CMS Proposed Rule For Short-Term, Limited Health Insurance: Would You Get The Coverage You Expect?
Posted by donna@healthlawcenterplc.com in May, 2018
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that seeks to expand the sale and use of short-term, limited duration health insurance plans (“skinny health plans”), by extending the maximum duration of such plans from three months to twelve months. These types of health insurance plans by definition are not required to […]
Category: Medicare
Post Tagged with Affordable Care Act, Centers for Medicare & Medicaid Services, Medicare, The Health Law Center Professional Counselors May Directly Submit Claims for Reimbursement to Certain Blue Cross Blue Shield Insurance Programs Beginning in January 1, 2016
Posted by Donna Craig in Oct, 2015
Blue Cross and Blue Shield of Michigan has announced that effective January 1, 2016, licensed professional counselors that participate in Traditional, TRUST (PPO) and Mental Health and Substance Abuse Managed Care networks will receive direct reimbursement for covered mental health services provided within the scope of their licenses. Reimbursement will be at eighty (80%) percent […]
Category: Professional Insurance
Internal Revenue Service Finalizes 2015 Reporting Forms for Employers and Health Insurers
Posted by Donna Craig in Oct, 2015
Pursuant to the Affordable Care Act, employers with 50 or more full-time employees and health insurers, including employers with self-insured health plans are required use applicable forms to mandatorily report to the IRS in 2016. The Internal Revenue Service finalized the forms and instructions in September 2015. Employers will use 1094-C (Transmittal Form) and 1095-C (Reporting of […]
Category: News & Updates, Professional Insurance
United States Supreme Court Upholds Tax Subsidies To Individuals In All States
Posted by Donna Craig in Jun, 2015
On June 25, 2015 the Supreme Court of the United States (“SCOTUS”), in a 6-3 decision in the King v Burwell case, ruled in favor of individuals who purchase health insurance in federal Exchanges. The crux of the case came down to four words in the Affordable Care Act (“ACA”) which allowed individuals who are […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Donna J. Craig, Health Care Reform, Insurance Exchange, The Health Law Center The Affordable Care Act – Employer Challenges in 2015. Is Your Business On Track?
Posted by Donna Craig in Mar, 2015
This week marks five years since the Affordable Care Act (“ACA”) was passed. Over the last five years some ACA provisions impacting employers have been implemented, while future changes affecting employers are on the horizon. Since January 1, 2015, employers with 100 or more employees are required to either provide affordable and qualified health insurance […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Donna J. Craig, Employers, Health Care Reform, Insurance Exchange, The Health Law Center Affordable Care Act’s Tax Credits Comes Before the Supreme Court
Posted by Donna Craig in Mar, 2015
On March 4, 2015, the United States Supreme Court will hear oral arguments in King v. Burwell. The issue in the case is the legality of an Internal Revenue Service’s (IRS) decision to extend tax credits to individuals who purchased health insurance through federal insurance Exchanges and federally facilitated insurance Exchanges (“federal Exchanges”). Michigan has […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Donna J. Craig, Employers, Health Care Reform, Insurance Exchange, The Health Law Center January 1, 2015 – Large Employers With More Than 100 FTEs Must Meet Mandated Regulations Or Pay Penalties
Posted by Donna Craig in Jan, 2015
As of January 1, 2015, large employers with more than 100 full-time equivalent (FTE) employees must provide affordable health insurance to at least 70 percent of their full time employees or pay penalty fines, which are not deductible as business expenses. Full time employees are those employees working an equivalent of 30 hours per week. […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Donna J. Craig, Employers, Health Care Reform, The Health Law Center Supreme Court’s Review Sought Regarding Non-Profit Religious Organizations’ Rights To Deny Contraceptive Insurance Coverage
Posted by Donna Craig in Jan, 2015
In 2014 the United States Supreme Court ruled in Burwell v. Hobby Lobby (U.S., June 30, 2104), that the Affordable Care Act’s contraceptive mandate violated the Religious Freedom Restoration Act (“RFRA”), meaning that religious for-profit organizations are not required to provide insurance coverage for contraceptives. The Supreme Court clearly ruled that the exercise of religion […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Donna J. Craig, Health Care Reform, The Health Law Center Electronic Health Record Incentive Program – Are You Feeling More Breathing Room?
Posted by Donna Craig in Oct, 2014
On September 4, 2014 the Centers for Medicare & Medicaid (“CMS”) published a final rule to give eligible healthcare providers more leeway in complying with the Electronic Health Record Incentive Program. With the publication of the final rule eligible healthcare providers may, in 2014, use either the 2011 edition of the certified EHR technology (“CEHRT”) […]
Large Employers and the Affordable Care Act — Pay or Play?
Posted by Donna Craig in Jul, 2014
The Patient Protection & Affordable Care Act (“PPACA”) requires large employers to offer their full-time employees and their dependents up to age 26 affordable health insurance that meets minimum value requirements. Failure to comply with these provisions of PPACA exposes employers to financial penalties. In February 2014, the Internal Revenue Service issued regulations implementing the […]
Category: News & Updates
Post Tagged with Affordable Care Act, Donna Craig, Employers, Health Care Reform, The Health Law Center 
