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Frequently Asked Questions
Pensions And Retirement
For Consumers
Compliance Assistance
Health
For Consumers
- Affordable Care Act Implementation
- Part I - This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.
- Part II - This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
- Part III - This set of FAQs addresses the exemption for group health plans with less than two current employees.
- Part IV - This set of FAQs addresses grandfathered health plans.
- Part V - This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
- Part VI - This set of FAQs addresses grandfathered health plans.
- Part VII - This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
- Part VIII* - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part IX* - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part X* - This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part XI - This set of FAQs addresses the employer notice of coverage options, health reimbursement arrangements, disclosure of information related to firearms, employer group waiver plans supplementing Medicare Part D, fixed indemnity insurance and payment of PCORI fees.
- Part XII - This set of FAQs addresses limitations on cost-sharing under the ACA.
- Part XIII - This set of FAQs addresses expatriate health plans.
- Part XIV - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715 (* Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV.)
- Part XV - This set of FAQs addresses annual limit waiver expiration date based on a change to a plan or policy year, provider non-discrimination, coverage for individuals participating in approved clinical trials and transparency reporting.
- COBRA Continuation Health Coverage
- FAQs for Participants and Beneficiaries Following Hurricane Sandy
- Genetic Information Nondiscrimination Act
- Health Insurance Portability and Accountability Act
(HIPAA)
- Medical Loss Ratio (MLR) Insurance Rebates
- Mental Health Parity and Addiction Equity Act
- Newborn's and Mothers' Health Protection (Newborns' Act)
- Reservists Being Called to Active Duty
- Understanding Implementation of the Mental Health Parity and Addiction Equity Act
- Women's Health and Cancer Rights
(WHCRA)
Compliance Assistance
- 2009 Form 5500 Schedule C
- Affordable Care Act Implementation
- Part I - This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.
- Part II - This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
- Part III - This set of FAQs addresses the exemption for group health plans with less than two current employees.
- Part IV - This set of FAQs addresses grandfathered health plans.
- Part V - This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
- Part VI - This set of FAQs addresses grandfathered health plans.
- Part VII - This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
- Part VIII* - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part IX* - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part X* - This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
- Part XI - This set of FAQs addresses the employer notice of coverage options, health reimbursement arrangements, disclosure of information related to firearms, employer group waiver plans supplementing Medicare Part D, fixed indemnity insurance and payment of PCORI fees.
- Part XII - This set of FAQs addresses limitations on cost-sharing under the ACA.
- Part XIII - This set of FAQs addresses expatriate health plans.
- Part XIV - This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715 (* Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV.)
- Part XV - This set of FAQs addresses annual limit waiver expiration date based on a change to a plan or policy year, provider non-discrimination, coverage for individuals participating in approved clinical trials and transparency reporting.
- Benefit Claims Procedure Regulation
- COBRA Continuation Health Coverage
- EFAST2 Form 5500 Electronic Filing for Small Businesses
- EFAST2 Form 5500 Processing
- EFAST2 Credentials
- Fiduciary Responsibilities under an Apprenticeship and Training Plan
- Form M-1 Online Filing System
- Genetic Information Nondiscrimination Act
- Health Coverage Portability (HIPAA)
- HIPAA Nondiscrimination Requirements
- Mental Health Parity and Addiction Equity Act (MHPAEA)
- Multiemployer Plan Leasing Arrangements
- Reporting Delinquent Participant Contributions on the Form 5500
- Supplemental 2009 Schedule C
- Understanding Implementation of the Mental Health Parity and Addiction Equity Act
Voluntary Correction Programs
Reporting And Disclosure
Consumer Information
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