Health Care Reform

Federal Health Care Reform (HCR) was enacted under the Patient Protection and Affordable Care Act in March 2010. To help you understand these new regulations and how they apply to your self-funded benefits plan, Health Plans has developed Compliance Bulletins and other informational notices.

We will update these pages as additional guidance and implementing regulations are issued. Be sure to check back periodically to stay informed of the most current updates. 

 

2017
PDF icon Compliance eBlast - New SBC Format (3/2017)

 

2016
PDF icon Compliance Alert - ACA Form 1095, 2016 Coverage Reports (10/2016)

PDF icon Compliance Alert - ACA Section 1557 (10/2016)


Compliance Bulletin

PDF icon Transitional Reinsurance Program (9/2016)

 

2015
PDF icon
Compliance Alert: ACA Form 1095 Coverage Report/Cadillac Tax Update (11/2015)

PDF icon FAQs - ACA Form 1095 Coverage Report (11/2015)


Compliance Bulletins

PDF icon Transitional Reinsurance Program (9/2015)

PDF icon ACA Update (6/2015)

 

2014
PDF icon Updated Compliance Guide (12/2014)

PDF icon Compliance Alert: Counting Rx Expenses toward the Out-of-Pocket Limit (9/2014) 


Compliance Bulletins

PDF icon Transitional Reinsurance Program and Administrative Simplification(10/2014)

 

2013
PDF icon Compliance Guide, Changes for 2014 (updated 7/2013) 

 

2012
PDF icon Compliance Alert: Women's Preventive Health Coverage, Summary of Benefits and Coverage, Form W2 requirements (4/2012)


Compliance Bulletins

PDF icon #6:  Summary of Benefits & Coverage (SBC), Benefit Changes, Patient-Centered Outcomes Research Institute (PCORI) Fee (8/2012)

 

2011
PDF icon Compliance Alert: Claims & Appeals Update for Non-Grandfathered Plans (4/2011)


Compliance Bulletins

PDF icon #5:  Updated Claims/Appeals Provisions / GF Refresher / Proposed Regulations: Summary of Benefits & Coverage (SBC) (9/2011)
PDF icon #4: Claims & Appeals Processes and Regulatory Update (2/2011)

 

2010
PDF icon Grandfathering Status Checklist (8/2010)

PDF icon Compliance Guide: Federal HCR for Self-Funded Employers (6/2010)
Includes: Claims & Appeals Update for Non-Grandfathered Plans


Compliance Bulletins

PDF icon #3:  Mandated Changes – Phase I (10/2010)
PDF icon #2:  Grandfathering Provisions (8/2010)
PDF icon #1:  Implementation of Regulations (6/2010)