Healthcare Reform Implementation FAQs (EBSA)
Topic: Healthcare Insurance
Type: Guidance

To help employers, employees, and the public better understand the new healthcare reform law, the Employee Benefits Security Administration (EBSA) is issuing a series Affordable Care Act (ACA) Implementation frequently asked questions.

  • Part I
    This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.
  • Part II
    This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
  • Part III
    This set of FAQs addresses the exemption for group health plans with less than two current employees.
  • Part IV
    This set of FAQs addresses grandfathered health plans.
  • Part V
    This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
  • Part VI
    This set of FAQs addresses grandfathered health plans.
  • Part VII
    This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
  • Part VIII
    This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part IX
    This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part X
    This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
  • Part XI
    This set of FAQs addresses the employer notice of coverage options, health reimbursement arrangements, disclosure of information related to firearms, employer group waiver plans supplementing Medicare Part D, fixed indemnity insurance and payment of PCORI fees.
  • Part XII
    This set of FAQs addresses limitations on cost-sharing under the ACA.
  • Part XIII
    This set of FAQs addresses expatriate health plans.
  • Part XIV
    This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715 (* Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV.).
  • Part XV
    This set of FAQs addresses annual limit waiver expiration date based on a change to a plan or policy year, provider non-discrimination, coverage for individuals participating in approved clinical trials and transparency reporting.
  • Part XVI
    This set of FAQs addresses the employer notice of coverage options and the 90-day waiting period limitation.
  • Part XVII
    This set of FAQs addresses the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), as amended by the Affordable Care Act.
  • New XVIII
    This set of FAQs addresses the Mental Health Parity implementation.

For additional information about the healthcare reform law, visit HR.BLR.com’s Healthcare Reform Resource Center for Employers.

CT-WEB02
Copyright � 2019 Business & Legal Resources. All rights reserved. 800-727-5257
This document was published on http://HR.BLR.com
Document URL: http://hr.blr.com/state-comparison-charts/Healthcare-Reform-FAQs-EBSA