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HCR Update: MLR Ruling, GF Plans, SBCs Delayed and more

Dec 09, 2011

Health Care Reform Update

December 9, 2011

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HHS issues new rule on medical loss ratios 

On December 2, 2011, the Department of Health and Human Services released two rules on the medical loss ratio provision of the Affordable Care Act.

Grandfathered plans without members will not be renewed 

The interim final rule for the grandfathering provision of the health care reform law says that a plan must have "continuous enrollment" to keep its grandfathered status.

HHS releases update on Early Retiree Reinsurance Program claim list and funds 

The Department of Health and Human Services recently released an update on the Early Retiree Reinsurance Program. This announcement from HHS included two critical pieces of information that may impact clients who take part in the program.

March 2012 deadline for summary of benefits and coverage requirements extended 

The Department of Labor indicated the March 23, 2012, date for implementing the summary of benefits and coverage requirements is no longer applicable and that the final regulations would provide group health plans and health insurance issuers sufficient time to comply.

Foreign language taglines added to adverse benefit determinations starting with releases December 9 

The health care reform law calls for plans to tell certain applicants and members about how to get help in understanding their adverse benefit determinations in a language other than English.

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This content is provided solely for informational purposes: It is not intended as and does not constitute legal advice. The information contained herein should not be relied upon or used as a substitute for consultation with legal, accounting, tax and/or other professional advisers.


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