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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.

Trump-Era Law On Surprise Medical Bills Advances Under Biden

The Biden administration on Thursday began putting in place consumer protections against “surprise” medical bills enacted in bipartisan legislation signed last year by former President Donald Trump. Regulations jointly issued by four federal agencies spell out protections for insured patients against surprise billing in medical emergencies, and unexpected charges from out-of-network doctors at an in-network ...

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Employers Not Required to Provide Holiday Pay for Federal Holidays

When President Joe Biden signed the Juneteenth National Independence Day Act on June 17, 2021, creating the Juneteenth National Independence Day to be celebrated on June 19 every year, it created the 11th federal holiday and the first since the creation of the Martin Luther King, Jr. federal holiday in 1983. Juneteenth marks the day ...

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Employers Recognize Mental Health Issues But Face Challenges In Implementing Solutions

The pandemic has heightened awareness of worker mental health issues, especially burnout and isolation. However, many employers struggle to build a fully integrated approach, with low program participation and limited resources cited as the top barriers to success. “The COVID-19 crisis accelerated the evolution of workplace well-being efforts,” said Rebecca Ray, Ph.D., executive vice president, ...

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Biden Administration Aims To Further Rebuild ACA With Proposed Rule

It would lengthen the annual open enrollment period, expand the role of navigators and nix Trump-era guidelines for waivers that were criticized for allowing states to skirt coverage requirements.

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ARPA & COBRA Obligations: We Have Only Just Begun

Benefits brokers who consult with plan administrators of employer-sponsored group health plans, will need to ready clients for the multiple phases that will follow receipt of qualified beneficiaries’ American Rescue Plan Act (“ARPA”) subsidy elections, which will start rolling in during the next month.

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New Alzheimer’s Drug May Create A Policy Dilemma For Democrats

Advocates of lowering prescription drug prices are beginning to use an expensive new Alzheimer's drug to make the case for reform, but actually addressing the therapy's price raises complicated policy challenges.

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Retirement, Once On Track, Now Derailed For Many

Many Americans who thought their retirement planning was on track before the pandemic now find their plans detoured or even derailed. Fidelity’s State of Retirement Planning study examined the extent of planning Americans have undertaken to meet their retirement goals, how they feel about those efforts and the impact the COVID-19 pandemic has had on their preparation. The study also looks at ...

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How Companies Can Drum Up Enthusiasm For A Return To The Office And Vaccines

As companies design plans to bring workers back into the office, chief human resources officers are contending with a plethora of issues. Do they mandate vaccines or simply urge employees to get them? How should hybrid schedules be decided and does innovation suffer when people continue to work from home? These questions and more were ...

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Highly Contagious Delta Coronavirus Variant Spreading Fast In California

The Delta coronavirus variant is now the third-most common in California, new data show, underscoring the danger of the highly contagious strain to people who have not been vaccinated against COVID-19. The variant makes up 14.5% of California coronavirus cases analyzed so far in June, up from 4.7% in May, when it was the fourth-most ...

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Business Groups Urge: Restore Tax Credits, Net Operating Loss Deduction

The California Chamber of Commerce and a coalition of business groups are urging state legislators to restore the net operating loss deduction and business incentive tax credits that were suspended and capped by AB 85 last year. The action was taken as part of last year’s strategy to close an estimated $54.3 billion budget deficit ...

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