Employee Benefits Update: Health Care Reform Medical Loss Ratios, Rate Programs, Fees, CO-OPs, and Age 26

Here is your latest Employee Benefits Update from Cindy Van Bogaert, Boardman Law Firm LLP. This Employee Benefits Update provides information on Health Care Reform developments involving medical loss ratios, fees to fund research, various insurance rate programs, CO-OP program, and age 26 health benefits in Wisconsin.

The government issued additional Health Care Reform guidance over the past months. Some of the guidance includes:

What should employers do?

  1. Consult with experienced ERISA counsel regarding steps should you receive a medical loss ratio rebate. Review documentation for possible amendment prior to receiving a rebate.
  2. Address Wisconsin age 26 children coverage changes and consider effective dates for your plans. Evaluate the differences between the Federal and Wisconsin rules as may apply to your plans.
  3. Watch for more guidance on plan fees for Patient-Centered Outcomes Research.
  4. Monitor Health Care Reform developments and consider alternatives for 2014.

Please contact me if I can be of assistance.

This update is not legal advice. Individuals should seek advice based on their particular circumstances from their own counsel.