Health plans audited for health care reform compliance

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in Centerpiece,Compensation and Benefits,Human Resources

U.S. Department of LaborThe Affordable Care Act (ACA) health care reform law doesn’t fully kick in for another year. That hasn’t stopped Department of Labor (DOL) auditors from scrutinizing group health plans for provisions that have already taken effect, such as the grand­fathering rules and rules that allow adult children to stay on their parents’ plan until they turn 26. Here’s what you need to consider.

Note: Find the model notices referenced below at the DOL's website.

Grandfathered plans

Grandfathered plans (those in existence on March 23, 2010, when the ACA was enacted) don’t have to comply with substantial portions of the law. Catch: Those plans must maintain a host of documentation to prove they have retained their grandfathered status. DOL auditors are interested in the following:

  • Notification to employees regarding grandfathered status. The DOL created a model notice for this purpose. Key: The grandfathering rules apply separately to ea...(register to read more)

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{ 1 comment… read it below or add one }

vince phillips January 24, 2013 at 5:50 am

Is there a data base that lists specific PPACA enfocement actions by DOL, IRS, and HHS? Thanks.

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