The California Health Benefit Exchange board is standardizing the co-payment amounts, coinsurance percentages and other plan design features in all new individual and small-group health policies sold in the state.
The Internal Revenue Service (IRS) seems to be reading some Patient Protection and Affordable Care Act (PPACA) employer coverage mandate provisions in ways that could help employers.
The American Optometric Association (AOA) would like to get coverage for regular vision exams into the standard package of benefits that all major medical plans must offer.
The U.S. Office of Personnel Management (OPM) is proposing regulations for a new "Multi-State Plan Program" (MSPP) that could, in effect, give ordinary consumers access to health plans that are similar to the plans federal employees use.
Officials throughout the United States are facing an emotional battle over what residents believe ought to go into an "essential health benefits" (EHB) package.
Employers can take up to 12 months to determine whether workers are full-time employees for purposes of applying the new federal "play or pay" health benefits rules.
For purposes of complying with the new federal summary of benefits and coverage (SBC) rules, Medicare Advantage plan benefits are Medicare benefits, according to the Employee Benefits Security Administration (EBSA).