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
ERISA Fiduciary Responsibilities
Tax Treatment of Health Benefits
Health Benefit Plans and ERISA Preemption
Employer Liability in Managed Care
Qualified Medical Child Support Orders
ERISA Reporting and Disclosure
Retiree Medical Benefits
Health Maintenance Organization Act
Medicare Secondary Payer Issues
Family and Medical Leave Act
ADA’s Impact on Employee Benefit Plans
Federal Prosecution of Health Care Fraud
Regulation of Multiple Employer Welfare Arrangements
Health Insurance Portability and Accountability Act of 1996
Welfare Benefits Provided by PEOs
Bankruptcy Abuse Prevention and Consumer Protection Act of 2005(Title XI Health Care and Employee Benefits
The Tax Relief and Health Care Act of 2006
2010 Health Care Reform: The Patient Protection and Affordable Care Act & The Health Care and Education Reconciliation Act
Table of Abbreviations