Edward I. Leeds

Edward I. Leeds

Ballard Spahr LLP

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Beware of Phishing Email Disguised as Official OCR Audit Communication

The Office of Civil Rights (OCR) of the U.S. Department of Health and Human Services (HHS) has posted an alert (and a follow-up alert) warning health plans, health care providers, and their vendors of a mock communication...more

12/1/2016 - Cybersecurity Data Security Electronic Medical Records Email Health Care Providers Healthcare HHS HIPAA HIPAA Audits OCR PHI Phishing Scams

IRS Extends ACA Reporting Deadline

The IRS has extended the deadline for furnishing 2016 Forms 1095-C and 1095-B to individuals by 30 days to March 2, 2017. The reprieve offers welcome relief to employers, health insurers, and other plan sponsors who would...more

11/21/2016 - Affordable Care Act Deadlines Employee Benefits Employer Mandates Form 1094 Form 1095 Health Insurance Healthcare IRS Reporting Requirements Time Extensions

Guidance Addresses Mental Health Parity

The U.S. Departments of Labor, Health and Human Services, and the Treasury have issued a set of Frequently Asked Questions and Answers that, among other things, implement certain of the recommendations included in a report...more

11/7/2016 - Affordable Care Act Data Collection Employee Benefits Employer Group Health Plans Health Insurance Healthcare Mental Health Parity Rule MHPAEA Opioid Prescription Drugs Tobacco Tobacco-Cessation

Final Regulations on Short-Term Health Plans Under the Affordable Care Act

The U.S. Departments of Labor, Health and Human Services, and the Treasury have finalized regulations under the Affordable Care Act (ACA) that address certain exceptions under the ACA. Among other things, the regulations...more

11/7/2016 - Affordable Care Act DOL Employee Benefits Health Insurance Healthcare HHS

Temporary Relief for Certain Student Health Plans Extended Indefinitely

In recently issued guidance, the U.S. Departments of Treasury, Labor, and Health and Human Services indicated that they will indefinitely extend relief to colleges and universities that subsidize the cost of individual...more

10/25/2016 - Affordable Care Act Colleges DOL Educational Institutions Employee Benefits Health Insurance HHS Student Employees U.S. Treasury Universities

Hot Topics in Employer Health Benefits

As we start looking forward to 2017, and as many employers head into annual enrollment periods this fall, employers need to be aware of recent changes in the law that have a significant impact on health benefit plans. This...more

9/28/2016 - ADA Affordable Care Act Employee Benefits Employer Mandates Form 1094 Form 1095 Genetic Discrimination GINA Health Insurance Healthcare Healthcare Reform HHS HIPAA HIPAA Audits IRS Non-Discrimination Rules Opt-Outs Reporting Requirements Wellness Programs

IRS Proposes Adjustments in Individual Mandate Reporting

The IRS has issued proposed regulations on the individual mandate reporting requirements under section 6055 of the Internal Revenue Code. To a significant degree, the new regulations reflect guidance previously published by...more

8/4/2016 - Affordable Care Act Employee Benefits Employer Group Health Plans Health Insurance Healthcare Individual Mandate Internal Revenue Code (IRC) IRS Minimum Essential Coverage Reporting Requirements Section 6055 Section 6056

OCR Announces First HIPAA Enforcement Action against a Business Associate

The U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced an agreement with Catholic Health Services of the Archdiocese of Philadelphia (CHCS), settling allegations that CHCS violated the Health...more

7/25/2016 - Business Associates Corrective Actions Data Breach Enforcement Actions Health Care Providers HIPAA HIPAA Breach iPhone OCR Penalties PHI

Check Your Desk: HIPAA Audits for Covered Entities Have Arrived

The Office of Civil Rights (OCR) of the Department of Health and Human Services has moved forward with Phase 2 of its Health Insurance Portability and Accountability Act of 1996 (HIPAA) audit program. On Monday, July 11,...more

7/14/2016 - Breach Notification Rule Covered Entities Data Breach Health Care Providers HIPAA HIPAA Audits HIPAA Breach OCR PHI

ACA Nondiscrimination Regulations Finalized

The U.S. Department of Health and Human Services (HHS) has issued final regulations under Section 1557 of the Affordable Care Act (ACA) which prohibit discrimination on the basis of race, color, national origin, sex, age, or...more

5/26/2016 - Affordable Care Act Anti-Discrimination Policies Employee Benefits Health Care Providers Health Insurance HHS Integrated Accessibility Standards Non-Discrimination Rules Posting Requirements

EEOC Finalizes Wellness Program Regulations

The Equal Employment Opportunity Commission has published final regulations and a set of questions and answers on how the Americans with Disabilities Act (ADA) applies to employer-sponsored wellness programs that offer...more

5/25/2016 - ADA Affordable Care Act EEOC Employee Benefits Employer Group Health Plans Genetic Discrimination GINA HIPAA Non-Discrimination Rules Wellness Programs

HIPAA Audits Coming Your Way – Are You Ready?

The Office of Civil Rights (OCR) of the Department of Health and Human Services has begun Phase 2 of its audit program under the Health Insurance Portability and Accountability Act (HIPAA). In this phase, OCR will: -...more

4/13/2016 - Breach Notification Rule Business Associates Covered Entities Health Care Providers HIPAA HIPAA Audits HIPAA Breach OCR PHI

Top 5 Provisions for Your Staffing Contracts

In today's economy, organizations are increasingly looking to nontraditional sources of labor, including use of leased, outsourced, and other staffing arrangements that involve individuals who may not be on the organization's...more

4/7/2016 - ADA Affordable Care Act Employee Liability Information Employer Liability Issues Indemnification Joint Employers NLRA NLRB Staffing Agencies Title VII Wage and Hour Young Lawyers

Supreme Court Restricts State Medical Claims Data Reporting Law

ERISA does not allow a state to compel a self-insured group health plan to compile and report medical claims data for inclusion in a state-wide all-payer health care database, the U.S. Supreme Court has ruled in a landmark...more

3/7/2016 - Bright-Line Rule Employee Benefits Employer Group Health Plans ERISA Health Insurance Preemption Reporting Requirements SCOTUS

Wellness Program Exempted from ADA

A federal district court in Wisconsin has upheld an employer-sponsored wellness program against a challenge by the Equal Employment Opportunity Commission (EEOC) that the program violated the Americans with Disabilities Act...more

1/27/2016 - ADA Discrimination EEOC Employee Benefits Safe Harbors Wellness Programs

SCOTUS Rejects Plan’s Right to Dissipated Assets

The U.S. Supreme Court has ruled that an ERISA plan has no right to recover benefits paid on behalf of a participant where the participant has already dissipated settlement funds received from a third party. In...more

1/26/2016 - Employee Benefits Equitable Relief ERISA Medical Expenses Medical Liens Montanile v Board of Trustees Qualified Settlement Funds SCOTUS

IRS Extends ACA Reporting Deadlines

Recognizing that many employers and others may need additional time to prepare reports under new Affordable Care Act requirements, the IRS has announced an automatic extension of the deadline for delivering these reports. As...more

12/30/2015 - Affordable Care Act Filing Deadlines Health Insurance IRS Reporting Requirements

Further Guidance on ACA Market Reforms

Following up on the issuance of final regulations on various market reform provisions under the Affordable Care Act (ACA), the IRS has issued a notice with Questions and Answers that take a more detailed look at specific ACA...more

12/29/2015 - Affordable Care Act Employee Contributions Health Insurance Healthcare IRS Public Health Insurance Marketplace Safe Harbors

EEOC Proposes Guidance on GINA, Wellness Programs

The Equal Employment Opportunity Commission (EEOC) has followed up on proposed regulations that it issued this spring on wellness programs under the Americans with Disabilities Act (ADA) with a new set of proposed regulations...more

11/10/2015 - ADA Draft Guidance EEOC GINA Wellness Programs

Reporting for ACA Mandates: Final Forms and Additional Guidance

The IRS has finalized the 2015 forms and instructions for reporting under the individual and employer mandates and issued additional guidance on these new reporting requirements. The following forms are now available...more

10/1/2015 - Affordable Care Act COBRA Compliance Employer Mandates Form 1094 Form 1095 Health Insurance Healthcare Healthcare Reform HRA Internal Revenue Code (IRC) IRS Reimbursements Reporting Requirements Required Forms TRICARE Veterans Administration

IRS Issues New Forms for ACA Reporting; Congress Increases Penalties for Failure to Meet Requirements

The IRS has completed drafts of the 2015 forms and instructions for employers, insurers, and other health plan sponsors to use to meet their reporting obligations for the employer and individual mandates under the Affordable...more

8/14/2015 - Affordable Care Act Compliance Employee Benefits Health Insurance Healthcare Insurance Industry IRS Popular Reporting Requirements Trade Preferences Extension Act (TPEA)

IRS Issues Second Guidance on Cadillac Tax

The Internal Revenue Service has issued a new notice addressing issues relating to future rules governing the calculation and payment of the so-called “Cadillac tax” under the Affordable Care Act. Beginning in 2018, the ACA...more

8/4/2015 - Affordable Care Act Cadillac Tax Employee Benefits Employer Group Health Plans Health Savings Accounts Healthcare Healthcare Reform IRS

Final Rules for Preventive Services

The U.S. Departments of Treasury, Labor (DOL) and Health and Human Services (HHS) have issued interim final regulations and Frequently Asked Questions and Answers on the cost-free coverage of preventive services under the...more

8/3/2015 - Affordable Care Act Burwell v Hobby Lobby Closely Held Businesses Contraceptive Coverage Mandate Corporate Governance DOL Health Insurance Healthcare HHS Hobby Lobby Preventive Health Care Privately Held Corporations Religious Institutions U.S. Treasury

States Must License Same-Sex Marriages, U.S. Supreme Court Rules

The U.S. Supreme Court ruled today that all states must license marriages between two people of the same sex on the same terms that apply to opposite-sex couples and must recognize same-sex marriages that are validly...more

6/29/2015 - Fourteenth Amendment Marriage Marriage Equality Obergefell v. Hodges Same-Sex Marriage SCOTUS

Supreme Court Upholds Affordable Care Act Subsidies in King v. Burwell

In a much-anticipated decision, the U.S. Supreme Court ruled today that individuals who enroll for coverage in a health insurance exchange may qualify for a subsidy to make that coverage more affordable, regardless of whether...more

6/26/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges Individual Mandate King v Burwell SCOTUS State Health Insurance Exchanges Subsidies Tax Credits

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