Affordable Care Act
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- Statement of US Secretary of Labor Hilda L. Solis on implementation of Affordable Care Act’s early retiree reinsurance program
- Statement of Assistant Secretary of Labor Phyllis C. Borzi calling on employers and benefit plans to make young adult coverage available immediately
- Statement of U.S. Secretary of Labor Hilda L. Solis on passage of health care reform by U.S. House of Representatives
- Statement of Assistant Secretary of Labor Phyllis C. Borzi on Health Care Reform
Affordable Care Act Regulations and Guidance
Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods
Summary of Benefits and Coverage and Uniform Glossary
Regulations and Guidance
- Final Regulations
- Guidance for Compliance
- Proposed Regulations
- Solicitation of comments - Templates, Instructions, and Related Materials
Templates, Instructions, and Related Materials
- Summary of Benefits and Coverage (SBC) Template | MS Word Format
- Sample Completed SBC | MS Word format
- Instructions for Completing the SBC - Group Health Plan Coverage
- Instructions for Completing the SBC - Individual Health Insurance Coverage
- Why This Matters language for "Yes" Answers
- Why This Matters language for "No" Answers
- HHS Information For Simulating Coverage Examples
- Uniform Glossary of Coverage and Medical Terms
Multiple Employer Welfare Arrangements (MEWAs)
- Proposed Rule on Ex Parte Cease and Desist and Summary Seizure Orders: Multiple Employer Welfare Arrangements
- Proposed Rule on Filings Required of Multiple Employer Welfare Arrangements and Certain Other Related Entities
- Notice of Proposed Revision of Annual Information Return/Report
- Notice of Proposed Revision of the Form M-1
- Proposed Form M-1 Revisions
- Fact Sheet
- News Release
- Focus on Health Care Fraud
- Assistant Secretary Phyllis C. Borzi discusses new MEWA Proposed Rules at Press Event:
Medical Loss Ratio
- Technical Release on Fiduciary Requirements for Handling Medical Loss Ratio (MLR) Rebates
- HHS final rule on MLR requirements for issuers [PDF]
Internal Claims and Appeals and External Review
Regulations
- Amendment to the Interim Final Rule
- Correction
- Interim Final Rule
- NAIC Uniform Review Model Act
- Public Comments in Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Guidance
- Technical Release 2011-02
- Technical Release 2011-01
- Technical Release 2010-02
- Technical Release 2010-01
- Revised Model Notice of Adverse Benefit Determination
- Revised Model Notice of Final Internal Adverse Benefit Determination
- Revised Model Notice of Final External Review Decision | [en español]
- Consumer Assistance Programs
- Status of State External Review Processes
Other Information
Public Forum on Automatic Enrollment in Large Employer Health Plans
Value-Based Insurance Design in Connection with Preventive Care Benefits
ACA Implementation Frequently Asked Questions
Grandfathered Health Plans
- Amendment to Interim Final Rules
- Fact Sheet on Amendment
- Public Comments on Amendment
- Regulation
- Fact Sheet on Regulation
- Frequently Asked Questions
- Provisions Summary Chart
- Model Notice | [en español]
- Public Comments on Regulation
Coverage of Preventive Services
- Amendment to Interim Final Rules
- Regulation
- Fact Sheet
- Recommended Preventive Services
- Public Comments on Interim Final Rule
- Public Comments on Amendment to Interim Final Rule
Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections
- Regulation
- Fact Sheet
- Patient Protection Model Notice | [en español]
- Lifetime Limits Model Notice | [en español]
- Public Comments
Extension of Coverage For Adult Children
- Regulation
- Fact Sheet
- Frequently Asked Questions
- IRS Guidance
- Model Notice | [en español]
- Public Comments
Small Business Health Care Tax Credit for Small Employers
Affordable Care Act Nondiscrimination Provisions Applicable to Insured Group Health Plans
Early Retiree Reinsurance Program
Pre-Existing Condition Insurance Plan Program
Frequently Asked Questions on Health Care Reform and COBRA
Affordable Care Act Mandated Research Studies and Surveys
- Annual Report on Self-Insured Group Health Plans: [2011 Report] | [Appendix A] | [Appendix B]
- Study of the Large Group Market
- Recent Data on Health Benefits from the National Compensation Survey | Letter from Secretary Hilda L. Solis
Law
EBSA Health Related Information
- Consumer Information on Health Plans
- Compliance Assistance for Health Plans
- Group Health Plan Reports and Form 5500 Data
- Health Benefits Education Campaign
