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Documents Found 57

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Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 12/15/2020.

This document includes final rules regarding grandfathered group health plans and grandfathered group health insurance coverage that amend current rules to provide greater flexibility for certain grandfathered health plans to make changes to certain types of fixed- amount cost-sharing requirements without causing a loss of grandfather status...
Transparency in Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/12/2020.

The final rules set forth requirements for group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information upon request to a participant, beneficiary, or enrollee (or his or her authorized representative), including an estimate of the individual's cost-sharing liability for covered items...
Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Centers for Medicare & Medicaid Services on 11/06/2020.

This interim final rule with request for comments (IFC) discusses CMS's implementation of section 3713 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), which established Medicare Part B coverage and payment for Coronavirus Disease 2019 (COVID-19) vaccine and its administration. This IFC implements requirements in the CARES...
Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 07/15/2020.

This document is a notice of proposed rulemaking regarding grandfathered group health plans and grandfathered group health insurance coverage that would, if finalized, amend current rules to provide greater flexibility for certain grandfathered health plans to make changes to certain types of cost-sharing requirements without causing a loss of...
Transparency in Coverage
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/27/2019.

These proposed rules set forth proposed requirements for group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information upon request, to a participant, beneficiary, or enrollee (or his or her authorized representative), including an estimate of such individual's cost- sharing liability...
Health Reimbursement Arrangements and Other Account-Based Group Health Plans
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/20/2019.

This document sets forth final rules to expand opportunities for working men and women and their families to access affordable, quality healthcare through changes to rules under various provisions of the Public Health Service Act (PHS Act), the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code (Code) regarding health...
Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/15/2018.

These rules finalize, with changes based on public comments, interim final rules concerning religious exemptions and accommodations regarding coverage of certain preventive services issued in the Federal Register on October 13, 2017. These rules expand exemptions to protect religious beliefs for certain entities and individuals whose health...
Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/15/2018.

These rules finalize, with changes based on public comments, the interim final rules issued in the Federal Register on October 13, 2017 concerning moral exemptions and accommodations regarding coverage of certain preventive services. These rules finalize expanded exemptions to protect moral beliefs for certain entities and individuals whose...
Health Reimbursement Arrangements and Other Account-Based Group Health Plans
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/29/2018.

This document sets forth proposed rules to expand opportunities for working men and women and their families to access affordable, quality healthcare through proposed changes to regulations under various provisions of the Public Health Service Act (PHS Act), the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code...
Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 08/03/2018.

This final rule amends the definition of short-term, limited- duration insurance for purposes of its exclusion from the definition of individual health insurance coverage. This action is being taken to lengthen the maximum duration of short-term, limited-duration insurance, which will provide more affordable consumer choices for health coverage.
Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 02/21/2018.

This rule contains proposals amending the definition of short- term, limited-duration insurance for purposes of its exclusion from the definition of individual health insurance coverage. This action is being taken to lengthen the maximum period of short-term, limited- duration insurance, which will provide more affordable consumer choice for...
Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/13/2017.

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a...
Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/13/2017.

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a...
Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 10/31/2016.

This document contains final regulations regarding the definition of short-term, limited-duration insurance for purposes of the exclusion from the definition of individual health insurance coverage, and standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits. This document also amends a...
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017; Corrections
by the Health and Human Services Department on 08/11/2016.

This document corrects technical and typographical errors that appeared in the final rule published in the March 8, 2016 Federal Register (81 FR 12204 through 12352) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017.'' The effective date for the rule was May 9, 2016.
Expatriate Health Plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration Insurance
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/10/2016.

This document contains proposed regulations on the rules for expatriate health plans, expatriate health plan issuers, and qualified expatriates under the Expatriate Health Coverage Clarification Act of 2014 (EHCCA). This document also includes proposed conforming amendments to certain regulations to implement the provisions of the EHCCA....
Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care Act
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 11/18/2015.

This document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and external review processes, and patient protections under the Affordable Care Act. It finalizes...
Summary of Benefits and Coverage and Uniform Glossary
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 06/16/2015.

This document contains final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It finalizes changes to the regulations that implement the disclosure requirements...
Amendments to Excepted Benefits
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 03/18/2015.

This document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to specify requirements for limited wraparound coverage to qualify as an excepted benefit. Excepted benefits are generally exempt...
Summary of Benefits and Coverage and Uniform Glossary
by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department on 12/30/2014.

This document contains proposed regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It proposes changes to the regulations that implement the disclosure requirements...

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