Legal & Regulatory

  • remains vulnerable to security threats, GAO finds

    September 17, 2014

    Increased and unnecessary risks to security remain, as the Centers for Medicare and Medicaid services has failed to implement and address security issues, the GAO says.

  • Obamacare to kick out 115,000 lacking residency proof

    September 16, 2014

    About 115,000 people who signed up for Obamacare and may not be legal residents of the U.S. will lose their insurance coverage at the end of the month, the government said Monday.

  • High-deductible CDHPs part of ongoing cost containment strategy

    September 12, 2014

    New research points to low-cost consumer-directed plans as being a key strategy in thwarting rising health benefit costs.

  • IRS drafts instructions for ACA reporting requirements

    September 11, 2014

    They promised they would be coming and now they have. The Internal Revenue Service has issued draft instructions to help employers and plan sponsors comply with the Affordable Care Act’s 2015 reporting requirements.

  • First steps to take with IRS draft ACA reporting instructions

    September 4, 2014

    The IRS has released long-awaited draft instructions for the forms employers will use to comply with the ACA’s employer mandate, giving benefit advisers and their clients a glimpse of the work ahead for 2015 and how to begin preparing now.

  • ACA tax rule gets rehearing by full appeals court

    September 4, 2014

    The full U.S. Court of Appeals in Washington will rehear a recent court decision that found the ACA's premium subsidies invalid in more than two dozen states due to the law’s specific language. A rehearing may reduce the chances of a new Supreme Court showdown over a central element of the health reform law.

  • IRS releases draft instructions for ACA reporting forms

    August 29, 2014

    The IRS has posted draft instructions for the various Affordable Care Act reporting that will be done for calendar year 2015 and while the instructions provide much needed guidance for employers and insurers, they also confirm the daunting complexity of the reporting task.

  • How employers can limit exposure to ACA’s pay-or-play penalties

    August 28, 2014

    The Affordable Care Act’s employer shared responsibility requires large employers to offer group health plan coverage or face the prospect of having to pay money to the government. As a result, more and more employers are considering these strategies to help reduce or eliminate their exposure to penalties.

  • HHS names new head of federal HIX

    August 26, 2014

    The Department of Health and Human Services said Tuesday that Kevin Counihan, the head of Connecticut’s state-run exchange will join the Centers for Medicare and Medicaid Services as CEO of the Marketplace, also known as the federal government’s health care exchange.

  • Obama offers birth-control coverage compromise for employees of religious nonprofits

    August 22, 2014

    The Obama administration has announced a government workaround to allow employees of religious nonprofits access to birth-control coverage even if their employer has opted not to pay for such medicines.

  • Small business marketplaces leave room for improvement

    August 21, 2014

    Benefit advisers and employers say a host of challenges is not only to blame for stagnant SHOP enrollment, but must be overcome if SHOP is to enjoy any success.

  • IRS publishes guide to health coverage exemptions

    August 20, 2014

    The Internal Revenue Service has issued a new one-page publication with information about exemptions to the health coverage requirements of the Affordable Care Act.

  • Will employer-sponsored health insurance survive?

    August 18, 2014

    New estimates find the ACA will decrease the number of Americans obtaining health insurance coverage in the future. Can the employer-sponsored health care model survive under these conditions?

  • IRS provides guidance on covered entities for health insurance fees

    August 14, 2014

    The IRS has issued guidance on how the IRS and the Treasury Department will administer the definition of a “covered entity” for purposes of the health insurance fee under the Affordable Care Act.

  • New rates for 'affordable coverage' under ACA announced

    August 8, 2014

    The IRS has issued its first adjustment to the ACA definition of “affordability” for the 2015 plan year. Building a solid ACA compliance plan with your employer clients means understanding the act clearly provides for such changes.

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