Sentences with phrase «of your group health plan under»

See 29 U.S.C. 1002 (l)(definition of «employee welfare benefit plan,» which is the core of the definition of group health plan under both ERISA and the PHS Act); 29 U.S.C. 100217)(definition of participant); 29 U.S.C. 1193 (a)(definition of «group health plan,» which is identical to that in section 2791 (a) of the PHS Act).

If you have recently left your job, you may be eligible for continuation of your group health plan under COBRA.

Not exact matches

Bill Hammond, with the fiscal watchdog group the Empire Center, agrees that the state stands to lose billions of dollars under the Senate's health care plan.

Sebelius drew criticism from health groups in 2011 when she overruled a Food and Drug Administration plan to allow over-the-counter sales of Plan B, the morning - after pill, to girls under 17 years plan to allow over-the-counter sales of Plan B, the morning - after pill, to girls under 17 years Plan B, the morning - after pill, to girls under 17 years old.

This law provides employees and their families the right to remain temporarily covered under an employer's health insurance plan at the group rate after termination of employment, provided the individual takes over payment of premiums.

If an employee participates in multiple cafeteria plans offering health FSA's maintained by members of a controlled group or affiliated service group, the employee's total health FSA salary reduction contributions under all of the cafeteria plans are limited to $ 2,500.

The commenter stated that the clarifying language is needed given the «catchall» category of entities defined as «any other individual plan or group health plan, or combination thereof, that Start Printed Page 82578provides or pays for the cost of medical care,» and asserted that absent clarification there could be serious confusion as to whether property and casualty benefit providers are «health plans» under the rule.

We also note that under § 164.504 (f), a group health plan and a health insurance issuer that provides benefits with respect to a group health plan are permitted in certain circumstances to disclose summary health information to the plan sponsor for the purpose of obtaining premium bids.

In addition, group health plans that provide health benefits only through an insurance contract and do not create, maintain, or receive protected health information (except for summary information described below or information that merely states whether an individual is enrolled in or has been disenrolled from the plan) do not have to meet the notice requirements of § 164.520 or the administrative requirements of § 164.530, except for the documentation requirement in § 164.530 (j), because these requirements are satisfied by the issuer or HMO that is providing benefits under the group health plan.

Specifically, in order for a plan sponsor to obtain without authorization protected health information from a group health plan, health insurance issuer, or HMO, the documents under which the group health plan was established and is maintained must be amended to: (1) Describe the permitted uses and disclosures of protected health information by the plan sponsor (see above for further explanation); (2) specify that disclosure is permitted only upon receipt of a written certification that the plan documents have been amended; and (3) provide adequate firewalls.

Most group health plans are also regulated under the Employee Retirement Income Security Act of 1974 (ERISA).

Many dependents under group health plans have their own rights under this rule, and we do not assume that one member of a family has the authority to authorize uses or disclosures of the protected health information of other family members.

In order for the group health plan to disclose protected health information to a plan sponsor, the plan documents under which the plan was established and is maintained must be amended to: (1) Describe the permitted uses and disclosures of protected health information; (2) specify that disclosure is permitted only upon receipt of a certification from the plan sponsor that the plan documents have been amended and the plan sponsor has agreed to certain conditions regarding the use and disclosure of protected health information; and (3) provide adequate firewalls to: identify the employees or classes of employees who will have access to protected health information; restrict access solely to the employees identified and only for the functions performed on behalf of the group health plan; and provide a mechanism for resolving issues of noncompliance.

The group health plan is bound by the permitted uses and disclosures of the regulation, but may disclose protected health information to plan sponsors under certain circumstances.

Transmission of applicant or employee health information by the employer's management to the group health plan may be permitted under the ADA standards as the use of medical information for insurance purposes.

We do not interpret the definition of «payment» to include activities that involve the disclosure of protected health information by a covered entity, including a covered health care provider, to a plan sponsor for the purpose of obtaining payment under a group health plan maintained by such plan sponsor, or for the purpose of obtaining payment from a health insurance issuer or HMO with respect to a group health plan maintained by such plan sponsor, unless the plan sponsor is performing plan administration pursuant to § 164.504 (f).

The rule provides that summary information is information that summarizes claims history, claims expenses, or types of claims experienced by individuals for whom the plan sponsor has provided health benefits under a group health plan, provided that specified identifiers are not included.

Similarly, disclosure of such medical information by the group health plan, under the limited circumstances permitted by this privacy regulation, may involve use of the information for insurance purposes as broadly described in the ADA discussion above.

A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, that makes coverage available with respect to dependents is required to permit individuals described in paragraph (b)(2) of this section to be enrolled for coverage in a benefit package under the terms of the plan.

Under the ACA, all individual and small group plans have to cover a variety of services that are deemed essential health benefits, and all plans (including large group plans) have to cover at least 60 percent of average health care costs (this applies to a standard population; the percentage of costs covered for a given individual depends on the amount of health care the person needs over the course of the year).

These plans offer a more economical and a better solution for those who are already covered under the group health plan of their employer or hold an individually - purchased health policy, but want to increase their insurance coverage.

The Consolidated Omnibus Budget Reconciliation Act of 1996, known as COBRA, allows you to continue to buy coverage under your employer - provided group health plan.

Because minimum participation rates were designed to reduce the likelihood that a significant percentage of employees might wait to get coverage until they are sick, this policy objective would be met with respect to employees having any existing coverage, not just coverage under their employer's group health plan.

While COBRA maybe an available option for you or your family members under your former employer's group health insurance plan, you may have other individual health insurance options available to you during the General Open Enrollment Period or your Special Enrollment Period through the 1) Federal Health Exchange at www.healthcare.gov, or 2) outside of the federal health exchange with a local broker or health insurance plan, you may have other individual health insurance options available to you during the General Open Enrollment Period or your Special Enrollment Period through the 1) Federal Health Exchange at www.healthcare.gov, or 2) outside of the federal health exchange with a local broker or health insurance options available to you during the General Open Enrollment Period or your Special Enrollment Period through the 1) Federal Health Exchange at www.healthcare.gov, or 2) outside of the federal health exchange with a local broker or Health Exchange at www.healthcare.gov, or 2) outside of the federal health exchange with a local broker or health exchange with a local broker or agent.

With expanded access to association health plans, proposed by the Trump Administration in early 2018, small groups and self - employed individuals could obtain coverage under large group rules, which are much more relaxed than small group and individual market rules in terms of complying with the ACA.

Under HIPAA (the Health Insurance Portability and Accountability Act of 1996), employer - sponsored (group) plans were allowed to impose pre-existing condition exclusion periods if a new enrollee didn't have at least 12 months of creditable coverage (ie, had been uninsured prior to enrolling in the group plan) without gaps of 63 or more days (18 months of creditable coverage could be required if the person was enrolling in the group plan late, after his or her initial enrollment window had passed).

A group of ministers (GoM) meeting chaired by Home Minister Rajnath Singh Monday discussed a Rs 4,000 - crore annual expansion plan for the Rashtriya Swasthya Bima Yojana to cover 8 crore families under what is being tentatively called the National Health Protection Scheme.

This law provides employees and their families the right to remain temporarily covered under an employer's health insurance plan at the group rate after termination of employment, provided the individual takes over payment of premiums.

The tax free benefits are applicable for any form of life insurance made under worker's compensation insurance contracts, employer's group plans, endowment contracts, or accident and health insurance contracts.

However, if you enroll late in a group health plan (after you were hired and not during a regular or special enrollment period) under a self - insured group health plan, you may have a pre-existing condition exclusion period of up to 18 months.

It is the age group with which comes a major probability of contracting disabilities and ailments (Diabetes, Blood pressure, arthritis), which therefore makes an individual health plan for the family member (under consideration) of paramount importance.

Underwriting: Every person who applies for group health policy is accepted under the plan, irrespective of his age or health condition.

The insured person under a group health insurance plan can avail cashless medical treatment at the network hospitals of the insurance company.