IRS and DOL Issue Guidance on Association Health Plans

Both the IRS and Department of Labor (DOL) have issued new compliance guidance for association health plans (AHPs). On June 21, 2018, the DOL published a final rule that expands the ability of employers to join together to form AHPs. According to the DOL, these changes will expand access to affordable, high-quality health insurance coverage … Continue reading IRS and DOL Issue Guidance on Association Health Plans

DID YOU KNOW?

At his swearing-in ceremony, new Secretary of the Department of Health and Human Services, Alex Azar, stated that bringing the price of prescription drugs down and tackling the opioid crisis are two topics he will focus on. While there are no specifics on how he and President Donald Trump plan to do this, we will … Continue reading DID YOU KNOW?

Cigna to Buy Express Scripts in $67 Billion Deal

Health insurer Cigna Corp. announced today, March 8, 2018, that it would purchase Express Scripts Holding Co., a pharmacy benefits manager (PBM) for $67 billion in cash and stock, including $15 billion assumed for Express Scripts’ debt. This announcement is the latest in a trend of merging health care companies and follows the December 2017 … Continue reading Cigna to Buy Express Scripts in $67 Billion Deal

PRESIDENT SIGNS EXECUTIVE ORDER DESIGNED TO CHANGE ACA RULES

OVERVIEW On Oct. 12, 2017, President Donald Trump signed an executive order intended to change certain rules under the Affordable Care Act (ACA). The order would relax regulations on association health plans. This change could allow individuals and small businesses to purchase health insurance policies across state lines and avoid certain ACA requirements. The executive … Continue reading PRESIDENT SIGNS EXECUTIVE ORDER DESIGNED TO CHANGE ACA RULES

COBRA Continuation Coverage

The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows individuals to continue their group health plan coverage in certain situations. Specifically, COBRA requires group health plans to offer continuation coverage to covered employees and dependents when coverage would otherwise be lost due to certain specific events. These events include the death of a covered employee, termination … Continue reading COBRA Continuation Coverage

HIPAA Special Enrollment Rights

Group health plans often provide eligible employees with two regular opportunities to elect health coverage—an initial enrollment period when an employee first becomes eligible for coverage and an annual open enrollment period before the start of each plan year. In addition, to make health coverage more portable, the Health Insurance Portability and Accountability Act (HIPAA) … Continue reading HIPAA Special Enrollment Rights