The Departments of Health and Human Services (HHS), Labor, and Treasury issued interim final regulations on July 14, 2010 requiring new plans and issuers to cover certain preventive services without any cost-sharing for the enrollee when delivered by in-network providers. The interim final regulations do not apply to grandfathered plans and issuers. This website provides links to the items and services that must be covered under this interim final regulation. It is organized by the recommending body.
Note: On June 14, Departments of Treasury, Labor and Health and Human Services released interim final regulations on the grandfather status. A complete review of these regulations will be released shortly. In the meantime, the Department of Labor has released a series of questions and answers.
Congress failed in its efforts before Memorial Day to pass a nearly $200 billion package that would have extended unemployment benefits and other expiring provisions, including ARRA’s COBRA subsidy program. The 15 months of federally subsidized COBRA premiums for involuntary terminations of employment that needed to occur by May 31, 2010, came to an end
The IRS has released a notice which allows Cafeteria Plans to offer coverage to adult children to age 27, even if those children are not tax qualified dependents of the employee. The coverage is retroactive to March 30th 2010. In order to adopt this provision, employers must amend their Section 125 plan documents to reflect the offering to adult children to age 27.
Congressional Budget Office estimates released Tuesday predict the health care overhaul will likely cost about $115 billion more in discretionary spending over ten years than the original cost projections. The additional spending - if approved
Within Section 9003 of the PPACA health reform law, IRS Code was amended so that over-the-counter (OTC) drugs will no longer be reimbursable unless they are prescribed by a physician as of Jan. 1, 2011. This prohibition affects health Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), Health Savings Accounts (HSAs) and Archer Medical Savings Accounts (MSAs).
The IRS released Revenue Ruling 2010-13 which includes the average premium for the small group market when determining the Small Business Health Care Tax Credit. The credit was created as part of the Patient Protection and Affordable Care Act ("PPACA"), as amended, which helps small businesses afford the cost of covering their employees.
In the recently decided case of Dorsey v. Holman, 2010 U.S. Dist. LEXIS 41295 (D.D.C. Apr. 27, 2010) a Washington D.C. law firm terminated their employee, Debra Dorsey, after a year of disability-related leave. The employee elected COBRA in late 2008. Subsequently, the American Recovery and Reinvestment Act of 2008 (ARRA) was passed in February, 2009, and the employee made the request to her employer to be provided the subsidy following a conversation with a DOL official who confirmed her eligibility for the subsidy.
My good friend Dave Cleary (the Video Benefits Guy), has produced a nice overview of the massive Health Care Reform Legislation. He reviews and highlights the landmark changes to benefits and the very substantial new taxes on individuals and employers that you need to know about NOW.
President Obama last night (April 15) signed the Continuing Extension Act of 2010 (HR 4581). This bill contains two basic provisions applicable to COBRA and the ARRA (the full text applicable to COBRA is copied below for your review).
Getting Ready for EFAST2 discusses the 2009 plan year requirement to file IRS Form 5500 electronically. Plan sponsors have three options for entering data on the Form 5500 (and Schedules) and filing it electronically.