Essential Health Benefits

Updates

protected content New Claims and Appeals Procedures for Disability Benefits and Final ACA Consumer Protection Rules

The Department of Labor (DOL) published a proposed regulation that would amend the claims and appeal rules currently applicable to employees who file for disability benefits… More

protected content Government Issues Final Rules on Limited Wrap-Around Coverage

Yesterday the Departments of Labor, Treasury, and HHS issued final regulations to amend the definition of “excepted benefits” under section 9832 of the Internal Revenue Code to include certain limited “wraparound” coverage. … More

protected content IRS Guidance Addresses Treatment of Employer Payment Plans

In recently published Notice 2015-17, the IRS provides additional guidance on the treatment of “employer payment plans” (EPPs). … More

protected content New ACA FAQ Issued on Supplemental Excepted Benefits

The tri-agencies (HHS, Labor, and Treasury) recently issued FAQ Part XXIII to slap down the dastardly persons who are selling supplemental benefits that provide a single benefit while trying to pass these policies off as excepted benefits. … More

protected content DOL FAQ Addresses Issue of Whether Supplemental Benefits Considered Excepted

A new Department of Labor Frequently Asked Question (FAQ) addresses the issue of whether health insurance coverage that supplements group health coverage by providing additional categories of benefits can be characterized as supplemental excepted benefits. … More

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Court Rulings

ERIC and Epstein Becker Green Release Summer 2014 Edition of Benefits Litigation Update

Attached please find the latest edition of the Benefits Litigation Update, a joint project of ERIC and the law firm of Epstein Becker Green. In this Benefits Litigation Update, we are focusing on … More

protected content SCOTUS Delivers This June’s Verdict on the ACA … and Contraceptives

Today the Supreme Court of the United States, in its last decision of the term, found that the HHS regulations imposing the “no-cost contraceptives” requirement of the Affordable Care Act violate the Religious Freedom Restoration Act of 1993 with respect to three for-profit, closely-held corporations. … More

protected content Supreme Court Justice Temporarily Halts Enforcement of Contraceptive Mandate Against Nuns

U.S. Supreme Court Justice Sonia Sotomayor on December 31 issued an order temporarily blocking enforcement of the contraceptive mandate against a nonprofit religious group, ordering the federal government to respond by January 3 (Little Sisters of the Poor Home for the Aged v. Sebelius). … More

protected content U.S. Supreme Court Agrees to Hear Two ACA Contraceptive Mandate Cases

The U.S. Supreme Court earlier today announced that it will hear challenges to the requirement that employers must provide contraceptive coverage as part of the preventive services mandate under the Affordable Care Act (ACA). The Court agreed to hear Sebelius v. Hobby Lobby Stores, Inc. and Conestoga Wood Specialties v. Sebelius.… More

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ERIC Surveys

protected content Results of ERIC’s 3-Minute Poll on the ACA Out-of-Pocket Rules

Below are the results of our Latest and Greatest ERIC 3-Minute Poll on the steps large employers are taking to comply with the new cost-sharing and out-of-pocket (OOP) limits of the Affordable Care Act (ACA). … More

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Judicial Documents

ERIC and Epstein Becker Green Release Summer 2014 Edition of Benefits Litigation Update

Attached please find the latest edition of the Benefits Litigation Update, a joint project of ERIC and the law firm of Epstein Becker Green. In this Benefits Litigation Update, we are focusing on … More

protected content SCOTUS Delivers This June’s Verdict on the ACA … and Contraceptives

Today the Supreme Court of the United States, in its last decision of the term, found that the HHS regulations imposing the “no-cost contraceptives” requirement of the Affordable Care Act violate the Religious Freedom Restoration Act of 1993 with respect to three for-profit, closely-held corporations. … More

protected content Supreme Court Justice Temporarily Halts Enforcement of Contraceptive Mandate Against Nuns

U.S. Supreme Court Justice Sonia Sotomayor on December 31 issued an order temporarily blocking enforcement of the contraceptive mandate against a nonprofit religious group, ordering the federal government to respond by January 3 (Little Sisters of the Poor Home for the Aged v. Sebelius). … More

More Judicial Documents

Legislative Documents

protected content What to Do with the ACA?  Review of Republican Alternative

Three Congressional Republicans, Sen. Orrin Hatch (R-UT), Chair of the Senate Finance Committee, Sen. Richard Burr (R-NC), and Rep. Fred Upton (R-MI), Chair of the House Energy and Commerce Committee, on February 5 released a narrative of their ideas for an alternative to the Affordable Care Act (ACA). … More

protected content House Passes Bill to Shield Expat Plans from the ACA

After a failure earlier in the month, the House on April 29 managed to pass a bill, HR 4414, that basically would allow expat health plans to wiggle out from under the yoke of the Affordable Care Act (ACA). … More

Key Health Care Reform Legislative Documents (H.R. 3590 and H.R. 4872)

The House and Senate on March 25, 2010, approved the Health Care and Education Reconciliation Act (H.R. 4872), the "sidecar" reconciliation… More

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Letters to Agencies

ERIC Recommends that IRS Further Simplify ACA Employer Information-Reporting Requirements before Treasury/IRS Hearing

Richard Stover, Principal and Consulting Actuary of Buck Consultants (a Xerox Company), testified today on behalf of The ERISA Industry Committee (ERIC) before a joint Treasury Department and IRS hearing on proposed regulations under the Affordable Care Act on information reporting by large employers on health coverage. … More

ERIC Urges IRS to Further Simplify ACA Employer Information-Reporting Requirements

The ERISA Industry Committee (ERIC) today filed comments urging the IRS to further revise and simplify the proposed regulations concerning reporting requirements applicable to health insurance coverage offered under employer-sponsored plans. … More

ERIC Suggests Revisions to ACA Minimum Value Proposed Regulations

The ERISA Industry Committee (ERIC) today submitted to the Internal Revenue Service a series of recommendations to improve proposed regulations relating to the determination of affordability and minimum value of eligible employer-sponsored plans under the Affordable Care Act (ACA).… More

ERIC Urges Greater Flexibility and Clarity for ACA Out-of-Pocket Rules

The ERISA Industry Committee (ERIC) has written to the Departments of Health and Human Services, Labor, and Treasury urging the agencies to provide greater flexibility and clarity with respect to the out-of-pockets rules under the Affordable Care Act (ACA). … More

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Press Releases

ERIC Recommends that IRS Further Simplify ACA Employer Information-Reporting Requirements before Treasury/IRS Hearing

Richard Stover, Principal and Consulting Actuary of Buck Consultants (a Xerox Company), testified today on behalf of The ERISA Industry Committee (ERIC) before a joint Treasury Department and IRS hearing on proposed regulations under the Affordable Care Act on information reporting by large employers on health coverage. … More

ERIC Urges IRS to Further Simplify ACA Employer Information-Reporting Requirements

The ERISA Industry Committee (ERIC) today filed comments urging the IRS to further revise and simplify the proposed regulations concerning reporting requirements applicable to health insurance coverage offered under employer-sponsored plans. … More

ERIC Suggests Revisions to ACA Minimum Value Proposed Regulations

The ERISA Industry Committee (ERIC) today submitted to the Internal Revenue Service a series of recommendations to improve proposed regulations relating to the determination of affordability and minimum value of eligible employer-sponsored plans under the Affordable Care Act (ACA).… More

ERIC Urges Greater Flexibility and Clarity for ACA Out-of-Pocket Rules

The ERISA Industry Committee (ERIC) has written to the Departments of Health and Human Services, Labor, and Treasury urging the agencies to provide greater flexibility and clarity with respect to the out-of-pockets rules under the Affordable Care Act (ACA). … More

ERIC to Regulators:  Ensure that Shared Responsibility Provisions Do Not Unfairly Penalize Employers that Provide Affordable, Comprehensive Health Care

ERIC News Release For Immediate Release: June 17, 2011 Washington, D.C. -- The ERISA Industry Committee (ERIC) today in separate letters… More

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Testimony

protected content House Ways and Means Committee Examines ACA’s 30-Hour Rule

The U.S. House of Representatives Ways and Means Committee held a hearing yesterday on “Impact of the Employer Mandate’s Definition of Full-time Employee on Jobs and Opportunities.”… More

ERIC Recommends that IRS Further Simplify ACA Employer Information-Reporting Requirements before Treasury/IRS Hearing

Richard Stover, Principal and Consulting Actuary of Buck Consultants (a Xerox Company), testified today on behalf of The ERISA Industry Committee (ERIC) before a joint Treasury Department and IRS hearing on proposed regulations under the Affordable Care Act on information reporting by large employers on health coverage. … More

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