Affordable Care Act
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- Statement of US Secretary of Labor Hilda L. Solis on implementation of Affordable Care Act抯 early retiree reinsurance program
- Statement of Assistant Secretary of Labor Phyllis C. Borzi calling on employers and benefit plans to make young adult coverage available immediately
- Statement of U.S. Secretary of Labor Hilda L. Solis on passage of health care reform by U.S. House of Representatives
- Statement of Assistant Secretary of Labor Phyllis C. Borzi on Health Care Reform
Affordable Care Act Regulations and Guidance
Stop Loss Insurance
ACA Implementation Frequently Asked Questions
- Part I
This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees. - Part II
This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies. - Part III
This set of FAQs addresses the exemption for group health plans with less than two current employees. - Part IV
This set of FAQs addresses grandfathered health plans. - Part V
This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008. - Part VI
This set of FAQs addresses grandfathered health plans. - Part VII
This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act �15 and the Mental Health Parity and Addiction Equity Act of 2008. - Part VIII
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act �15. - Part IX
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act �15. - Part X
This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act �15.
Coverage of Preventive Services
- Updated Guidance Regarding Temporary Enforcement Safe Harbor
- Advance Notice of Proposed Rulemaking:
- Final Regulations Regarding Exemption
- Guidance Regarding Temporary Enforcement Safe Harbor
- Amendment to Interim Final Rules
- Interim Final Regulations
- Fact Sheet
- Recommended Preventive Services
- Public Comments on Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods
- Technical Release 2012-02 | Public Comments
- IRS Notice 2012-58
- Technical Release 2012-01 | Public Comments
Summary of Benefits and Coverage and Uniform Glossary
Regulations and Guidance
- Final Regulations
- Guidance for Compliance
- Proposed Regulations
- Solicitation of comments - Templates, Instructions, and Related Materials
- Culturally and Linguistically Appropriate Services (CLAS) County Data
Templates, Instructions, and Related Materials
- Corrected Summary of Benefits and Coverage (SBC) Template [MS Word Format]
- Corrected Sample Completed SBC [MS Word Format]
- Summary of Benefits and Coverage (SBC) Template [MS Word Format]
- Sample Completed SBC [MS Word format]
- Instructions for Completing the SBC - Group Health Plan Coverage
- Instructions for Completing the SBC - Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- HHS Coverage Example Calculator and Related Information
- Uniform Glossary of Coverage and Medical Terms
Essential Health Benefits
- Frequently Asked Questions on Essential Health Benefits Bulletin � February 17, 2012
- Essential Health Benefits Bulletin � December 16, 2011
Multiple Employer Welfare Arrangements (MEWAs)
- Proposed Rule on Ex Parte Cease and Desist and Summary Seizure Orders: Multiple Employer Welfare Arrangements
- Proposed Rule on Filings Required of Multiple Employer Welfare Arrangements and Certain Other Related Entities
- Notice of Proposed Revision of Annual Information Return/Report
- Notice of Proposed Revision of the Form M-1
- Proposed Form M-1 Revisions
- Fact Sheet
- News Release
- Focus on Health Care Fraud
- Assistant Secretary Phyllis C. Borzi discusses new MEWA Proposed Rules at Press Event:
Medical Loss Ratio
- Technical Release on Fiduciary Requirements for Handling Medical Loss Ratio (MLR) Rebates
- HHS final rule on MLR requirements for issuers [PDF]
Internal Claims and Appeals and External Review
Regulations
- Amendment to the Interim Final Rule
- Correction
- Interim Final Rule
- NAIC Uniform Review Model Act
- Public Comments in Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Guidance
- Technical Release 2011-02
- Technical Release 2011-01
- Technical Release 2010-02
- Technical Release 2010-01
- Revised Model Notice of Adverse Benefit Determination
- Revised Model Notice of Final Internal Adverse Benefit Determination
- Revised Model Notice of Final External Review Decision | [en espa駉l]
- Consumer Assistance Programs
- Status of State External Review Processes
- Culturally and Linguistically Appropriate Services (CLAS) County Data
Other Information
Public Forum on Automatic Enrollment in Large Employer Health Plans
Value-Based Insurance Design in Connection with Preventive Care Benefits
Grandfathered Health Plans
- Amendment to Interim Final Rules
- Fact Sheet on Amendment
- Public Comments on Amendment
- Regulation
- Fact Sheet on Regulation
- Frequently Asked Questions
- Provisions Summary Chart
- Model Notice | [en espa駉l]
- Public Comments on Regulation
Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections
- Regulation
- Fact Sheet
- Patient Protection Model Notice | [en espa駉l]
- Lifetime Limits Model Notice | [en espa駉l]
- Public Comments
Extension of Coverage For Adult Children
- Regulation
- Fact Sheet
- Frequently Asked Questions
- IRS Guidance
- Model Notice | [en espa駉l]
- Public Comments
Small Business Health Care Tax Credit for Small Employers
Affordable Care Act Nondiscrimination Provisions Applicable to Insured Group Health Plans
Early Retiree Reinsurance Program
Pre-Existing Condition Insurance Plan Program
Frequently Asked Questions on Health Care Reform and COBRA
Affordable Care Act Mandated Research Studies and Surveys
- 2012 Annual Report on Self-Insured Group Health Plans: [2012 Report] | [Appendix A] | [Appendix B]
- 2011 Annual Report on Self-Insured Group Health Plans: [2011 Report] | [Appendix A] | [Appendix B]
- Study of the Large Group Market
- Recent Data on Health Benefits from the National Compensation Survey | Letter from Secretary Hilda L. Solis
Law
EBSA Health Related Information
- Consumer Information on Health Plans
- Compliance Assistance for Health Plans
- Group Health Plan Reports and Form 5500 Data
- Health Benefits Education Campaign
Compliance Workshops, Seminars and Webcasts
- Nothing scheduled at this time
Participant Workshops and Webcasts
- The Affordable Care Act: Important New Protections for You and Your Family Webcast
- El trabajo y los cambios en la vida requieren elecciones relacionadas con la salud: conozca sus opciones y derechos Archivo