Paul M. Hamburger

Paul M. Hamburger

Proskauer Rose LLP

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Final Regulations on Orientation Periods Released

On June 20, the Federal regulatory agencies in charge of health care reform guidance (the Departments of Labor, Treasury, and Health and Human Services) released final regulations (“Final Regulations”) clarifying the...more

6/25/2014 - Affordable Care Act DOL Eligibility Employer Group Health Plans Final Rules Healthcare Healthcare Reform HHS U.S. Treasury Waiting Periods

What Does PPACA Stand For? Punitive Penalties Are Clearly Authorized

A recently posted IRS Q&A raises the specter of serious penalties for non-compliance with the Affordable Care Act. The context of the question relates to the consequences to employers that do not establish a health insurance...more

5/21/2014 - Affordable Care Act Employer Mandates Healthcare Healthcare Reform IRS

Reminder: ACA’s Out-of-Pocket Limits Differ from HSA-Qualified HDHPs Starting in 2015

In April, the IRS released the 2015 inflation adjustments for Health Savings Accounts (HSA) and HSA-qualified high deductible health plans (HDHPs). A month earlier, HHS released details on the “premium adjustment percentage,”...more

5/9/2014 - Affordable Care Act Employer Mandates HDHP Health Savings Accounts Healthcare HHS IRS Out-of-Pocket Expenses Premiums

New Guidance on COBRA and ACA Marketplace Coverage: The Gap in Coverage is (Not Quite) Filled

There has been much confusion and concern about the interplay between the COBRA continuation coverage rules and the new Health Insurance Marketplace established under the Affordable Care Act (the “Marketplace”). One important...more

5/8/2014 - Affordable Care Act Benefit Plan Sponsors CMS COBRA DOL Employee Benefits Employer Mandates Guidance Update Health Insurance Exchanges Health Plan Sponsors Healthcare Plan Administrators

ACA Shared Responsibility Penalties – Am I subject to (b) or not to (b)? That is the $3,000 question!

As previously reported, on Monday, February 10, 2014, the IRS released final regulations on the Affordable Care Act’s (ACA) employer “shared responsibility” provisions, also known as the “pay-or-play” mandate. The final...more

2/18/2014 - Affordable Care Act Employer Mandates Healthcare Pay or Play Shared Responsibility Rule

They’re Back! Final Regulations On Employer “Pay-or-Play” Mandate Released – IRS Provides Transition Relief To Employers with...

On Tuesday, February 10, 2014, the IRS released final regulations on the Affordable Care Act’s (ACA) employer “shared responsibility” provisions, also known as the “pay-or-play” mandate. ...more

2/11/2014 - Affordable Care Act Employee Benefits Employer Mandates Healthcare IRS Pay or Play Shared Responsibility Rule Transition Relief

Departments Release Guidance on Dental and Vision Plans, EAPs, and "Wraparound" Coverage

On December 20, 2013, the Departments of Treasury, Labor, and Health and Human Services (collectively, the Departments) jointly issued proposed rules (Proposed Regulations) that would amend the regulations regarding excepted...more

1/3/2014 - Affordable Care Act EAP ERISA Healthcare HIPAA PCORI Transitional Reinsurance Program Wraparound Coverage

IRS Changes Health FSA "Use-or-Lose" Rule; Clarifies Transition Relief for 2013-14

On October 31, 2013, the Internal Revenue Service (IRS) released Notice 2013-71 (Notice), which modifies the "use or lose" rule for health flexible spending accounts (health FSAs) to allow a $500 annual carryover of unused...more

11/13/2013 - Affordable Care Act Cafeteria Plans Carryover Basis COBRA Flexible Spending Accounts Healthcare HIPAA IRS U.S. Treasury Use or Lose Rule

IRS Says PCORI Fees Are Deductible

As employers plan for paying various health care reform fees, one question that arises is whether the fees owed are tax deductible. In particular, it has been unclear whether the fees paid pursuant the Affordable Care Act to...more

6/13/2013 - Affordable Care Act Fees Form 720 Healthcare IRS PCORI Tax Deductions

IRS Releases Guidance For Employers and Others on the 2013 Medicare Taxes under the Affordable Care Act

On November 30, 2012, the Internal Revenue Service ("IRS") released proposed regulations and two sets of frequently asked questions implementing two new Medicare taxes under the Patient Protection and Affordable Care Act...more

12/10/2012 - 3.8% Medicare Tax Affordable Care Act FICA Taxes Medicare Taxes

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