Self-Compliance Tool for HIPAA and Other Health Care Related Provisions

[author: Angela Bohmann]

The Department of Labor recently updated its self-compliance tool for plan sponsors and plan administrators of group health plans. The self-compliance tool contains questions relating to requirements on issues such as limitations on preexisting conditions, certificates of creditable coverage, special enrollment rights, HIPAA nondiscrimination rules, wellness programs, Mental Health Parity and Addiction Equity Act, Newborns’ and Mothers’ Health Protection Act, Women’s Healthcare and Cancer Rights Act, GINA (Genetic Information Nondiscrimination Act) and Michelle’s Law (termination of coverage of dependent students on medical leave). The self-compliance tool contains 57 questions on these and other topics and is a good summary of the Department’s view of the requirements of those laws. Employers can use this tool as a compliance check for their plans.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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