ACA
This US president signed into law the Affordable Care Act (ACA), also known as the Patient Protection and Affordable Care Act (PPACA)
Who is Barack Obama
This ERISA document outlines eligibility and guidelines for all health and welfare programs that a company sponspors
What is the Summary Plan Description? SPD or Wrap
TiC Rules have required health plans to provide this tool which estimates cost shares for all covered items and services within a health plan
This HIPAA notice outlines the rules and regulations surrounding Qualifying Life Events
What is the Notice of Special Enrollment Rights?
This annually required notice lists the medicaid contact information state by state
What is the Children's Health Insurance Program (CHIP) Notice?
This explanation of medical coverage document has a standardized format across all medical carriers
What is the Summary of Benefits Coverage (SBC)
This filing is due to the IRS seven months after the end of a plan year for employers with over 100 employees
What is the 5500?
This CAA required notice protects plan participants against balance billing
This COBRA notice is required for newly enrolled participants in COBRA eligible plans within 90 days
What is the General COBRA Notice?
This notice is required annually by October 15th and outlines health plan prescription drug coverage credibility
What is the Medicare Part D Notice?
This ACA notice must be provided to eligible new hires within 14 days of their date of hire
What is the Exchange Notice?
Form 5558 is filed to allow a due date extension of the 5500 filing for up to this many months with no penalties
What is 2 and a half months?
This newer CAA attestation is submitted on the CMS website and is required by December 31st
What is the Gag Clause Prohibition Compliance Attestation?
This notice must be sent by COBRA administrators within 30 days of termination or reduction in work hours, death, medicare entitlement, or bankruptcy of employer
This notice protects mother's from being discharged too quickly after childbirth
What is the Newborn's and Mother's Health Protection Act Notice?
These fees are due by self funded health plan sponsors by July 31st of each year
What are PCORI fees?
This ERISA required document informs plan participants of significant changes to their health and welfare plans
What is the Summary Material Modification or SMM?
This CAA requirement is due by June 1st each year for the prior calendar or plan year
What is the Reporting on Pharmacy Benefits and Drug Costs?
Plan sponsors are required to send this notification if employee personal information is compromised
What is the Notification of Breach of Unsecured Protected Health Information?
This new 2025 disclosure is required for supplemental health plans that issue a fixed cash benefit and highlights the differences in those plans from major medical
DOUBLE JEOPARDY: This ACA notice is only applicable to health plans that require designation of a PCP
What is the Patient Protection Notice?
The Employee Retirement Income Security Act (ERISA) is a federal law that sets minimum standards for health plans in private industry - it was enacted in this year
What is 1974?
DOUBLE JEOPARDY: This CAA disclosure could be requested by the DOL at any time - comparative analysis of design and application of NQTLs is required upon request
What is the Mental Health Parity and Addiction Equity Act Disclosure?
This notice is required if an employer decides not to offer COBRA when an employee is terminated due to gross misconduct
What is the Notice of Unavailability of COBRA?
This disclosure is only applicable to health plans that provide coverage for adult children who are 26 or older and use student status to determine eligibility
What is Michelle's Law Disclosure?