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Legal & Regulatory

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  • Employer contraception mandate comes to court for ban ruling

    May 22, 2013

    Two businesses, a construction firm from southwestern Illinois and an auto-parts maker in southeastern Indiana, are scheduled today to ask the U.S. Court of Appeals in Chicago for an order barring enforcement.


  • ACA regulations rife with unknowns

    May 21, 2013

    Yesterday Groom Law Group’s Mark Nielsen addressed the International Foundation of Employee Benefit Plans’ Washington legislative update, saying health reform watchers are still hoping for “more and better guidance” on ACA rules and standards.


  • 8 components of a health care exchange

    May 16, 2013

    As an employer, there’s a lot you need to know in order to decide whether or not to offer health care through a health insurance exchange. But before you make a decision, Karen McLeese, J.D., vice president of employee benefit regulatory affairs for CBIZ Benefits & Insurance Services, details the general functions of all exchanges, including state-based, federal, or state/federal partnerships. Here are the eight primary features of exchanges. [Images: Shutterstock]


  • Sebelius health fundraising probed by Republican lawmakers

    May 15, 2013

    The health agency said last week that Sebelius had been calling advocacy groups, doctors, churches and “companies not regulated by HHS” since March, asking for contributions to an independent nonprofit group promoting the health law.


  • ACA prep: Now, this year and in 2014

    May 10, 2013

    Determining if your coverage is affordable is only one of several steps employers need to take before the end of the year, and that’s not even considering the preparations they should have made already.


  • ACA challenged in suit over tax subsidies

    May 6, 2013

    The suit, filed last week in federal court in Washington, revolves around an Internal Revenue Service rule that provides tax credits for people shopping for health insurance on new government-run marketplaces, called exchanges, regardless of where they live.


  • Dealing with health care appeals – It’s OK to change your mind

    April 19, 2013

    What happens if, during the course of the appeals process, the plan administrator comes across information that might impact the decision on appeal that makes the administrator want to grant the appeal?


  • Obama pulls back health law promise as exchange costs double

    April 12, 2013

    The $1.3 trillion U.S. health-care system overhaul is getting more expensive and will initially accomplish less than intended.


  • A walk-through on full-time vs. part-time for PPACA

    April 12, 2013

    Because there can be various ways of assessing what constitutes a full-time employee eligible for coverage under the PPACA, the IRS has issued guidance in the form of several notices, as well as temporary regulations.


  • PPACA small business insurance market delayed a year

    April 3, 2013

    Starting in 2014, workers at companies with fewer than 100 employees were supposed to have been able to choose from a variety of health plans through new small-business insurance marketplaces. They’ll instead wait until at least 2015.


  • Low-income workers may get Medicaid money to buy their own insurance

    April 1, 2013

    The proposal in Arkansas and Ohio is a departure from the 2010 Patient Protection and Affordable Care Act, but the Obama administration might be open to it.


  • 3-year anniversary: Important milestones for PPACA

    March 27, 2013

    This week marks the third anniversary of President Barack Obama signing the Patient Protection and Affordable Care Act. As benefits professionals look toward the law’s full implementation next year, here is a quick look at important dates for PPACA past and future.


  • Michigan judge blocks health care mandate for contraceptives

    March 18, 2013

    A federal judge has issued a preliminary injunction on PPACA’s contraception requirement, saying an employer’s First Amendment rights could be irreparably harmed if the mandate was enforced while a lawsuit was pending.


  • 6 key compliance deadlines for 2013 and beyond

    March 1, 2013

    The health care reform law has many moving parts and a great deal of regulations yet to come, which will keep benefits professionals on their toes all year.


  • HHS regulations increase wellness rewards

    March 1, 2013

    Health-contingent wellness programs can increase incentives for quitting tobacco use.