Archive for Affordable Care Act’ Category

Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors
Sep

22

2017

Court Remands Wellness Regulations to EEOC for Reconsideration | Houston Benefit Advisors

On August 22, 2017, the United States District Court for the District of Columbia held that the U.S. Equal Employment Opportunity Commission (EEOC) failed to provide a reasoned explanation for its decision to adopt 30 percent incentive levels for employer-sponsored wellness programs under both the Americans with Disabilities Act (ADA) rules and Genetic Information Nondiscrimination Act (GINA) rules. The court declined to vacate the EEOC’s…

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What You Need to Know about Health Flexible Spending Accounts | Houston Benefit Advisors
Sep

6

2017

What You Need to Know about Health Flexible Spending Accounts | Houston Benefit Advisors

A health flexible spending account (FSA) is a pre-tax account used to pay for out-of-pocket health care costs for a participant as well as a participant’s spouse and eligible dependents. Health FSAs are employer-established benefit plans and may be offered with other employer-provided benefits as part of a cafeteria plan. Self-employed individuals are not eligible for FSAs. Even though a health FSA may be extended…

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Jun

30

2017

DOL Asks for MHPAEA Related Comments; Clarifies Eating Disorder Benefit Requirements | Houston Benefit Advisors

Earlier this month, the Department of Labor (DOL) provided an informational FAQ relating to the Mental Health Parity and Addiction Equity Act (MHPAEA) and the 21st Century Cures Act (Cures Act). This is the DOL’s 38th FAQ on implementing the Patient Protection and Affordable Care Act (ACA) provisions and related regulations. The DOL is requesting comments on a draft model form for participants to use…

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What Employers Need to Know about the Senate Proposed Healthcare Bill | Houston Benefit Advisors
Jun

28

2017

What Employers Need to Know about the Senate Proposed Healthcare Bill | Houston Benefit Advisors

On June 22, 2017, the United States Senate released a “Discussion Draft” of the “Better Care Reconciliation Act of 2017” (BCRA), which would substitute the House’s House Resolution 1628, a reconciliation bill aimed at “repealing and replacing” the Patient Protection and Affordable Care Act (ACA). The House bill was titled the “American Health Care Act of 2017” (AHCA). Employers with group health plans should continue…

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Jun

22

2017

Senate Releases Health Care Proposal | Houston Benefit Advisors

This morning, Senate Republicans released their proposal to repeal and replace the Affordable Care Act (ACA). Called the Better Care Reconciliation Act of 2017 (BCRA), the Senate proposal adopts H.R. 1628, the bill narrowly passed last month by the House of Representatives, but replaces all the text. The Senate proposal was released without going through committee review or being scored by the Congressional Budget Office…

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Jun

13

2017

What Happens to Coverage When Employees Reduce Their Hours? | Houston Benefit Advisors

The Section 125 cafeteria plan regulations and the Patient Protection and Affordable Care Act (ACA) require employers to take certain actions when an employee reduces hours. Consider this scenario: An employer has an employee who is reducing hours below 30 hours per week. The employee is performing the same job and duties. The employee was determined to be full-time during the most recent measurement period….

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May

1

2017

ACA Market Stabilization Final Rule | Houston Benefit Advisors

On April 18, 2017, the Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its final rule regarding Patient Protection and Affordable Care Act (ACA) market stabilization. The rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year, standards related to…

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