Patient Protections

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 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 Agencies Propose Updates to the Final SBC Regulations under the ACA

The Internal Revenue Service along with the Departments of Labor, and Health and Human Services on December 22 released proposed regulations regarding updates to the summary of benefits and coverage (SBC) under the Affordable Care Act, including a new set of proposed SBC templates, instructions, an updated uniform glossary, and other materials. … More

protected content Government Proposes that Some Limited Wrap-Around Coverage Be Considered “Excepted Benefits”

At the end of last week, the Departments of Labor, Treasury, and Health and Human Services (HHS) issued proposed regulations that would amend the definition of “excepted benefits” under section 9832 of the Internal Revenue Code to include certain limited wraparound coverage. … More

protected content Government Bestows Even More Flexibility on EAPs and Stand-Alone Dental and Vision Plans

Late on Friday afternoon the DOL, HHS, and Treasury jointly issued final regulations to amend certain rules regarding what is considered an “excepted benefit” under ERISA and for purposes of compliance with the Affordable Care Act (ACA).… More

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Court Rulings

protected content U.S. Supreme Court Hears Oral Arguments on ACA Contraception Cases

The U.S. Supreme Court heard oral arguments recently, in Sebelius v. Hobby Lobby and Conestoga Wood v. Sebelius, with respect to the contraception coverage mandated by the Affordable Care Act (“ACA”).… 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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Judicial Documents

protected content U.S. Supreme Court Hears Oral Arguments on ACA Contraception Cases

The U.S. Supreme Court heard oral arguments recently, in Sebelius v. Hobby Lobby and Conestoga Wood v. Sebelius, with respect to the contraception coverage mandated by the Affordable Care Act (“ACA”).… 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

protected content ERIC Files Comment Letter on Cost-Sharing Guidance

ERIC recently filed a comment letter with the Department of Labor, Department of Health & Human Services and the Treasury Department on the FAQs About Affordable Care Act Implementation (Part XIX) issued in May 2014. … 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 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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Testimony

protected content The Enduring Trials and Tribulations of Wellness Programs, Plus a New FocusOn Call

Yesterday the Equal Employment Opportunity Commission (EEOC), in response to several years of badgering by (and numerous meetings with) ERIC and our member companies, held a hearing to address “Wellness Programs under Federal Equal Employment Opportunity Laws.” … More

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