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Business Insights, Research & Perspectives

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October 12, 2008

Massachusetts Fair Share Requirement Relaxed?

The Commonwealth of Massachusetts has issued new regulations relating to the fair share contribution requirement. While the Massachusetts health care reform experiment does not require employers to provide, or make a contribution toward, health coverage for their employees, it does impose an annual financial fee assessment ($295 per employee) upon employers who do not.

October 12, 2008

Mental Health Benefits Expanded

As part of the Emergency Economic Stabilization Act of 2008 (H.R. 1424), a new mental health parity provision becomes law. The existing federal mental health parity law requires that annual and lifetime limits for mental health services be comparable to those for medical and surgical services. Under the new law, mental health services must be treated in a substantially similar manner to medical and surgical services. This would include: 

October 12, 2008

ADA Amended

On September 25, 2008, President Bush signed the Americans with Disabilities Amendments Act of 2008 into law. This law amends certain aspects of the Americans with Disabilities Act enacted in 1990, which prohibits employment discrimination against qualified individuals on the basis of disability. Specifically, the ADA Amendments Act, which becomes effective January 1, 2009, modifies the definition of “disability”, as well as broadens the classifications and categories of “major life activities” for purposes of determining the effects of a disability.

October 12, 2008

Health Coverage Rights for Students on Medical Leave: “Michelle’s Law”

On October 9, 2008, President Bush signed a law (H.R. 2851) that requires individual and group health plans to extend health coverage to dependent college students who take a medically-necessary leave of absence due to a serious illness or injury. This law was enacted as a result of the death of a seriously-ill college student forced to retain full-time student status in order to maintain much needed health coverage.

September 4, 2008

New CMS Website for Medicare Payer Reporting

As described in the January, 2008 Benefit Beat, a new reporting requirement will be imposed upon insurers, third party administrators (TPAs), and plan administrators of self-funded, self-administered health plans.  The reporting requirement relates to the Medicare Secondary Payer (MSP) rules.  These rules require that a group health plan pay primary to Medicare in three instances: 

September 4, 2008

Proposed Rules: Investment Advice Exemption for 401(K) Plans and IRAS

The DOL’s Employee Benefits Security Administration has been busy issuing investment advice guidance provided under 401(k) plans and individual retirement accounts (IRA). 

September 4, 2008

San Francisco: New Commuter Benefit Mandate

The City of San Francisco is at it again:

August 5, 2008

New HSA Proposed Rules - Employer Contributions and Excise Tax

The IRS and Treasury have been busy again, espousing their positions on health savings accounts (HSAs).  This time, the guidance comes in the form of proposed regulations.  These regulations relate to the HSA comparability (discrimination) rules.  The regulations also address the excise (penalty) tax that can be assessed for several types of plan violations. 

August 5, 2008

Coming Soon: New Participant Disclosure

The Employee Benefits Security Administration of the Department of Labor has been on a mission to improve information sharing, particularly as it relates to qualified plan fee disclosure.  This mission has been divided into three parts:

August 5, 2008

Recent Noteworthy Court Decisions

Three recent court decisions, one by the U.S. Court of Appeals for the Ninth Circuit, and two by the U.S. Supreme Court, bear some contemplation.

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