8th Circuit — Defining the “Regular Occupation,” and the Language Needed to Confer Discretion by Lane Powell PC - ERISA Law on 5/23/2012 We all know that ERISA disability claim decisions can hinge on the definition of the claimant’s “regular occupation” or “own occupation.” But how do you define a claimant’s “regular occupation”? Must you use the...more
Health Care Reform: Additional Guidance on the Summary of Benefits and Coverage by Proskauer Rose LLP on 5/21/2012 The Departments of Labor, Health and Human Services and Treasury (the "Departments") recently released the ninth in their series of answers to frequently asked questions on implementation issues associated with the Affordable...more
MLA's Weekly Health Care Wrap-Up -- May 18, 2012 by McKenna Long & Aldridge LLP on 5/21/2012 In This Issue: Federal Update -- HHS Releases Additional Exchange Guidance, Funding, Senate Budget Debate Going Nowhere…, …As the Upper Chamber Readies for User Fee Debate, Baucus Officially Weighs in on Tavenner...more
Self-Insured and Insured Medical Plans, Including Stand-Alone Retiree Plans and HRAs, Are Subject to $1 Fee per Covered... by Davis Wright Tremaine LLP on 5/21/2012 The IRS recently issued a proposed regulation explaining a new fee imposed by the Patient Protection and Affordable Care Act (PPACA). For calendar year plans, the fee begins this calendar year and remains in effect through...more
Rethinking Common Wisdom Of 'Wage And Hour' Insurance by Gilbert LLP on 5/16/2012 Originally Published in Law360, May 16, 2012 Although a great deal of commentary exists regarding the impact of the Great Recession on many types of litigation, only recently has the surge in wage and hour class action...more
Legal Alert: COBRA Audits Updated by Ford & Harrison LLP on 5/16/2012 Executive Summary: The IRS recently issued revised guidelines for field agents who are conducting reviews of employers' COBRA compliance. Under the new guidelines, the IRS requires that any COBRA audit should at least...more
New Guidance on Summaries of Benefits and Coverage by Ballard Spahr LLP on 5/16/2012 The U.S. Department of Labor (DOL) has issued additional guidance on the summaries of benefits and coverage (SBCs) that the Affordable Care Act will require many health plan sponsors to distribute as early as this...more
Is a Simple Cafeteria Plan Right for You? by McKenna Long & Aldridge LLP on 5/16/2012 This is part of our series of alerts intended to help guide employers and plan sponsors through their new obligations under the health care reform laws and related guidance. You may have heard that you can establish a...more
Construction Oberview: 2012 Maryland General Assembly Legislative Update by Ober|Kaler on 5/15/2012 A number of bills were passed during the Maryland General Assembly's 2012 legislative session that will impact certain sectors of the construction industry. Ober|Kaler has put together brief summaries of certain bills from...more
Your Company’s Wellness Program Could Be In Violation Of GINA by Miller Canfield on 5/15/2012 Does Your Company’s Wellness Program Violate GINA? The Genetic Information Non-Discrimination Act (GINA) expressly prohibits covered employers and health plan sponsors from asking an employee to provide genetic...more
Overlapping Auto Coverage In The New Age by Field Law on 5/14/2012 The Alberta government, in its wisdom (or lack thereof) has recently changed the rules for situations of overlapping auto coverage. In this paper, I will summarize the changes with a particular focus on non-owned auto...more
Health Plans Have an Added Mandatory Disclosure under ERISA by Constangy, Brooks & Smith, LLP on 5/14/2012 Summary of Benefits and Coverage. Health care reform expands ERISA's disclosure requirements by requiring that group health plans provide a summary of benefits and coverage (“SBC”) to plan participants and beneficiaries...more
Benefits Update - May 2012: FAQs Regarding Summary Of Benefits And Coverage by Fisher & Phillips LLP on 5/11/2012 In response to the February 14, 2012 final rules and regulations issued by the Labor Department regarding the summary of benefits and coverage (SBC) provisions of Health Care Reform, the DOL, in conjunction with Health and...more
Benefits Update - May 2012: Guidance On MLR Rebates For Insured Plans by Fisher & Phillips LLP on 5/10/2012 One of the provisions in the recent healthcare reform law is the medical loss ratio (MLR) that requires insurance companies to spend a certain proportion of their income on healthcare benefits for their customers. If an...more
IRS Asks for Comments on Employer Reporting of Health Insurance Coverage Under Affordable Care Act by Mintz Levin - Employment, Labor & Benefits on 5/10/2012 The Patient Protection and Affordable Care Act (the Act) imposes new, substantive requirements on health insurance issuers in the group and individual markets and employer-sponsored group health plans. In two recently issued...more