October 22, 2018

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Do the HIPAA Privacy and Security Rules Apply to My Organization?

This article is the first in a two-part series addressing whether and how the Privacy and Security Rules (the “Rules”) under the Health Insurance Portability and Accountability Act (HIPAA with one P and two As, always) apply to various legal entities. This article addresses Covered Entities. Part two will address Business Associates. What’s a Covered […]

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October 18, 2018

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Slope it. Shore it. Shield it.

OSHA issued a press release announcing that it has updated the National Emphasis Program (NEP) on preventing trenching and excavation collapses in response to a recent spike in trenching fatalities.  The NEP will increase education and enforcement efforts.  The program began on October 1, 2018 with a three-month period of education and prevention outreach.  During […]

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September 21, 2018

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Annual Creditable Coverage Notice Deadline Approaches

The annual deadline for the Creditable Coverage notice is arriving once again. The Centers for Medicare and Medicaid Services (CMS) requires employers offering prescription drug coverage to disclose to all Medicare Part D eligible individuals the creditable status of their plan by October 15th each year. Employers may use the model notices available here on […]

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September 21, 2018

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September is Fruits & Veggies – More Matters Month

Most Americans know the importance of eating fruits and vegetables, but most still aren’t getting the daily recommended servings. The minimum requirement is 5 cups of fruits and vegetables a day. A cup is equal to one tennis ball-size piece of fruit or one cup of cooked or raw vegetables. Most individuals need to do […]

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September 17, 2018

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Navigating the Wellness Program Rules for 2019

What a difference a year can make. Dealing with the various and differing wellness program requirements under HIPAA, the ADA, and GINA remains challenging, but we finally had a regulatory framework to work with for all three laws in 2017 and 2018. That was apparently too easy as a federal court determined that the Equal […]

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August 8, 2018

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Federal Agencies Release Final Regulations for Short-Term Limited Duration Insurance Coverage

The Departments of Labor, Health and Human Services, and Treasury recently released final regulations for short-term limited duration insurance policies (STLDI) that make several changes to the existing STLDI rules and also affect how these policies interact with other laws.  The final regulations become effective this Fall.  STLDI coverage is intended to provide individuals who […]

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August 1, 2018

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Artificial Intelligence is Disrupting the Insurance Industry

What exactly is artificial intelligence? According to IBM, who has been doing research on the topic since the 1950s, artificial intelligence (AI) is simply “anything that makes machines act more intelligently”.­ This can be broken down further into two groups: applied or general. Applied AI is capable of doing only those tasks it has been […]

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July 25, 2018

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What do the DOL’s new AHP rules actually mean?

President Trump signed an Executive Order on October 12, 2017 directing the U.S. Department of Labor to consider ways to make it easier to form an Association Health Plan by expanding existing membership rules. After issuing proposed regulations in early 2018 and considering public comments, the DOL issued a set of final regulations intended to […]

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July 24, 2018

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Wellness to Wellbeing: Is it time for a change to your program?

Workplace wellness programs have definitely grown in the past 20 years. While the focus in the past was on wellness programs that addressed the physical health of employees, an important shift has taken place. Employers are shifting their focus and addressing the whole person, not just the physical health of an individual. Wellness programs are […]

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July 9, 2018

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Staying Hydrated

When temperatures rise, we know that drinking water can be life-saving. But how much water do we really need every day? Well, the answer can be a bit complicated. Water has many roles including transporting nutrients, removing waste, regulating body temperature and keeping our cellular level working properly. But the amount of water we need […]

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June 29, 2018

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The DOL’s new Association Health Plan Rules and What They Actually Mean

The President signed an Executive Order on October 12, 2017, directing the U.S. Department of Labor (DOL) to consider ways to make it easier to form an Association Health Plan (AHP) by expanding existing membership rules.  After issuing proposed regulations in early 2018 and considering public comments, the DOL issued a set of final regulations […]

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June 20, 2018

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PCORI Fee Deadline Approaches

The annual Patient Centered Outcomes Research Institute (PCORI) fee is due by July 31, 2018. The fee was created by the Affordable Care Act to help fund the nonprofit Patient-Centered Outcomes Research Institute which supports clinical effectiveness research. Typically only employers with self-funded health plans, including health reimbursement arrangements (HRAs), must calculate and pay the […]

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