On August 13, 2010, at 1 PM Eastern, Noon Central, 11 AM Mountain and 10 AM Pacific, the RPTE Employee Benefits Group will host a free one hour “Study Group” conference call led by the Welfare Plan Committee to discuss the interim regulations under the Patient Protection and Affordable Care Act (PPACA) regarding claims adjudication and grandfather plan status. This timely discussion has immediate impact on practitioners and their clients dealing with group health plans, since the new rules generally apply to plan years beginning on or after September 23, 2010.
Key topics will include:
- Mandatory Claims Processing and Appeals Process Requirements
- Impact on 2001 ERISA Claims Regulations
- Impact on Plan Designs and Plan Administration
- Determining Grandfather Status
- Impact of Future Plan Actions on Grandfather Status
In addition, the topics for possible future calls in September and October regarding health care reform, as well as the current ABA projects to provide comments to the DOL, IRS and Department of HHS with respect to guidance under PPACA and opportunities for involvement also will be discussed.
The conference call will be moderated by:
- Cynthia Marcotte Stamer, Cynthia Marcotte Stamer, PC, Dallas, TX;
- Elizabeth Leight, Society of Professional Benefit Administrators, Washington, DC; and
- Scott Douglas Marquardt, Total Plan Services, Inc., Dallas, TX
The phone number and passcode for the call are:
(866) 646-6488
Pass code: 5380700259
Given the scope of the changes wrought by PPACA, and the numerous interpretations being offered in the legal and insurance communities as well as the media, this promises to be a lively discussion. Multiple views and comments are encouraged.
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ü New Affordable Care Act Health Plan Appeals Regulations Require Health Plan Updates
ü Agencies Release Regulations Implementing Affordable Care Act Health Plan Preventative Care Mandates
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