EBIA Weekly Newsletter

Register Today: EBIA Webinars and Virtual Conference from Checkpoint Learning


   October 19, 2017

Our remaining October and November webinars address group health plans for governmental and church employers, COBRA and Medicare, and Form 1094/1095 reporting. And there’s still time to register for our Advanced Virtual Conference in November! For more information or to order, please click on the program title links below, or call 800-231-1860. Read More


HHS Halts Cost-Sharing Reduction Reimbursements to Insurers


   October 19, 2017

HHS Memorandum: Payments to Issuers for Cost-Sharing Reductions (Oct. 12, 2017) Available at https://www.hhs.gov/sites/default/files/csr-payment-memo.pdf The Acting Secretary of HHS has notified CMS via a Memorandum that cost-sharing reduction payments to insurers are prohibited and must stop effective immediately. As background, under the Affordable Care Act (ACA), insurers are required to reduce … Read More


ERISA Preempts State Law Revoking Beneficiary Designation Upon Divorce


   October 19, 2017

Jackson v. Parks, 2017 WL 4077006 (D. Mont. 2017) This case arose following the death of an employee who had named his spouse as beneficiary under his employer’s life insurance plan. A year before his death, the employee and his spouse divorced, and, a few months later, the employee revised his will, leaving his entire … Read More


Are HIPAA Special Enrollment Periods Required for Loss of Individual Coverage?


   October 19, 2017

QUESTION: Our company sponsors a self-insured major medical plan for our employees and their dependents. If an employee or dependent loses eligibility under an individual health insurance policy, must we offer a special enrollment period under our plan? ANSWER: Generally, yes. Under HIPAA portability rules, group health plans are required to provide special enrollment periods … Read More