Preparing for Medical Loss Ratio (MLR) Rebates
Effective since 2011, the Medical Loss Ratio (MLR) provision of the Affordable Care Action (ACA) requires insurance carriers (“insurers”) to refund ...
Healthcare
[Updated] Report to Congress Highlights Ongoing Mental Health Parity Compliance Concerns
In late January 2022, the Departments of Labor, Health and Human Services, and Treasury (collectively the “Departments”) issued their 2022 Report to ...
Benefits Considerations for Employers During Russia-Ukraine Crisis
At the time of writing, more than 1,000,000 people have fled their homes to escape the war in Ukraine*; and based ...
[Updated] New York State Releases COVID-19 Quarantine Leave Guidance
On January 20, 2021, the New York State Department of Labor (“NYS DOL”) announced its position via informal guidance on compliance with ...
[Updated] Self-Insured Plans Covering Washington State Residents Must Submit First WAPAL Assessment by November 15, 2021
Washington state requires health insurance carriers, self-funded multiple employer welfare arrangements (MEWAs), and employers that provide health care to Washington ...
[Updated] Get Ready for Washington State’s New Long-Term Care Program
Employers with Washington employees should start preparing for the Washington Long-Term Services and Support Program (“Program”), which requires employers to ...
The Impact of COVID-19 on Employee Benefits in India
Employers with workforces in India are facing practical and financial hurdles in implementing or renewing Group Term Life Insurance policies ...
IRS Clarifies Required COVID-19 Deadline Extensions for COBRA Elections and Premium Payments
On October 6, 2021, the IRS released guidance that clarified the application of the special COVID-19 deadline extensions for electing and paying ...
Compliance Considerations for Employer-Sponsored Coverage of Gender Reassignment Surgery and Other Gender-Affirming Care
Although the policies governing whether group health plans must cover gender reassignment and gender-affirming care continues to change, employers should ...
Washington D.C Temporarily Expands Paid Family Medical Leave Program
Effective October 1, 2021 the Universal Paid Leave Emergency Amendment Act of 2021 (“Amendment”) amends the D.C. Universal Paid Leave Amendment Act ...
Federal Agencies Announce Deferred Enforcement for Certain Transparency in Coverage Rules Set to Go into Effect on January 1, 2022
On August 20, 2022, and the Departments of Treasury, Labor, and Health and Human Services (the Departments) issued FAQs regarding the implementation ...
New FAQs Remind Plans that PrEP Medications and Associated Monitoring Services Must be Covered Without Cost Sharing
On July 19, 2021, the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively referred to as “the ...