Over the past few years, the Departments of Labor, Treasury, and Health and Human Services have worked together on numerous Affordable Care Act Implementation FAQs to help clarify various provisions of the health reform legislation.
This set of FAQs addresses coverage of preventive services under the Affordable Care Act and the Mental Health Parity and Addiction Equity Act.
This set of FAQs addresses premium reduction arrangements for student health plan coverage.
This set of FAQs addresses notice of coverage options – COBRA and the Health Insurance Marketplace.
This set of FAQs addresses coverage of preventive services, rescissions, out-of-network emergency services, coverage for individuals participating in approved clinical trials, limitations on cost-sharing under the Affordable Care Act, the Mental Health Parity and Addiction Equity Act and the Women’s Health and Cancer Rights Act.
This set of FAQs addresses the summary of benefits and coverage (SBC).
This set of FAQs addresses coverage of preventive services, wellness programs, and the Mental Health Parity and Addiction Equity Act of 2008.
This set of FAQs addresses transparency reporting for non-QHP issuers and non-grandfathered group health plans.
This set of FAQs addresses limitations on cost sharing and provider non-discrimination.
This set of FAQs addresses coverage of preventive services.
This set of FAQs addresses the wellness program requirements.
This set of FAQs addresses proposed changes to the SBC regulations, as well as a new SBC template and associated documents.
This set of FAQs addresses excepted benefits.
This set of FAQs addresses compliance of premium reimbursement arrangements.
This set of FAQs addresses limitations on cost-sharing under the ACA.
This set of FAQs addresses coverage of preventive services.
This set of FAQs addresses updated DOL model notices, limitations on cost-sharing, coverage of preventive services, health FSA carryover and excepted benefits, and the Summary of Benefits and Coverage requirements of PHS Act §2715. (Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV and some of the guidance in FAQs Parts VIII, IX, X, and XIV has been superseded by guidance contained in FAQs Part XIX.)
This set of FAQs addresses coverage of preventive services, limitations on cost-sharing, expatriate health plans, wellness programs, fixed indemnity insurance, and the Mental Health Parity and Addiction Equity Act of 2008.
This set of FAQs addresses the implementation of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), as amended by the Affordable Care Act.
This set of FAQs addresses the employer notice of coverage options and the 90-day waiting period limitation.
This set of FAQs addresses annual limit waiver expiration date based on a change to a plan or policy year, provider non-discrimination, coverage for individuals participating in approved clinical trials and transparency reporting.
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715. (*Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV and some of the guidance in FAQs Parts VIII, IX, X, and XIV has been superseded by guidance contained in FAQs Part XIX.)
This set of FAQs addresses expatriate health plans.
This set of FAQs addresses preventive services and limitations on cost-sharing under the ACA.
This set of FAQs addresses the employer notice of coverage options, health reimbursement arrangements, disclosure of information related to firearms, employer group waiver plans supplementing Medicare Part D, fixed indemnity insurance and payment of PCORI fees.
This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715. (Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV and some of the guidance in FAQs Parts VIII, IX, X, and XIV has been superseded by guidance contained in FAQs Part XIX.)
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715. (Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV and some of the guidance in FAQs Parts VIII, IX, X, and XIV has been superseded by guidance contained in FAQs Part XIX.)
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715. (Note: Some of the guidance in FAQs Parts VIII, IX, and X has been superseded by guidance contained in FAQs Part XIV and some of the guidance in FAQs Parts VIII, IX, X, and XIV has been superseded by guidance contained in FAQs Part XIX.)
This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
This set of FAQs addresses grandfathered health plans.
This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
This set of FAQs addresses grandfathered health plans.
This set of FAQs addresses the exemption for group health plans with less than two current employees.
This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.