‘Health & Welfare Plans Publications’ Posts Archive

What does health care look like in 2014 and beyond? | Employment Law

On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act (“PPACA”), into law.  The PPACA was later amended by the Health Care and Education Reconciliation Act of 2010 (“HCRA”).  Many of the law’s key requirements are effective beginning in 2014.  In a recent presentation and paper, Ginger LaChapelle–an Associate in the Employee Benefits Department of Blitman & King–explained these key health reform provisions relating to the establishment of state-run American Health Benefit Exchanges, and the law’s most controversial requirement, the “individual mandate.”

 Health Care Reform in 2014 and Beyond

Health Care Reform requires that group health plans and health insurance issuers have effective internal claims and appeals process

One of the many provisions of the Patient Protection and Affordable Care Act of 2010 (“PPAC”) is a requirement that group health plans and health insurance issuers have an effective internal claims and appeals process. As is the case for a number of the PPAC provisions, this requirement becomes effective for plan years beginning on or after September 23, 2010. For a number of health plans, this will mean January 1, 2011. (more…)