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Introduction to Health Care Reform
WebHealth Care Reform. The Affordable Care Act (ACA), also known as Health Care Reform, has implemented sweeping changes that impact employer-sponsored group health plans.
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Worker Safety & Health and Wellness
WebSafety & Wellness . This section covers a variety of key aspects related to employee safety and wellness. The first major area of information covers the Occupational Safety and Health Act of 1970.. Congress created the Occupational Safety and Health Administration (OSHA) to ensure safe and healthful working conditions for working men and women by setting …
Mandated Benefits
WebThese benefits may include required coverage for specific health care services, treatments, practices, and providers. Some mandated benefits apply only to group policies, while others apply both to individual and group policies. A list of each state's mandated benefits is available from the U.S. Centers for Medicare & Medicaid Services.
Employee Benefits Benchmarking
WebThe 'Employee Benefits Benchmarking' tool provides detailed information about access to and participation in various benefits, broken out by worker and industry characteristics. The data is presented as the percentage of employees who have access to or participate in certain benefits or as average benefit provisions – for example, the average
Summary Plan Descriptions (SPDs)
WebSummary Plan Descriptions (SPDs) The summary plan description or SPD is an important written document that a plan administrator must provide automatically and free of charge to participants of an ERISA-covered health benefit plan. The SPD provides information on when an employee can begin to participate in the plan, how service and benefits are …
Certification of Health Care Provider for Family Member’s Serious
WebThe FMLA provides that an employer may require an employee seeking FMLA leave to care for a covered family member with a serious health condition to submit a medical certification issued by the health care provider of the covered family member.
Pay or Play (Employer Shared Responsibility) Rules
WebPay or Play (Employer Shared Responsibility) Rules. The employer shared responsibility rules (also known as the pay or play rules) require applicable large employers (ALEs)—generally, those with at least 50 full-time employees, including full-time equivalent employees—to offer affordable health insurance that provides a minimum level of …
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