Affordable Care Act
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- Statement of US Secretary of Labor Hilda L. Solis on implementation of Affordable Care Act抯 early retiree reinsurance program
- Statement of Assistant Secretary of Labor Phyllis C. Borzi calling on employers and benefit plans to make young adult coverage available immediately
- Statement of U.S. Secretary of Labor Hilda L. Solis on passage of health care reform by U.S. House of Representatives
- Statement of Assistant Secretary of Labor Phyllis C. Borzi on Health Care Reform
Affordable Care Act Regulations and Guidance
Wellness Programs
- Proposed Regulations
- Study
- Fact Sheet
- Press Release
- HHS Proposed Regulation – Health Insurance Market Rules
Stop Loss Insurance
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 �15 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 �15. - Part IX
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act �15. - Part X
This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act �15. - 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.- Related Information: CMS Bulletin on Non-Medicare Supplemental Drug Benefits
Coverage of Preventive Services
- Proposed Rules regarding Coverage of Certain Preventive Services | HHS News Release | HHS Fact Sheet
- Updated Guidance Regarding Temporary Enforcement Safe Harbor
- Advance Notice of Proposed Rulemaking: Advance Notice of Proposed Rulemaking | News Release
- Final Regulations Regarding Exemption
- Guidance Regarding Temporary Enforcement Safe Harbor
- Amendment to Interim Final Rules
- Interim Final Regulations
- Fact Sheet
- Recommended Preventive Services
- Public Comments on Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods
- Technical Release 2012-02 | Public Comments
- IRS Notice 2012-58
- Technical Release 2012-01 | Public Comments
Summary of Benefits and Coverage and Uniform Glossary
Regulations and Guidance
- Final Regulations
- Guidance for Compliance
- Proposed Regulations
- Solicitation of comments - Templates, Instructions, and Related Materials
- Culturally and Linguistically Appropriate Services (CLAS) County Data
Templates, Instructions, and Related Materials
- Corrected Summary of Benefits and Coverage (SBC) Template [MS Word Format]
- Corrected Sample Completed SBC [MS Word Format]
- Summary of Benefits and Coverage (SBC) Template [MS Word Format]
- Sample Completed SBC [MS Word format]
- Instructions for Completing the SBC - Group Health Plan Coverage
- Instructions for Completing the SBC - Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- HHS Coverage Example Calculator and Related Information
- Uniform Glossary of Coverage and Medical Terms
Essential Health Benefits
- Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation
- Frequently Asked Questions on Essential Health Benefits Bulletin � February 17, 2012
- Essential Health Benefits Bulletin � December 16, 2011
Multiple Employer Welfare Arrangements (MEWAs)
- Proposed Rule on Ex Parte Cease and Desist and Summary Seizure Orders: Multiple Employer Welfare Arrangements: Proposed Rule | Public Comments
- Proposed Rule on Filings Required of Multiple Employer Welfare Arrangements and Certain Other Related Entities: Proposed Rule | Public Comments
- Notice of Proposed Revision of Annual Information Return/Report: Notice | Public Comments
- Notice of Proposed Revision of the Form M-1
- Proposed Form M-1 Revisions
- Fact Sheet
- News Release
- Focus on Health Care Fraud
- Assistant Secretary Phyllis C. Borzi discusses new MEWA Proposed Rules at Press Event: Audio | Transcript
Medical Loss Ratio
- Technical Release on Fiduciary Requirements for Handling Medical Loss Ratio (MLR) Rebates
- HHS final rule on MLR requirements for issuers [PDF]
- Medical Loss Ratio (MLR) Insurance Rebates
Internal Claims and Appeals and External Review
Regulations
- Amendment to the Interim Final Rule
- Correction
- Interim Final Rule
- NAIC Uniform Review Model Act
- Public Comments in Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Guidance
- Technical Release 2011-02
- Technical Release 2011-01
- Technical Release 2010-02
- Technical Release 2010-01
- Revised Model Notice of Adverse Benefit Determination
- Revised Model Notice of Final Internal Adverse Benefit Determination
- Revised Model Notice of Final External Review Decision | [en espa駉l]
- Consumer Assistance Programs
- Status of State External Review Processes
- Culturally and Linguistically Appropriate Services (CLAS) County Data
Other Information
Public Forum on Automatic Enrollment in Large Employer Health Plans
Value-Based Insurance Design in Connection with Preventive Care Benefits
Grandfathered Health Plans
- Amendment to Interim Final Rules
- Fact Sheet on Amendment
- Public Comments on Amendment
- Regulation
- Fact Sheet on Regulation
- Frequently Asked Questions
- Provisions Summary Chart
- Model Notice | [en espa駉l]
- Public Comments on Regulation
Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections
- Regulation
- Fact Sheet
- Patient Protection Model Notice | [en espa駉l]
- Lifetime Limits Model Notice | [en espa駉l]
- Public Comments
Extension of Coverage For Adult Children
- Regulation
- Fact Sheet
- Frequently Asked Questions
- IRS Guidance
- Model Notice | [en espa駉l]
- Public Comments
Small Business Health Care Tax Credit for Small Employers
Affordable Care Act Nondiscrimination Provisions Applicable to Insured Group Health Plans
Early Retiree Reinsurance Program
Pre-Existing Condition Insurance Plan Program
Frequently Asked Questions on Health Care Reform and COBRA
Affordable Care Act Mandated Research Studies and Surveys
- 2012 Annual Report on Self-Insured Group Health Plans: [2012 Report] | [Appendix A] | [Appendix B]
- 2011 Annual Report on Self-Insured Group Health Plans: [2011 Report] | [Appendix A] | [Appendix B]
- Study of the Large Group Market
- Recent Data on Health Benefits from the National Compensation Survey | Letter from Secretary Hilda L. Solis
Law
EBSA Health Related Information
- Consumer Information on Health Plans
- Compliance Assistance for Health Plans
- Group Health Plan Reports and Form 5500 Data
- Health Benefits Education Campaign
Compliance Workshops, Seminars and Webcasts
Participant Workshops and Webcasts
- The Affordable Care Act: Important New Protections for You and Your Family Webcast
- El trabajo y los cambios en la vida requieren elecciones relacionadas con la salud: conozca sus opciones y derechos Archivo
Health Insurance Marketplace
- About the Health Insurance Marketplace | en español
- The Value of Health Insurance | en español
- About the Small Business Health Options Program (SHOP) | en español