Welfare Benefit Plan ERISA News
April 2013

 
FAQs & Tools for ACA Compliance
The EBSA has published a 10 part set of FAQs about ACA Implementation of the group health plan requirements (Part 7) of ERISA. It was prepared jointly by the Departments of HHS, Labor, and Treasury to answer questions that help Plan Sponsors, TPAs, brokers, and others operating a group health plan understand the new law. The Departments anticipate issuing further responses to questions and other guidance under the ACA in the future.
In our last newsletter, we announced the first Self-Compliance Tool for HIPAA and Other Health Care-Related Provisions. It is a detailed checklist addressing HIPAA, GINA, WHCRA, MHPAEA and other health care-related laws.
The second Self-Compliance Tool for ACA Provisions checklist addresses various provisions such as grandfather plan status; adult dependent coverage age requirements; lifetime and annual limits; prohibition on preexisting condition exclusions for individuals under 19; SBC and uniform glossary provisions; coverage of preventive services; internal claims and appeals and external review requirements.
Want to Learn a New Language?
- the IRS is here to help you.
You can master these phrases and other new terms by studying the IRS's 37 page guidance on Shared Responsibility or by reading short and succinct related posts on our blog, the ERISA Wonk: Pay or Play, Shared Responsibility, Applicable Large Employer, Full Time Equivalent Employee, Variable Hour Employee, Qualified Health Plan, Minimum Essential Coverage, Minimum Value, Affordabe, Offer of Coverage, Safe Harbor, Standard Measurement Period, Stability Period, Administrative Period, Look-Back Measurement Method, Initial Measurement Period, and Employment Break Period.
Are You Eligible for a Health Insurance Exchange?
Health Insurance Exchange ChartClick on the image, start at the top left corner, and work your way down through this maze. You may be eligible for one or more out of 6 different options. The chart is intended to help consumers understand the new health insurance exchanges. If you are eligible, you must then complete a 21 page application.
Obamacare's 20,000 Pages of Regulations!

The 2,800 page healthcare bill, unread by many members of Congress, now has over 20,000 pages of regulations written by people we didn't elect and unread by every legislator we did elect. - Greta Van Susteren

ERISA Trivia

The Employee Benefits Security Administration (EBSA) is responsible for administering and enforcing the fiduciary, reporting and disclosure provisions of ERISA. Prior to its name change in February 2003, the EBSA was known as the (send your answer).

 

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© 2017 ERISAPros, LLC, All rights reserved. Information on ERISAPros' website, its newsletter, “News & Views,” and its blog, “ERISA Wonk,” is published as a general informational source. Information and articles are general in nature and are not intended to constitute legal or tax advice in any particular matter. Blog posts and comments reflect the personal views of their respective authors - not those of ERISAPros. Transmission of this information does not create an attorney-client relationship. ERISAPros, LLC is not a law firm and is not giving legal or tax advice. It does not warrant and is not responsible for errors or omissions in the content on its website or in its newsletters. ERISA is a complicated and confusing law. Summary Plan Descriptions (SPDs), Wrap Plan Documents, and Form 5500s require review and updating by qualified ERISA compliance professionals.

 

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