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Health Care Benefits Law

By Jeffrey D. Mamorsky
Publisher: ALM
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$805.00

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ISBN: 9781588520968
Publisher: ALM
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Making sense of the nonstop parade of federal and state legislation, regulation and decisional law governing health care benefits is not an easy task. For professionals in the field, however, it is an essential one. Fortunately, there is a comprehensive and practical guide to this complex, evolving area that clarifies the legal framework, including the most recent developments, and keeps you on top of every important issue.

Health Care Benefits Law explains how current laws affect the design and day-to-day administration of health care plans. It also helps you identify—and deal with—hidden areas of liability. You'll find detailed coverage of such topics as: ERISA reporting and disclosure requirements; negotiating ASO (Administrative-Services-Only) contracts; tax treatment of health benefits; auditing utilization review; health and welfare benefit plans and ERISA fiduciary requirements; managed care liability; COBRA (including all the sample notices and forms that an employer needs to comply effectively); Medicare Secondary Payer issues; provision of benefits by professional employer organizations (PEOs); the Americans with Disabilities Act; the Health Maintenance Organization Act; HIPAA; the Family and Medical Leave Act; health care and employee benefit provisions of the 2005 Bankruptcy Act; the Tax Relief and Health Care Act of 2006; and more.

You'll get sample forms, checklists, drafting tips, and the perspective you need to cope with any challenge. Whether you are an attorney, health care plan sponsor, employer or multi-employer trustee, insurance company, HMO, or other health care provider, this guide will save you hours of painstaking work and greatly simplify compliance.

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Table of Contents


CHAPTER 1

ERISA Fiduciary Responsibilities



CHAPTER 2

Tax Treatment of Health Benefits



CHAPTER 3

Health Benefit Plans and ERISA Preemption



CHAPTER 4

Employer Liability in Managed Care



CHAPTER 5

Plan Administration



CHAPTER 6

Qualified Medical Child Support Orders



CHAPTER 7

COBRA



CHAPTER 8

ERISA Reporting and Disclosure



CHAPTER 9

Retiree Medical Benefits



CHAPTER 10

Health Maintenance Organization Act



CHAPTER 11

Medicare Secondary Payer Issues



CHAPTER 12

Family and Medical Leave Act



CHAPTER 13

ADA’s Impact on Employee Benefit Plans



CHAPTER 14

Federal Prosecution of Health Care Fraud



CHAPTER 15

Regulation of Multiple Employer Welfare Arrangements



CHAPTER 16

Health Insurance Portability and Accountability Act of 1996



CHAPTER 17

Welfare Benefits Provided by PEOs



CHAPTER 18

Bankruptcy Abuse Prevention and Consumer Protection Act of 2005(Title XI Health Care and Employee Benefits



CHAPTER 19

The Tax Relief and Health Care Act of 2006



CHAPTER 20

2010 Health Care Reform: The Patient Protection and Affordable Care Act & The Health Care and Education Reconciliation Act



Appendices

Table of Abbreviations

Index