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Cigna: Final Rules on Employer Wellness Programs Under the ADA …

WEBOn May 16, the Equal Employment Opportunity Commission (EEOC) issued final regulations under the Americans with Disabilities Act (ADA) and final regulations under the Genetic Information Nondiscrimination Act (GINA) as they relate to employer wellness programs. These rules provide guidance around employer-sponsored wellness and …

Actived: 8 days ago

URL: https://www.kilpco.com/blog/cigna-final-rules-on-employer-wellness-programs-under-the-ada-and-gina

Wellness Program Proposed Rules and FAQs Issued

WEBOn April 16, the U.S. Equal Employment Opportunity Commission (EEOC) issued proposed rules about wellness programs included in group health plans and the guidelines that must be followed if the program asks employees to answer disability-related questions or take a medical examination. At the same time, the Department of Health and Human Services …

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Proposed Rules for Association Health Plans Kilpatrick Companies

WEBLast October President Trump signed an executive order directing the Department of Labor (DOL), Health and Humana Services (HHS) and Treasury to consider proposing new regulations or to revise guidance to expand Association Health Plans (AHP), expand Short Term Medical Limited Duration Insurance (STLMDI) and expand the flexibility under a …

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Update on Employer Shared Responsibility, 6055/6056 Reporting

WEBIn a July 3 email, BCBS provided information about the reporting requirements on large employers as well as the reporting requirements of self-funded health plans.. Earlier this year, the federal government released final rules on Employer Shared Responsibility (ESR) and the Internal Revenue Code Sections 6055 and 6056 reporting requirements related …

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UHC: New EEOC Regulations Required for Wellness Incentive …

WEBOn May 17, 2016, the Equal Employment Opportunity Commission (EEOC) issued final rules amending the regulations implementing Title I of the Americans with Disability Act (ADA) and Title II of Genetic Information Nondiscrimination Act (GINA).

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DOL Issues Final Guidance on Association Health Plans

WEBOn Thu, Jun 21, the Department of Labor published a final rule to expand the availability of Association Health Plans (AHP) to small employers and self-employed individuals. While the rule l

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Proposed Changes for SBCs

WEBOn December 22, 2014, the Departments of Health and Human Services (HHS), Labor and Treasury issued proposed regulations for changes to the Summary of Benefits and Coverage (SBC).. The proposed regulations clarify when and how a plan administrator or insurer must provide an SBC, shorten the SBC template, add a third cost example and …

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BCBS Updates Retail (Individual Under 65) Compensation to …

WEBBCBS is changing its compensation schedule for individual under 65 major medical qualified health plans (QHPs). They are moving away from a percent-of-premium, which was tiered by production level and reduced by half after the first year, to a flat per-member-per-month (PMPM) model that remains the same in renewal years.

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BCBS Reinstates St Lukes Network Agreements without Contract …

WEBBCBS and CommonSpirit Health reached an agreement to reinstate CommonSpirit’s network agreements with no lapse in network participation. CommonSpirit is the parent company of CHI St Luke’s and CHI St Joseph hospitals and other regional hospitals through Houston and East Texas.

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Bianchi: Can a Plan That Fails to Cover Inpatient Hospitalization

WEBThis article “Can a Plan That Fails to Cover Inpatient Hospitalization Services Provide Minimum Value?” by attorney Alden J. Bianchi has been reproduced in full with permission from the author. Mr. Bianchi is a nationally renowned authority on the Affordable Care Act’s impact on employers. A recent Washington Post article (“Glitch in health care law allows …

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Trump and Health Care Reform 2.0 Kilpatrick Companies

WEB(Originally posted on Nov 23, 2016; revised over time.) The future of our health care system and how it will change under the Trump administration is still unclear. Consider this a working d

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Final 2015 Notice of Benefit and Payment Parameters and …

WEBOn March 6, the Department of Health and Human Services (HHS) provided the 2015 actuarial value calculator and issued final regulations on the 2015 Notice of Benefit and Payment Parameters.While HHS changed a few items from the proposed rule – namely the open enrollment period and cost-sharing limits – many provisions remain the same.

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Proposed Regulations on 2016 Benefit and Payment Parameters

WEBOn November 21, the Department of Health and Human Services (HHS) issued proposed regulations that address a variety of Patient Protection and Affordable Care Act (PPACA) benefit provisions for 2016 affecting both the group and individual markets. There is a 30-day comment period on these proposed regulations. Here is an overview of some of the …

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Cigna HCR alert: Proposed Regulations on 2015 Benefit and …

WEBOn November 25, the Department of Health and Human Services (HHS) issued proposed regulations that address a variety of Patient Protection and Affordable Care Act (PPACA) benefit provisions for 2015.

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IRS Notes Employer Plans Must Cover Inpatient & Physician …

WEBIt is official. In order for a health plan to provide Minimum Value, the plan must cover inpatient and physician services (see Notice 2014-69). The focus of this notice is on the Minimum Val

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Assurant will Allow Small Group Employers to Keep their Plan

WEBThe following text is an excerpt from a broker email from Assurant on Thu, Dec 12. Important follow-up details — federal plan extensions. Over the last three years, Assurant Health has made the successful implementation of health care reform a priority.

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Scott & White Enrollment Kit Small Group / ACA Metal Plans

WEBMedical coverage is provided by Scott and White Health Plan for HMO/POS and by Insurance Company of Scott and White for insured PPO. The companies listed above, severally or collectively, as the content may require, are referred to in the Small Group

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Humana to Change Underwriting Process for 10-100 Life Groups

WEBBeginning 7/1 for quotes effective 9/1/2018 and later, Humana will change how they underwrite risk-rated groups with 10-100 lives. Currently, Humana requires individual health statements and/or claim reporting, depending on circumstance.

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CMS Approves TDI Request for Composite Rating in Texas

WEBUpdate on Mon, Mar 16, 2015; revised on Sun, Mar 29 and Fri, Aug 21: On Tue, Mar 10, CMS formally approved Texas’s request to allow carriers to use 4-tier composite rating in small group. C

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Humana Will Fully Exit Individual Commercial Medical Market in …

WEBsmall group • Mon, Sep 26, 2022. UnitedHealthcare Rewards to Replace Motion in 2023 Small Group Plans Beginning in 2023, UHC fully insured small group customers will be able to access UnitedHealthcare Rewards, a wellness program that rewards members for healthy actions.

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2015 Cost-Sharing Limits

WEBsmall group • Mon, Sep 26, 2022. UnitedHealthcare Rewards to Replace Motion in 2023 Small Group Plans Beginning in 2023, UHC fully insured small group customers will be able to access UnitedHealthcare Rewards, a wellness program that rewards members for healthy actions.

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Enrollment Kit Checklist

WEBEmployee/Dependent Name Termination Date of Employment or Qualifying Event Employee/Dependent Name Termination Date of Employment or Qualifying Event

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