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Business Insights, Research & Perspectives

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August 3, 2010

HRB 13 - Expanded 1099 Reporting Requirements for 2012 and Call for Public Comment

August 3, 2010 -- Beginning in 2012, payments of $600 or more in any taxable year for goods as well as services, and made to any person or entity, including corporations, will be subject to Form 1099 reporting.  The new reporting requirements were introduced as part of the health care reform legislation enacted on March 23, 2010, which amends Section 6041 of the Internal Revenue Code (the “Code”).    Prior to the amendment, Section 6041 required information returns to be filed by every person engaged in a trade or business who makes payments to another person of rent, salaries, wages and other enumerated amounts that total $600 or more in a taxable year.  The amendment significantly expands this reporting requirement to include payments “of amounts in consideration for property” and includes corporations not tax-exempt under Section 501(a) of the Code as “persons” subject to the reporting.  Note that certain business purchases made with credit or debit cards are exempted from the Section 6041 reporting requirement under previously issued proposed regulations (REG-139255-08),1because such purchases will already be reported by banks and other payment processors. 

August 3, 2010

HRB 12 - Break Time for Nursing Mothers

August 3, 2010 -- As part of the Patient Protection and Affordable Care Act, a federal law was enacted, effective March 23, 2010, that provides for a reasonable break time for nursing mothers to express milk.  Specifically, this law requires employers to provide a private place, other than a bathroom, for nursing mothers to express milk during the first year of the child’s life.  The designated private place must be shielded from view, and free from intrusion from coworkers and the public.

July 26, 2010

HRB 11 - Internal Claims and Appeals, and External Review Process

July 26, 2010 --On July 23, 2010, the Departments of HHS, Labor, and Treasury issued interim final regulations relating to the internal claims and appeal, and external review process provisions of the health reform law (PPACA).  These rules provide for both a standardized internal process, as well as an external process, that individuals can use to appeal decisions made by their health plan.

July 15, 2010

HRB 10 - Preventive Health Services

July 15, 2010 -- On July 14, 2010, the Departments of HHS, Labor, and Treasury issued interim final regulations relating to the preventive care provisions of the health reform law (PPACA).  These rules require health plans to cover certain preventive services, without imposing any cost-sharing requirements (co-pay, co-insurance, or deductible), when such services are delivered by in-network providers. 

July 12, 2010

HRB 9 - New Model Notices Issued

July 12, 2010 -- In response to several notice requirements contained in recently issued regulations implementing the new health reform law, the DOL’s Employee Benefit Security Administration (EBSA) issued four new model notices, as follows:

July 12, 2010

FMLA Broadened for Parents

The Family and Medical Leave Act was enacted in 1993 to provide time off and job protection in the event that an employee has a serious health condition, or to attend to a serious health condition of a family member, defined as a spouse, parent, son or daughter, as well as for the birth or adoption of a child.  The law applies to employers employing 50 or more employees.

July 12, 2010

MHPAEA: Welcomed Non-enforcement Guidance

The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), enacted on October 3, 2008, expanded the Mental Health Parity law, enacted in 1996.  Since the issuance of the interim final MHPAEA regulations earlier this year, many insurers have expressed concern about the practice of having two different payment standards for outpatient services, specifically, a co-pay, for example, for office visits, and a co-insurance for all other services. 

June 29, 2010

HRB 8 - Early Retiree Reinsurance Program Application Process Opened

June 29, 2010 -- Today, the Department of Health and Human Services officially opened the Early Retiree Reinsurance Program (ERRP) application process, and will begin accepting ERRP applications immediately.  For information relating to ERRP, please refer to prior CBIZ Health Reform Bulletins:Early Retiree Subsidy – Initial Application Date is Approaching and Early Retiree Reinsurance Program.

June 23, 2010

HRB 7 - Patient’s Bill of Rights

June 23, 2010 -- On June 22, 2010, the Departments of Health and Human Services, Labor and Treasury (“Agencies”) issued another round of interim final regulations, implementing certain aspects of the health care reform law.  The regulations, curiously known as the “Patient’s Bill of Rights,” address such matters as the ban on annual and lifetime limits, preexisting condition exclusions, and rescissions, as well as some consumer protections, such as choice of primary care provider and emergency room access.  Following are highlights from these regulations.

June 16, 2010

HRB 6 - Grandfathered Health Plans Rules

June 16, 2010 -- One of President Obama’s health care reform commitments has been, “If you like your health coverage, you can keep it.”  The “grandfathered” health plan rules, contained in the Patient Protection and Affordable Care Act (PPACA), are ostensibly the mechanism for accomplishing this. 
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