Edward I. Leeds

Edward I. Leeds

Ballard Spahr LLP

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Partial Relief for Employer Payment of Individual Insurance Premiums

In a recent notice, the Internal Revenue Service has tempered prior guidance that closed the door on employer arrangements for paying the cost of individual health insurance for employees. The IRS still views these premium...more

2/26/2015 - Affordable Care Act Corporate Counsel Employer Group Health Plans Health Insurance IRS Medical Reimbursement Plans Medicare Medicare Part A Medicare Part B TRICARE Waivers

Supreme Court Addresses an Employer’s Right To Amend Retiree Health Coverage

In M&G Polymers v. Tackett, the U.S. Supreme Court ruled that ordinary contract principles govern whether a collective bargaining agreement vests retirees in health coverage (and the contributions they are required to pay for...more

2/2/2015 - CBAs Employer Group Health Plans Employer Healthcare Costs Health Insurance M&G Polymers v Tackett Retirement SCOTUS Vested Benefits Yard Man

Expatriate Plans Exempted from Many Affordable Care Act Provisions

In the Consolidated and Further Continuing Appropriations Act (the recently enacted federal budget bill often known as the “CRomnibus” legislation), Congress has exempted health plans designed to cover expatriates from most...more

1/12/2015 - Affordable Care Act Appropriations Bill Employer Group Health Plans Employer Mandates Expatriates Foreign Nationals

Health Plan ID Program Suspended

Late on October 31, the Centers for Medicare and Medicaid Services (CMS) Office of E-Health Standards and Services announced that it was suspending the program that required all health plans to register for a health plan ID...more

11/4/2014 - CMS Covered Entities Deadlines Employer Group Health Plans HPID

Midyear Check on Health Plan Compliance

If you sponsor or administer a group health plan, you are almost certainly taking steps to prepare for legal requirements that will become effective on or before January 1, 2015. New rules under HIPAA, the Affordable Care Act...more

7/15/2014 - Affordable Care Act Compliance Employer Group Health Plans Healthcare

IRS Revises Form for Payment of Fee To Fund Patient-Centered Outcomes Research

The Internal Revenue Service (IRS) has issued an updated version of IRS Form 720 and the instructions. Self-funded group health plan sponsors and health insurers must use this form to report and pay the fee required to fund...more

6/11/2013 - Affordable Care Act Employer Group Health Plans Fees Form 720 IRS PCORI

More Guidance Issued on Summaries of Benefits and Coverage

The U.S. Department of Labor has issued a set of frequently asked questions, together with a new template, for the Summary of Benefits and Coverage (SBC) that applies to group health plans and individual health insurance. The...more

4/26/2013 - Affordable Care Act DOL Employer Group Health Plans Healthcare SBC

Supreme Court Upholds Health Plan’s Right To Recover Money from Third Party

The U.S. Supreme Court has ruled that the clear terms of an employer's group health plan override an employee's equitable defenses in determining the plan's right to recover amounts from a third party. This decision points...more

4/23/2013 - Employer Group Health Plans Reimbursements SCOTUS Subrogation Third-Party

Agencies Propose Regulations on the 90-Day Waiting Period Requirement

The U.S. Departments of Health and Human Services, Labor, and Treasury have released a joint set of proposed regulations implementing the requirement in the Patient Protection and Affordable Care Act that group health plans...more

3/20/2013 - Affordable Care Act Eligibility Employer Group Health Plans Healthcare HHS Pay or Play Waiting Periods

IRS Releases Further Guidance on Employer Health Care Coverage Mandate and Penalties

The Internal Revenue Service has released proposed regulations and FAQs on the shared responsibility provisions of the Affordable Care Act (ACA). These rules require large employers to offer full-time employees and their...more

1/8/2013 - Affordable Care Act Employer Group Health Plans Full-Time Employees IRS Pay or Play Penalties Safe Harbors Shared Responsibility Rule

Government Agencies Provide Guidance on Taxes and Fees under the Affordable Care Act

In regulations and other pronouncements issued toward the end of 2012, the government has provided further details on new taxes and fees introduced by the Affordable Care Act (ACA)....more

1/7/2013 - Affordable Care Act Employer Group Health Plans Fees HHS IRS Medicare Taxes PCORI

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