their open enrollment process and issuing related participant communications. To assist our clients with that process, we...more

Reminder for SBCs – Yes, Please!

Snell & Wilmer on 12/6/2018

The Affordable Care Act’s requirement that group health plans provide summaries of benefits and coverage (“SBCs”) to applicants and enrollees at various times is not new. Nevertheless, because of the steep penalties for...more

Open Enrollment Looms and ACA Changes are Uncertain – What are Employers to Do?

Snell & Wilmer on 8/3/2017

On the morning of July 28, 2017, another effort to repeal or replace the Affordable Care Act (“ACA”) failed in a 49-51 Senate vote when three Republican senators voted against the bill. Attempts to pass even a trimmed down...more

New SBC Template Goes Into Effect April 1

Foley & Lardner LLP on 2/20/2017

The U.S. Department of Labor (DOL) released a new template for the Summary of Benefits and Coverage (SBC) last year. As background, the Affordable Care Act requires health plans and health insurers to annually distribute SBCs...more

Labor & Employment Law Under President-Elect Trump

Stoel Rives - World of Employment on 11/21/2016

In the wake of the election results, the question on everyone’s mind now is: What impact will President-Elect Trump have on employers? Trump has thus far given few details on his thoughts on labor and employment. But with...more

The ERISA Litigation Newsletter - August 2016

Proskauer Rose LLP on 9/1/2016

Editor's Overview - This month’s newsletter features an article on the DOL’s recently published interim final rule that increases penalties for notice and disclosure violations, which generally became effective on...more

Departments Finally Publish Updated SBC Template and Instructions

Snell & Wilmer on 8/13/2016

On April 6, 2016, the Departments of Health and Human Services, Labor and Treasury (the “Departments”) issued an updated Summary of Benefits and Coverage (“SBC”) template. The latest template represents an effort by the...more

Waves of Guidance and Benefit Plan Developments Worth Watching

Winstead PC on 7/14/2016

Notices on Second Round of Privacy and Security Audits are Out, Expat Plans, OON Surgery Center Billing Issues, and New Nondiscrimination Rules for Federal Contractors, New ERISA Civil Monetary Penalties, COBRA Notices and...more

Compensation and Benefits Insights – June 2016

King & Spalding on 7/2/2016

Final Summary of Benefits and Coverage (SBC) Guidance Issued - The Departments of Labor, Health and Human Services and Treasury (the “Departments”) recently issued final changes to the Summary of Benefits and Coverage...more

The ERISA Litigation Newsletter - May 2016

Proskauer Rose LLP on 6/1/2016

Editor’s Overview - In this issue of Proskauer's ERISA Litigation Newsletter, we review a recent ruling by the Tenth Circuit Court of Appeals concerning the application of controlled group principles to the building...more

Health and Human Services, Labor and Treasury Departments Release New Summary of Benefits and Coverage Templates and Accompanying...

Proskauer - Employee Benefits & Executive... on 5/27/2016

The Departments of Health and Human Services (“HHS”), Labor (“DOL”), and Treasury (the “Departments”) have jointly released final changes to the Summary of Benefits and Coverage (“SBC”) template, the Uniform Glossary, and...more

Washington Healthcare Update

McGuireWoods LLP on 4/12/2016

This Week: MedPAC votes on changes in Part D... Senate HELP Committee reports five “Cures” bills... One report shows uninsured number decreasing... Another says, but we still need the safety net. ...more

Tired of the Health Care Hullabaloo?

Bryan Cave Leighton Paisner on 4/4/2016

Hullabaloo: noun: a commotion, a fuss. In recent years, almost every change to health care has caused a hullabaloo. Today, we thought you might enjoy reading about a few recent and proposed changes that, although...more

Implementation Date for New Summary of Benefits and Coverage Template

McDermott Will & Emery on 3/23/2016

The U.S. Departments of Treasury, Labor, and Health and Human Services (the Departments) recently issued new guidance regarding the intended timeframe for the use of the new summary of benefits and coverage (SBC) template and...more

Liberating Data to Enable Healthcare Market Transparency: A Guide for Regulators and Policy Makers

Manatt, Phelps & Phillips, LLP on 3/23/2016

The federal and state Marketplaces established by the Affordable Care Act (ACA) have made it easier for consumers to compare their health insurance options, but data are still not fully available for consumers to understand...more

DOL Issues Proposed Updates for Summaries of Benefits and Coverage

Ballard Spahr LLP on 3/2/2016

The U.S. Department of Labor (DOL) has issued an updated template Summary of Benefits and Coverage (SBC), Glossary of Coverage and Medical Terms, and related materials. The revised materials remain in proposed form, but have...more

Proposed Changes to the Template for the Summary of Benefit Coverage and Uniform Glossary Required under ACA

McDermott Will & Emery on 3/2/2016

The U.S. Department of Labor recently published proposed revisions to the template and related materials for the summary of benefits and coverage (SBC) and the Uniform Glossary. ...more

2015 End of Year Plan Sponsor “To Do” List Health & Welfare

Snell & Wilmer on 11/23/2015

As 2015 comes to an end, we are pleased to present you with our traditional End of Year Plan Sponsor “To Do” Lists. Like last year, we are presenting our “To Do” Lists in three separate Employee Benefits Updates. Part 1 of...more

The ERISA Litigation Newsletter - August 2015

Proskauer Rose LLP on 8/28/2015

Editor's Overview - As the summer draws to a close, this month's Newsletter previews three cases that the U.S. Supreme Court already has agreed to hear that ought to be of particular interest to ERISA plan sponsors and...more

Agencies Issue Final Regulations on the Summary of Benefits and Coverage (SBC) Requirements

Proskauer - Employee Benefits & Executive... on 7/13/2015

As promised in the FAQ issued on March 30, 2015, the U.S. Departments of the Treasury, Labor and Health and Human Services (the Departments) have issued final regulations regarding the summary of benefits and coverage (SBC)...more

Proposed Regulations for Summary of Benefits and Coverage Seek to Simplify Compliance

Snell & Wilmer on 2/24/2015

As part of Health Care Reform, employers and insurers are required to provide group health plan participants with a Summary of Benefits and Coverage (“SBC”) describing the important features of the group health plan option(s)...more

ACA Issues for Employers to Stay Aware of in 2015

Akerman LLP - Health Law Rx on 2/19/2015

With the Affordable Care Act's Employer Mandate (Pay-or-Play penalties) now officially in effect, employers with 50 or more full-time or full-time-equivalent employees should have already made all significant changes to their...more

Starting a New Business: What Employers Need to Know About Health Benefits

Locke Lord LLP on 1/28/2015

Starting a new business can be very stressful, and with any successful business comes the added stress of hiring and retaining employees. To attract good employees, employers generally need to offer health benefits. ...more

Patient Protection and Affordable Care Act (PPACA) › Summary of Benefits and Coverage

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