The Supreme Court’s landmark decision upholding President Obama’s health reform law removed the uncertainty that was making employers hesitate about implementing reform.
Employers that took a ‘wait-and-see approach’ now must play catch-up as they struggle to comply with numerous reform mandates — but some mandates have not been adequately explained in government guidance, leaving employers wondering about clear next steps.
The New Health Care Reform Law: What Employers Need to Know (A Q&A Guide), 3rd Edition has been updated to help employers identify the key reform compliance issues to address right now, and in the coming months. This resource clearly, succinctly and authoritatively answers more than 500 questions that real-world professionals are asking now. This unique new product will help employers and their service providers understand and comply with dates, deadlines and coverage mandates. And beyond that, it will discuss practical issues that will help them avoid the pitfalls involved in implementing reform.
The New Health Care Reform Law: What Employers Need to Know (A Q&A Guide), 3rd Edition is:
- Easy to use. Conveniently arranged by topic to help you quickly find the answers you're looking for.
- Focused on YOUR specific needs. Answers 500 questions most often asked by HR and benefit professionals. No wasted time wading through irrelevant provisions.
- Written in plain English, so you won't have to dig through 2,100 pages of statute and hundreds of pages of rules.
- Covers the interplay of health care reform with federal laws such as COBRA, HIPAA, the Americans with Disabilities Act and Michelle's Law.
The updated Guide provides you with the most up-to-date information on issues such as:
- New rules to create and distribute summaries of benefits and coverage to all plan participants
- Claims and appeal rules that affect urgent care claims and external review
- Minimum loss ratio and premium increase rules and what they mean for employers
- Details on the essential health benefits package all employer group health plans must offer their employees
- Reporting of health coverage spending on W-2 Forms
- Impacts on health FSAs and HSAs
- Information on state insurance exchanges and what happens to employers when employees get coverage from an exchange and not from the employer’s plan
No matter which Health Care Reform topic you're concerned with, this helpful reference is invaluable:
- Coordinating enhanced claims and appeals rules with existing federal and state requirements
- Implementing new coverage obligations for employees' older dependents
- Determining the kinds of preventive care and screening employer plans must cover
- Complying with reporting and disclosure requirements — including IRS and exchange notification
- Interpreting what the play-or-pay mandates mean for employers
- Analyzing the severity of penalties for employer noncompliance
The New Health Care Reform Law: What Employers Need to Know (A Q&A Guide), 3rd Edition clearly explains the law, including
- Grandfathering rules
- Employer mandates and penalties
- Individual mandates and penalties
- Tax issues
- State-run insurance exchanges
- Reporting and disclosure requirements
James R. Napoli, Esq., is a senior counsel in the Employee Benefits, Executive Compensation & ERISA Litigation Center, resident in the Washington, D.C. office of the law firm Proskauer Rose LLP. Recognized by US Legal 500 as a leading lawyer in his field, Jim maintains an active controversy practice that includes advising clients on ERISA fiduciary matters and related litigation, as well as government compliance. He partners with clients to assist them in the design, implementation and maintenance of their employee benefit programs.
Paul M. Hamburger is a partner in the Washington, D.C., office of the law firm Proskauer Rose LLP. Mr. Hamburger has more than 25 years of experience in advising employers and administrators, and is the author of numerous articles and publications on COBRA and other employee benefits issues affecting pension and welfare plans. He is a 1983 graduate of the University of Michigan Law School. Mr. Hamburger is author and contributing editor of Mandated Health Benefits — The COBRA Guide.
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