Compliance Corner

ACA Update: Executive Order

President Trump has issued an executive order to encourage the use of alternative health coverages. The order seeks to expand the use of association health plans, short-term limited health coverage and health reimbursement accounts. The order could, over time, shake up health insurance markets – but, buyer beware.

By | November 2nd, 2017|Categories: Compliance Corner, Vanner Benefits|Tags: , , |

New Proposed ACA Regulations

Proposed regulations will transfer control over key decisions from the federal government to individual states and insurance companies. The proposed regulations do not, directly, make significant changes to the health insurance coverages offered under ACA. However, they set the stage for such changes to occur in coming years.

ACA Update: Coverage’s Outside of ACA Exchange and Cost Sharing

ACA Update   The past few weeks have been a wild ride in the U.S. health insurance marketplace, with new regulations, executive orders, and administrative pronouncements coming at a furious pace. In effect, in lieu of passing health care legislation, the Trump Administration seems to be doing everything possible to unravel the Affordable Care Act [...]

By | October 19th, 2017|Categories: Compliance Corner, Vanner Benefits|

Important Notice: Your Prescription Drug Coverage and Medicare

Please read this notice carefully and keep it where you can find it.  This notice has information about your current prescription drug coverage with [Insert Name of Entity] and about your options under Medicare’s prescription drug coverage.  This information can help you decide whether or not you want to join a Medicare drug plan. Information [...]

By | October 9th, 2017|Categories: Compliance Corner|Tags: , |

Tax Implications for NYS New Paid Family Leave Program

The State’s new Paid Family Leave program has tax implications for New York employees, employers, and insurance carriers, including self-insured employers, employer plans, approved third-party insurers, and the State Insurance Fund. We have reviewed the New York statute, implementing  regulations, and applicable laws, case law and federal guidance, and we have consulted with the Internal [...]

By | August 31st, 2017|Categories: Compliance Corner|Tags: , , |

A Look Into The Senates Proposed Healthcare Plan

On June 22, the Senate Republican leadership released the Better Care Reconciliation Act of 2017 their version of a bill to repeal and replace the Affordable Care Act. The bill repeals and dramatically reshapes some provisions of the ACA, but retains the ACA framework.

By | June 23rd, 2017|Categories: Compliance Corner|Tags: , , |

How Does New York’s Paid Family Leave Fit in With Other Leaves?

Employees faced with caregiving needs are covered by a number of different rules, including FMLA – and, starting in 2018, New York’s paid family leave law. Employers must deal with the complexities of integrating these overlapping – and, sometimes, conflicting – rules.

Case Study: Properly Administering an Employee Benefits Plan

The case Erwood v. Life Ins. Company of North America, et. al. involved an employee, Dr. Scott Erwood suffering from a cancer. Dr. Erwood was covered by employer sponsored group life insurance. In the transition from FMLA leave to disabled/terminated status, the employer, WellStar Health Systems, failed to inform Dr. Erwood about the plan provisions governing conversion of the group life insurance policy to individual coverage.

Paid Family Leave – What Leaves Qualify?

For starters, the new law does not provide for paid leave because of an employee’s own medical condition or need. Rather, the law provides for paid leave for employees to support family members (as specifically defined) and only for three specific categories of need: To participate in providing care for a family member of the [...]

By | April 21st, 2017|Categories: Compliance Corner|Tags: , , |