Compliance
This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.
Among its many new requirements for employee benefit plans, the Consolidated Appropriations Act, 2021 (CAA) created new compensation disclosure requirements related to group health plans. Specifically, the new rules require brokers and consultants anticipated to earn $1,000 or more in direct or indirect compensation related to group health plans to disclose that compensation to the plan sponsor reasonably in advance of entering into an agreement to provide that service.
Insurers must cover at least eight at-home COVID-19 tests per covered individual starting on Saturday, per a new directive from the Biden Administration.
On Friday, the Centers for Disease Control and Prevention held a telebriefing. Director Rochelle Walensky presided, along with two career scientists. The substance was notable — updated COVID-19 guidance for K-12 schools. But even more notable was the fact that the briefing was happening at all. It was the first such briefing in months, despite the ...
The start of a new year brings recurring compliance items for employers, employees, and individual taxpayers to consider. Here is what you need to know. California Individual Mandate Continues California’s state individual mandate, which began 1/1/2020, continues into 2022 and the foreseeable future. Under California’s Individual Health Care Mandate, Californians are required to have qualifying ...
Key components of the Biden administration’s COVID-19 vaccine or test mandate for more than 80 million workers went into effect Monday amid an ongoing Supreme Court battle that could ultimately doom the rule. The months-long legal battle over the requirement, which was previously blocked by a federal court before being reinstated, has created confusion among ...
The Supreme Court’s conservative supermajority on Friday seemed ready to block some or all of the Biden administration’s regulations aimed at increasing vaccinations nationwide. At issue in the nearly four-hour argument were two regulations: 1. One imposes a vaccine mandate for almost all workers at hospitals, nursing homes and other medical providers receiving federal Medicare ...
Pfizer will have a COVID-19 vaccine that specifically targets the Omicron variant ready by March, the pharmaceutical company’s chief executive said Monday. Pfizer CEO Albert Bourla said the company has already begun manufacturing a new version of its COVID-19 vaccine that aims to protect recipients against Omicron. “This vaccine will be ready in March,” he told CNBC’s “Squawk Box” ...
The Consolidated Appropriations Act (CAA) of 2020, the biggest piece of legislation enacted in American history, created an array of complex new laws for many sectors; one of those sectors is health insurance. The CAA brings significant changes to insurance agents and their clients, directly impacting brokers’ sales practices and employers’ legal responsibilities in 2022.
The Biden administration has officially pulled a controversial model that would have tied prices for drugs reimbursed under Part B to prices paid by countries overseas.
Nevada’s 2021 Legislature passed Assembly Bill 250, which allows Nevada resident Medicare Supplement policyholders to annually shop and switch to another Medicare Supplement policy sold in this state. The new law goes into effect on January 1, 2022, and any replacement policy is guaranteed to be issued at standard rates, regardless of the applicant’s health ...