Benefit plan design

The trio of federal agencies charged with interpreting and enforcing the Affordable Care Act and the Mental Health Parity and Addiction Equity Act have addressed some of the most significant questions arising from these laws. In a set of Answers to Frequently Asked Questions, the U.S. Departments of Treasury, Labor, and Health and Human Services have intimated that the looming ACA deadline for the production and distribution of summaries of benefits and coverage will be extended.…

Most U.S. health insurers last year would have satisfied the much-disputed spending rules under President Obama's health care reform, according to a new report by a congressional watchdog agency.

Anticipating the increase in age of covered dependents to 26 starting in 2011, as required by the Patient Protection and Affordable Care Act, the benefits team at Dick's Sporting Goods decided to clean the company's benefit rolls data with a dependent eligibility audit before this provision went into effect and before annual enrollment in the fall of 2010.

As the U.S. Supreme Court prepares to review President Obama's health care reform, more Americans want to it repealed than want to keep it, a poll released on Wednesday shows.

Are you providing a helpful owner’s manual with your CDHP plans? In today’s BeAdvised Helen Box-Farnen shares why ongoing education for participants just may increase the value of this plan.

For most employers, annual enrollment for this year is in the rear-view mirror. That means that you’re done with the emails, the newsletter, the guide, the meetings, the reminder postcard, the online enrollment system, and other communications, right? Not if you’ve implemented a new Consumer Driven Health Plan. Not if you want to avoid disruption from confused employees who are using a CDHP for the first time. Not if you want your employees to get the…

Employers and employees alike have found a more affordable health care option in health savings accounts, according to two national surveys released last week.

States and territories seeking to establish a health insurance exchange, funded under the Affordable Care Act, will be required to submit an application for approval during the fall of 2012, the Department of Health and Human Services has announced.

President Barack Obama's signature health care law got a boost on Tuesday when a U.S. appeals court agreed with a lower court that dismissed a challenge and found the law's minimum coverage requirement was constitutional.

Wal-Mart Stores Inc will no longer offer health insurance to new part-time U.S. employees who work fewer than 24 hours a week and will charge workers who use tobacco more for coverage as health care costs rise, the company said on Friday.

The Obama administration is pulling the plug on a long-term, home-care program included in the 2010 health care reform law that Republicans have derided as a budget trick.

An advisory group urged U.S. officials to formulate a set of essential health benefits under President Barack Obama's health care overhaul that is in line with cost of insurance in a typical small employer plan.

After several years of relatively modest premium increases, annual premiums for employer-sponsored family health coverage increased to $15,073 this year, up 9% from last year. On average, workers pay $4,129 and employers pay $10,944 toward those annual premiums.

Do you have a personal physician? How did you choose your doctor?

Let me begin with a two-part confession: First, I do not claim to be a health reform expert. I have not read through the massive regulation and rely heavily on the interpretation of other, smarter people. Second, I am fairly apolitical. I don't find politics at the local, national and state levels particularly engaging.

A key recommendation for medical coverage standards under president Barack Obama's health care overhaul will be released on October 7, according to the organization preparing the report.

The Obama administration on Wednesday asked the U.S. Supreme Court to back the centerpiece of Barack Obama's sweeping healthcare overhaul —the requirement that all Americans have health insurance.

The Department of Health and Human Services has extended public comment on two proposed rules published on July 15 to establish state insurance exchanges and implement standards related to reinsurance and risk adjustment.

Of the endlessly debated provisions in the Patient Protection and Affordable Care Act, the requirements for Medical Loss Ratios stand out for insurance companies because the requirements are designed to dictate how those companies pay their bills. A new study sheds light on the MLR rule; read as experts weigh in.

If you’re a customer of WellPoint, Inc., your employees’ records soon will come under the guidance of a computer. Granted, a very smart computer, but a computer nonetheless.