Senate Rejects Effort to Overturn Grandfathered Health Plans Regulations

On Wednesday, the Senate voted 40-59 to defeat a motion to begin debate on a resolution of disapproval (S.J. Res. 39) introduced on September 21 by Sen. Mike Enzi (R-WY) that sought to repeal the health care plan grandfathering regulations that exempt certain plans from having to comply with some of the new requirements imposed by the Patient Protection and Affordable Care Act (“Affordable Care Act”). A new internal and external claims review process and the prohibition on discrimination in favor of highly-compensated employees by fully-insured plans are among the requirements that apply to non-grandfathered health plans.  Continue reading this entry at Littler's Healthcare Employment Counsel.

Photo credit: MBPHOTO, Inc.

Long-Awaited "Grandfathered" Regulations Released: Top 11 Things to Know

Employers have anxiously awaited the release of the interim final rules (pdf) relating to “grandfathered” health care plans under the Patient Protection and Affordable Care Act (PPACA). The regulations have garnered a significant amount of controversy in the past couple of days, as a leaked draft version indicated that more than half of employer-sponsored plans would not qualify for the grandfathered status. Under PPACA, health plans that were implemented before the Act was signed into law on March 23rd are exempt from many, but not all, of the law's consumer protections. The regulations seek to clarify how plans may qualify for and/or lose the grandfathered status.  Continue reading this entry at Littler's Healthcare Employment Counsel blog. 

Photo credit:  MBPHOTO, INC.