Complianceadministrators.com

ACA: Summary of Benefits and Coverage — ComplianceDashboard

WEBThe Departments of Labor, Health and Human Services, and the Treasury issued final regulations for group health plans and health insurance carriers to use in providing a …

Actived: Just Now

URL: https://complianceadministrators.com/summary-of-benefits-and-coverage/

Medical Child Support Order — ComplianceDashboard: Interactive …

WEBMedical Child Support Order. Medical Child Support Orders (MCSOs) A 1993 amendment to the Employee Retirement Income Security Act (ERISA) requires employer-sponsored …

Category: Medical Go Health

ACA: PHSA Mandates By Plan Type — ComplianceDashboard: …

WEBThe Affordable Care Act (ACA) implements its various market reforms and mandates by amending the Public Health Service Act (PHSA). These are often referred to as the …

Category: Health Go Health

Wellness Plan Compliance — ComplianceDashboard: Interactive …

WEBThe maximum incentive under Health-Contingent wellness plans is 30% of the cost of coverage in which the individual is enrolled. This can include the cost of dependent …

Category: Health Go Health

Medicare Coordination of Benefits — ComplianceDashboard: …

WEBThe term “Coordination of Benefits (“COB”)” is used when assigning responsibility for first and second payment. The Medicare Secondary Payer Rules …

Category: Health Go Health

HIPAA Nondiscrimination — ComplianceDashboard: Interactive …

WEBHIPAA Nondiscrimination. The Health Insurance Portability and Accountability Act (“HIPAA”) provides rights and protections for participants and beneficiaries in group …

Category: Health Go Health

HIPAA Plan Portability (Pre-Ex) — ComplianceDashboard: …

WEBHIPAA Plan Portability (Pre-Ex) Section 1201 of the Affordable Care Act (“ACA”) adds a new section to the Public Health Service Act, Section 2704, which amends the HIPAA …

Category: Health Go Health

ACA: Preventive Care Coverage Requirements — …

WEBSection 2713 of the Public Health Service Act (the “Act’), as added by the Affordable Care Act (“ACA”), requires group health plans and health insurance issuers that are not …

Category: Health Go Health

ACA: Elimination of Pre-existing Conditions — …

WEBThe Affordable Care Act (ACA) amended the HIPAA portability rules relating to preexisting condition exclusions. The ACA limits application of preexisting condition exclusions in …

Category: Health Go Health

Summary Plan Description — ComplianceDashboard: Interactive …

WEBThe Summary Plan Description (SPD) is one of the most important documents participants are entitled to receive when becoming a participant of an ERISA-covered health benefit …

Category: Health Go Health

Retiree Coverage — ComplianceDashboard: Interactive Web …

WEBCOBRA applies to group health plans without regard to whether they are retiree only plans. If a person becomes covered under a retiree-only plan, COBRA initial notices are …

Category: Health Go Health

Security (Protection of ePHI) — ComplianceDashboard: Interactive …

WEBThe Security Rule addresses various physical, technical, and administrative safeguards that must be implemented by Covered Entities and their Business Associates for protection …

Category: Health Go Health

Level Funding — ComplianceDashboard: Interactive Web-Based …

WEBThe stop loss carrier may also insure against annual claims for a specific individual that are greater than a stated amount. A level funded arrangement differs in several key …

Category: Health Go Health

ACA: Prohibition Against Rescission of Coverage

WEBSection 2712 of the Public Health Service Act (the “Act”), as added by the Affordable Care Act (“ACA”), generally prohibits group health plans and health insurance issuers …

Category: Health Go Health

MEWAs — ComplianceDashboard: Interactive Web-Based …

WEBMEWAs. MEWA is an acronym for a multiple employer welfare arrangement. Its primary definition is found in ERISA. It means an employee welfare benefit plan, or any other …

Category: Health Go Health

Cafeteria Plans — ComplianceDashboard: Interactive Web-Based …

WEBA section 125 or “cafeteria” plan is a type of employee benefit plan pursuant to Section 125 of the Internal Revenue Code (the “Code”). Its name comes from the earliest such plans …

Category: Health Go Health

Section 105(h) Nondiscrimination — ComplianceDashboard: …

WEBSection 105(h) sets forth the nondiscrimination rules that apply to self-insured (or level-funded) medical reimbursement plans.These rules only affect whether reimbursements …

Category: Medical Go Health