Wesley Covert

Wesley Covert

Laner Muchin, Ltd.

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Supreme Court Holds That The ACA Mandate To Include Group Health Coverage For Certain Contraceptives Violates The Religious...

On June 30, 2014, the U.S. Supreme Court ruled in a 5-4 decision that closely held, for-profit corporations may claim a religious exemption from the Affordable Care Act’s (ACA) mandate of providing certain types of...more

7/21/2014 - Affordable Care Act Burwell v Hobby Lobby Contraceptive Coverage Mandate Employer Mandates Healthcare Hobby Lobby SCOTUS

The Final Regulations Clarify The Application Of Orientation Periods To The Affordable Care Act's 90-Day Waiting Period Rule

Earlier this year, proposed regulations pertaining to the 90-day waiting period provision of the Affordable Care Act (ACA) introduced the concept that employers may require new employees to complete a one-month “orientation...more

7/8/2014 - Affordable Care Act Healthcare Waiting Periods

Self-Insured Health Plans May Be Required To Allow Health Care Providers Access To Their Claims And Appeals Process

In a precedent-setting case, a district court in the Northern District of Illinois recently ruled that in-network chiropractors were considered “beneficiaries” under the Employee Retirement Income Security Act of 1974 (ERISA)...more

7/2/2014 - Administrative Appeals Appeals Beneficiaries ERISA Healthcare Self-Insured Health Plans

HHS Creates A New And Limited Special Enrollment Opportunity In States With Federally-Facilitated Health Insurance Exchanges

On May 2, 2014, the Department of Health and Human Services (HHS) released guidance which creates a special enrollment opportunity in states with a federally-facilitated health insurance Marketplace (Marketplace) for...more

5/13/2014 - Affordable Care Act COBRA Health Insurance Exchanges Healthcare HHS

Courts Split On Whether Mandatory Contraceptive Coverage Violates Religious Freedoms Of For-Profit Corporations

Under the Patient Protection and Affordable Care Act’s preventive services mandate, non-grandfathered group health plans must provide 100% coverage of contraceptives for women, subject to exemptions and safe harbors for...more

10/16/2013 - Affordable Care Act Contraceptive Coverage Mandate Employer Group Health Plans Healthcare Religion

Employers Should Plan To Address Employee Questions About The Health Insurance Marketplaces

Now that the deadline for employers to provide the public health insurance marketplace notices by October 1, 2013 has arrived, it is likely that employers (especially the human resource departments) will begin receiving...more

10/3/2013 - Affordable Care Act Health Insurance Exchanges Healthcare Marketplace Notice

DOL Issues Marketplace Notice Guidance But Will Not Subject Employers To Fines or Penalties If They Fail To Issue The Required...

The Patient Protection and Affordable Care Act (PPACA) amended the Fair Labor Standards Act (FLSA) to require employers to provide a notice to employees informing them of the public health insurance marketplaces (aka...more

9/20/2013 - Affordable Care Act DOL Fines FLSA Health Insurance Exchanges Healthcare Marketplace Notice Penalties

Affordable Care Act Requires Employers To Provide Health Insurance Exchange Notices By October 1, 2013

Last month, the Obama Administration made the decision to delay penalties under the Employer Shared Responsibility Mandate of the Affordable Care Act (ACA) until 2015. However, it did not delay an employer's obligation to...more

8/27/2013 - Affordable Care Act Compliance Deadlines Employer Mandates Health Insurance Exchanges Healthcare Marketplace Notice Notice Requirements

Certain Employers That Sponsor Group Health Plans Must Report And Pay The Patient-Centered Outcome Research Institute Fee By July...

As previously mentioned in the June 11, 2013 edition of The Fast Laner, the Patient Protection and Affordable Care Act created the Patient-Centered Outcomes Research Institute (PCORI) that is to be partially funded through...more

7/29/2013 - Affordable Care Act Deadlines Employer Group Health Plans Fees Form 720 Healthcare PCORI

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