(814) 808-6029 Dan.Aiello@lpl.com

DOL Sues Health Plan Alleging SPD and Wellness Program Failures

The DOL alleges the tobacco cessation wellness program sponsored by Macy’s did not meet the requirements of the wellness regulations to provide a nondiscriminatory wellness program for the years 2011 to present day. Briefly, the employer imposed a surcharge on an...

Update: Employer Penalty and 1094-C/1095-C Reporting

Applicable large employers (“ALEs”) may be resting easy, having had no notification from the IRS of 2015 or 2016 assessments under the Employer Shared Responsibility Provisions (the Employer Penalty) and having reasonably expected that the Republican-led...

California Limits Surprise Medical Bills

On September 23, 2016, Governor Brown signed Assembly Bill 72, California’s law prohibiting surprise medical bills from out-of-network providers operating at in-network facilities. The new law takes effect for plans renewed on or after July 1, 2017 and prohibits...

Mental Health Parity: FAQ 38

The Mental Health Parity and Addiction Equity Act (MHPAEA) applies to employers with at least 51 employees offering a group health plan that includes any mental health and substance use disorder (MH/SUD) benefits. MHPAEA also applies to non-grandfathered insured plans...

Republicans Delay a Vote on BCRA

It has been a busy week in Washington. The Congressional Budget Office released its report on the Better Care Reconciliation Act (“BCRA”), the Senate’s version of “repeal and replace” legislation. Unfortunately for Republican leadership, the report estimated that, if...