7th Circuit Rules on Covered Autism Therapies Under MPHAEA
Introduction In Midthun-Hensen on behalf of K.H. v. Grp. Health Coop. of S. Cent. Wisconsin, Inc., the Seventh Circuit upheld the district court’s grant of summary […]
MHPAEA Plan Design Refresher for 2024
The DOL, Treasury, and HHS (the “Departments”) released a Notice of Proposed Rulemaking in 2023 under the Mental Health Parity and Addiction Equity Act (MHPAEA). […]
Section 1557, State Courts and Loper
In recent legal developments, courts in Mississippi and Texas have issued rulings with significant implications for the Affordable Care Act (ACA) Section 1557. In the […]
Chevron Defense Overturned
You’ve heard about Chevron being overturned . . . let’s get into it from the group health plan administration perspective. What do you need to […]
MHPAEA: $32,000 in ERISA Penalties for Failure to Provide Plan Documents
The complexities surrounding compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Employee Retirement Income Security Act (ERISA) may seem daunting […]
HHS Issues Updates on Cybersecurity Incidents
HHS Issues Updates on Cybersecurity Incidents On May 31,2024, HHS’s Office for Civil Rights (OCR) released updated FAQs addressing the investigation of Change Healthcare (a […]
Updated Gag Clause Attestation Submission Instructions Released by DOL
We have new Gag Clause Prohibition Compliance Attestation Instructions for 2024! And the compliance nerds rejoice! Huzzah! Let’s begin at the beginning… Group health plans[1] […]
How New Section 1557 Rules Affect Health Plans and Insurers
Section 1557 of the ACA prohibits discrimination based on race, color, national origin, sex, age, or disability by a “covered entity” with respect to its […]
Best Practices for Stronger Cybersecurity for ERISA Plans
It’s always a great time to review EBSA’s suggested cybersecurity best practices for ERISA Plan sponsors, fiduciaries, and service providers, as well as Plan participants and […]