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Health Care Reform Archive

This information is updated frequently and will continue to evolve. We will keep you posted of significant developments as they occur. If you have any questions on these materials, please contact Joel Kopperud at joel.kopperud@ciab.com.

Exchange Guidance
Information Warehouse

Adobe Icon  State Exchange Implementation Map (Updated July 18, 2014)
Adobe Icon State Medicaid Expansion Map (Updated July 18, 2014) 
Adobe Icon Navigator Laws (Updated July 18, 2014) 
Adobe Icon Navigator Rules Tracking (Updated July 18, 2014)  
Adobe IconHealth Insurance Marketplace Guidance (Updated May 06, 2013)  
 

FAQs: ACA Implementation
Updated Feb. 8, 2016

Download the complete FAQ document: Adobe Icon PDF    

 

Materials For Brokers

 
 
 

 Broker Exchange Registration Requirements   



 
 
 
 

Adobe IconCCIIO Guidance on the Role of Agents, Brokers, and Web-brokers 

Adobe IconProposed Collection: Patient Protection and Affordable Care Act; Agent/Broker
data collection in Federally Facilitated Health Insurance Exchanges


Adobe IconShared Responsibility Rule for Employers Regarding Health Coverage  

 Webinar: ACA Implementation: A Detailed Review of the Regulations Impacting Employers 

Adobe Icon Steptoe & Johnson Analysis on Market Stabilization and Multi-State Plan Rules (12.07.12) 

Supreme Court Opinion Updates 

Small Video image Webinar: Steptoe & Johnson analyze the Supreme Court decision (original 6.29.12) 

Adobe Icon View a detailed analysis from Steptoe & Johnson regarding the impact of the Supreme Court's ruling. 

Adobe Icon View the Supreme Court's complete opinion upholding the constitutionality of the PPACA. 

Member Yellow Alert: Alert: Supreme Court upholds the Patient Protection and Affordable Care Act (emailed 6.28.12) 

Adobe Icon HHS Guidance on State and Federally Facilitated Exchanges 

 Adobe Icon State Health Exchanges Under Construction: Getting Involved 

 HHS Announces CO-OP Grants, Clarifies Conflict of Interest Language 

Final Rule Issued on Uniform Summary of Benefits and Coverage Requirements 

Small Video image Webinar: Cigna Compensation Changes 

Adobe Icon UnitedHealthcare's Change to Broker/Service Provider Compensation 

Employer HCR Law Communication Mandate Delayed 

Council Submits Comments on Premium Tax Credits and Exchange Standards and Eligibility Determinations 

More Proposed Regulations Issued Regarding Health Insurance Exchanges 

Materials For Employers

Letter to Bipartisan Leaders on Protecting Affordable Coverage for Employers (PACE) Act  


Alliance Fight 40

     • Press Release
     • One Pager
     • Mission & Members
     • Myth vs. Fact
     • Studies 

Comment Letter on DOL Fiduciary Proposal 

Issues Concerning Expatriate Employees Under the Affordable Care Act 

 Adobe Icon  PPACA–Final IRS Mandate Rules 

   Adobe Icon Section 45R–Transition Relief with Respect to the Tax Credit for Employee Health 

Insurance Expenses of Certain Small Employers 

 2014 Participating Health Plans (QHPs) 

 INPUT NEEDED- Comments due on the IRS Obamacare Employer Reporting Rules 

 Adobe Icon  Final Rule on Subsidy Eligibility Determinations 

 Adobe Icon  Wellness Programs Final Rule 

  Adobe Icon  Minimum Value for Employer Sponsored Coverage Proposed Rule 

Adobe Icon  DC Exchange Letter to City Council 

Adobe Icon  Steptoe & Johnson Memo on IRS Employer Mandate Rules 

Adobe Icon Guidance on FTEs and Waiting Period 

Adobe Icon PPACA Transitional Reinsurance Fee Memo 

Guidance on Non-dollar Limits on EHB, Application of Annual and Lifetime Limits Rules 

Final Rule Issued on Uniform Summary of Benefits and Coverage Requirements 

New Info On Timing of Auto-Enrollment and Safe Harbor Provisions for Employer Mandate 

Obama Administration Offers Compromise on Contraceptive Requirements 

Employer HCR Law Communication Mandate Delayed  

Council Submits Comments on Premium Tax Credits and Exchange Standards and Eligibility Determinations  

Developments on PPACA-Mandated Benefits 

Treasury Provides More Details on Planned Safe Harbor for Plan Affordability Calculations Under Employer Mandate   

Powerpoint Icon Employee Notices Required by PPACA  

Adobe Icon Issues Regarding Expatriate Employees Under PPACA  

Adobe Icon Treatment of Noncitizens Under PPACA 

     

Legislative and Regulatory Intelligence

Sep 9, 2013   
 
 
Proposed Rule: Federal Employees Health Benefits Program: Members of Congress and Congressional Staff Adobe Icon 
Aug 28, 2013   
 
 
 IRS Proposed Rule for Healthcare Small BusinessTax Credit 
Aug 21, 2013   
 
 
 OPM Proposed Rule re: Congressional Staff Coverage and Potential Impact on Stand-Alone HRAs 
Jul 10, 2013   
 
 
 One Year Employer Mandate Delay: IRS Guidance 
Jul 8, 2013   
 
 
 Final Rule on Subsidy Eligibility DeterminationsAdobe Icon 
Sep 6, 2013   
 
 
 IRS:Information Reporting of Minimum Essential CoverageAdobe Icon 
Sep 6, 2013   
 
 
 IRS: Information Reporting by Applicable Large Employers on Health Insurance CoverageAdobe Icon 
Jul 15, 2013   
 
 
 PPACA: Navigators Final RuleAdobe Icon 
Jul 8, 2013   
 
 
 Final Rule on Subsidy Eligibility DeterminationsAdobe Icon 
Jun 13, 2013     Steptoe & Johnson Memo: Compliance of Wellness Programs With the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and Other Laws Adobe Icon 
Mar 13, 2013    Shared Responsibility Rule for Employers Regarding Health Coverage Adobe Icon 
Feb 28, 2013    Comments Due on the IRS Obamacare Employer Mandate RulesAdobe Icon 
Feb 26, 2013    Essential Health Benefits Final RuleAdobe Icon 
Jan 25, 2013   Council Comments on Proposed Rule for Nondiscriminatory Wellness Programs in Group Health Plans Adobe Icon 
Jan 2, 2013   Steptoe & Johnson Memo on IRS Employer Mandate Rules Adobe Icon 
Jan 1, 2013   Proposed Rule: Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges Adobe Icon 
Dec 26, 2012   Proposed Rule: Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation Adobe Icon 
Dec 21, 2012   Proposed Rule: Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate ReviewAdobe Icon 
Dec 21, 2012   Council Comments on Proposed Rule: Patient Protection and Affordable Care Act: HHS Notice of Benefit and Payment Parameters for 2014 Adobe Icon 
Dec 7, 2012   Steptoe & Johnson Analysis on Market Stabilization and Multi-State Plan Rules Adobe Icon 
Nov 30, 2012    Essential Health Benefits Proposed Rule Adobe Icon 
Nov 30, 2012    Wellness Programs Proposed RuleAdobe Icon 
Nov 24, 2012    Market & Rate Review Proposed RuleAdobe Icon 
Jul 16, 2012   Council Comments on the draft guideline revisions of the NAIC Stop Loss Model Act Adobe Icon 
May 16, 2012   HHS Guidance on State and Federally Facilitated Exchanges Adobe Icon 
May 15, 2012   Steptoe & Johnson Memo:
Analysis on Guidance on Enforcement of Summary of Benefits Requirements in First Year Adobe Icon
 
May 11, 2012   Council Comments on Establishment of Exchanges and QHPs and Exchange Standards for Employers Adobe Icon 
May 11, 2012   Steptoe & Johnson Memo:
HHS Rule for Issuers that Meet MLR Standard Adobe Icon
 
Mar 20, 2012   Steptoe & Johnson Memo: 
Further HHS proposals concerning contraceptives Adobe Icon
 
Mar 13, 2012   Final Rule to Govern Establishment and Operation of State Health Insurance Exchanges Adobe Icon 
Feb 28, 2012   HHS Announces CO-OP Grants, Clarifies Conflict of Interest Language 
Feb 28, 2012   Guidance on Non-dollar Limits on EHB, Application of Annual and Lifetime Limits Rules 
Feb 16, 2012   Final Rule Issued on Uniform Summary of Benefits and Coverage Requirements 
Feb 16, 2012   New Info On Timing of Auto-Enrollment and Safe Harbor Provisions for Employer Mandate 
Feb 16, 2012   Obama Administration Offers Compromise on Contraceptive Requirements 
Dec 13, 2011   Comments Concerning IRS Notice 2011-73, Health Coverage Affordability Safe Harbor for Employers Adobe Icon 
Nov 21, 2011   Employer HCR Law Communication Mandate Delayed 
Nov 1, 2011   Council Submits Comments on Premium Tax Credits and Exchange Standards and Eligibility Determinations  
Oct 26, 2011   CLASS Act Eliminated by Administration 
Oct 21, 2011   Notice of Proposed Rulemaking: Summary of Benefits and Coverage and the Uniform Glossary  Adobe Icon  
Oct 14, 2011   Developments on PPACA-Mandated Benefits 
Oct 14, 2011   Treasury Provides More Details on Planned Safe Harbor for Plan Affordability Calculations Under Employer Mandate  
Oct 14, 2011   HHS Issues Proposed Rule for Uniform Summary of Benefits and Coverage  
Oct 14, 2011   Guidance Issued on HRA Reimbursement 
Sep 28, 2011   Proposed Rule, Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans Adobe Icon  
Jul 12, 2011   Proposed Rule to Govern Establishment and Operation of State Health Insurance Exchanges Adobe Icon 
May 4, 2011   Internal Revenue Service (“IRS”) Opens Public Comment Period on Employer Mandate Issues Adobe Icon 
Mar 11, 2011   Request for Comments on Requirements Prohibiting Discrimination in Favor of Highly Compensated Individuals in Insured Group Health Plans Adobe Icon 
Jan 31, 2011   Request for Comments, Health Insurers Implementing Medical Loss Ratio (“MLR”) Requirements Under the Patient Protection and Affordable Care Act Adobe Icon 
Dec 17, 2010   Amendment to Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Plan Under the Patient Protection and Affordable Care ActAdobe Icon 
Nov 24, 2010   Medical Loss Ratio Rule Issued by U.S. Department of Health and Human Services Adobe Icon 
Nov 4, 2010   Nondiscrimination Comments on
Notice 2010-63
 Adobe Icon
 
Oct 13, 2010    Request for Comments Concerning Application of the Non-Discrimination Rule to New Insured Benefits Plans Adobe Icon 
Sep 27, 2010   The Council's Legislative Achievements Adobe Icon 
Sep 13, 2010     Request for Comments Concerning Establishment and Operation of Health Benefits ExchangesAdobe Icon 
Aug 27, 2010    Interim Final Rules; Requirements for Group Health Plans and Health Insurance Issuers Under the Patient Protection and Affordable Care Act Relating to Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protection Adobe Icon 
Aug 25, 2010    Additional Regulatory Guidance on Requirements Relating to Internal Claims and Appeals, and External Review Processes Adobe Icon 
Aug 16, 2010    Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Plan Under the Patient Protection and Affordable Care ActAdobe Icon 
May 14, 2010   Medical Loss Ratios; Request for Information Regarding Section 2718 of the Public Health Service Act Adobe Icon 

                        Resources
              

Nov 26, 2013  

 Self Insurance Protection Statement and Letter of Support Adobe Icon 

Nov 22, 2013  

 State Reactions to Obamacare Plan Renewal Proposal (MAP) Adobe Icon 

Nov 22, 2013  

 State Insurance Regulator Response to President Obama's Plan Renewal Adobe Icon 

Jul 2, 2013  

Proposed Rule: Minimum Value of Employer-Sponsored Plans and Other Rules Regarding the Health Insurance Premium Tax Credit Adobe Icon 

Apr 13, 2012  

The Health Care Blog by Mike Turpin 
A Council member, Turpin is EVP, USI Holdings Corporation.

Mar 9, 2012   Health Care Reform Survey 2011-12 Adobe Icon 
Mar 14, 2011   Lockton Health Reform Modeling Adobe Icon 
Oct 13, 2010   Additional FAQs on Health Care Reform Published by Federal Agencies Part 3 
Oct 13, 2010   Additional FAQs on Health Care Reform Published by Federal Agencies Part 2 
Oct 6, 2010   The Role of the Health Care Broker Consultant Adobe Icon 
Oct 6, 2010   Creating & Managing a Group Health Care Plan: A Simple Diagram Adobe Icon 
Sep 16, 2010   HHS Warns AHIP Not to Blame Premium Increases on PPACA 
Jul 28, 2010   Steptoe & Johnson Memo:
IFR Internal Claims Review / Appeals / External Review Process
 Adobe Icon 
Jul 16, 2010   Steptoe & Johnson Memo:
IFR on Preventative Services
 Adobe Icon 
Jun 30, 2010   HHS Recently Released Regulations & Guidance 
Jun 22, 2010   Steptoe & Johnson memo:
Annual Limits etc.
 Adobe Icon 
Jun 21, 2010   Steptoe & Johnson memo:
Grandfathering Rules - Opportunity to Comment on Interim Final Rules
 Adobe Icon 
Jun 14, 2010   Steptoe & Johnson memo:
Grandfathering Rules
Adobe Icon 
Jun 9, 2010   Steptoe & Johnson Memo:
Small Business Wellness Grant Program
 Adobe Icon 
May 11, 2010   Steptoe & Johnson memo: 
Extension of Dependent Coverage
 Adobe Icon 
May 5, 2010   Steptoe & Johnson memo:
Early Retiree Reinsurance Program
 Adobe Icon 
Apr 12, 2010   Implementation Timeline for Federal Health Care Reform Package  Adobe Icon 
Apr 12, 2010   Provisions of the Federal Health Care Package  Adobe Icon 
Apr 6, 2010   Tax and Revenue Provisions of the Federal Health Care Package  Adobe Icon 
Mar 23, 2010   Copy of the Entire Health Care Reform Bill Adobe Icon 
Jan 7, 2010   Steptoe & Johnson memo:
Reconciliation Bill
 Adobe Icon 


 
 
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