Legal & Regulatory

  • What constitutes misuse of an adviser or other expert by a fiduciary?

    October 24, 2014

    Employer clients acting as the fiduciary of a benefit plan may often seek the advice of their trusted adviser. ERISA recognizes that need but also disallows the misuse of an expert. So what qualifies as misuse?

  • Pacific Business Group on Health caught in no-bid contract controversy

    October 23, 2014

    One of the nation’s premier business groups whose mission is employee health promotion is embroiled in a controversy involving $184 million in contracts awarded by Covered California without competitive bidding.

  • Adviser help needed to quell employer Cadillac tax fears

    October 21, 2014

    Although the ACA’s excise tax doesn’t go into effect until 2018, employers are already fearful — benefit advisers should be offering ideas and solutions to calm their fears.

  • Public and union employers’ attack plan for ACA excise tax

    October 17, 2014

    With visions of the ACA's Cadillac tax on the 2018 horizon, major employers are already making arrangements to soften the blow and help deal with potential surcharges on employer-sponsored benefits - and working with their unions to control health plan costs.

  • New CEO lays out 2015 enrollment goals

    October 16, 2014

    The new CEO of the federal health insurance marketplace, Kevin Counihan, knows there is room for improvement, but says new processes have ready for 2015 open enrollment.

  • 5 ACA issues employers should be following

    October 14, 2014

    With the Affordable Care Act’s new reporting requirements fast approaching, employers and their benefit advisers need more than ever to keep abreast of what’s happening with the ever-changing health care reform law. Here are five ACA issues the national law firm Epstein Becker Green says employers need to be following.

  • ACA compliance: What qualifies as an offer of health care coverage?

    September 25, 2014

    Many of your employer clients will soon face hefty penalties under the ACA for failing to make an offer of health care coverage. Legal experts clarify what that offer of coverage must be.

  • remains vulnerable to security threats, GAO finds

    September 17, 2014

    Increased and unnecessary risks to security remain, as the Centers for Medicare and Medicaid services has failed to implement and address security issues, the GAO says.

  • Are private exchanges the next big thing in employer health care offerings?

    September 17, 2014

    Predictions for 2014 open enrollment include more than 3 million employees being covered under private exchanges. Is this the new trend in employer-sponsored health care coverage?

  • Obamacare to kick out 115,000 lacking residency proof

    September 16, 2014

    About 115,000 people who signed up for Obamacare and may not be legal residents of the U.S. will lose their insurance coverage at the end of the month, the government said Monday.

  • The IRS, DOL, & HHS: Who They Are, What They Do, and How They’re Quietly Determining Your Future

    September 16, 2014

    At an early age, we learned about the three branches of the U.S. government: executive, legislative, and judicial. But the television show “Schoolhouse Rock" only taught us part of the story. Another part of government exists that plays a critical role in the execution of the laws and, consequently, in how they impact you. This presentation will explore how departments and agencies such as the IRS, DOL, and HHS are ultimately responsible for all the “heavy lifting” that goes on behind the scenes once a bill is signed into law. Roger will focus specifically on the Affordable Care Act (ACA), and how the president’s signature was only the very beginning of a long road of translating the laws into practice. These agencies make rules that shape how the law impacts you and your business. In this respect, a closer look at the agencies and their responsibilities can truly provide a useful glimpse into the future of healthcare reform.

    Roger Abramson, General Counsel, AmeriFlex

    Sponsored By:

  • High-deductible CDHPs part of ongoing cost containment strategy

    September 12, 2014

    New research points to low-cost consumer-directed plans as being a key strategy in thwarting rising health benefit costs.

  • The case of the accidental fiduciary: When a signature is more than just a name

    September 11, 2014

    Why the CEO’s ability to sign paychecks may also make them liable as plan fiduciaries; and how you can help your employer clients avoid this slippery slope.

  • CEOs concerned about ACA incentive rules

    September 5, 2014

    Ever since final rules under the Affordable Care Act dictated that outcomes-based wellness programs must offer reasonable alternatives to employees unable to achieve the program’s health benchmarks, employers have continued to worry over the effectiveness of their health improvement efforts.

  • First steps to take with IRS draft ACA reporting instructions

    September 4, 2014

    The IRS has released long-awaited draft instructions for the forms employers will use to comply with the ACA’s employer mandate, giving benefit advisers and their clients a glimpse of the work ahead for 2015 and how to begin preparing now.

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