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25 documents · 0.06sAllIRCERISAPBGCJoint Board
  1. ERISA § 716(d) (29 U.S.C. § 1185e) — Preventing surprise medical bills
    ERISACode / StatuteJan 6, 2025related by meaning
    (d) (d) Certain access fees to certain databases In the case of a sponsor of a group health plan or health insurance issuer offering group health insurance coverage that, pursuant to subsection (a)(3)(E)(iii), uses a database described in such subsection to determine a rate to apply under such subsection for an item or…
  2. ERISA § 712(a)(7)(C)(ix) (29 U.S.C. § 1185a) — Parity in mental health and substance use disorder benefits
    ERISACode / StatuteJan 6, 2025related by meaning
    (a)(7)(C)(ix) (ix) additional illustrative examples of methods, processes, strategies, evidentiary standards, and other factors for which the Secretary determines that additional guidance is necessary to improve compliance with this section, section 300gg–26 of title 42, or section 9812 of title 26, as applicable. (a)(…
  3. 91 FR 4348 — Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure
    ERISAProposed Rules (FR)Proposed Jan 30, 2026★ strong match
    …& Dana P. Goldman, Overpaying for Prescription Drugs: The Copay Clawback, (2018), https://schaeffer.usc.edu/​research/​overpaying-for-prescription-drugs/​.) Back to Citation 183.  Megan Thompson (2018), W hy a Patient Paid a $285 Copay for a $40 Drug, https://www.pbs.org/​newshour/​health/​why-a-patient-paid-a-285-copa…
  4. ERISA § 717(b)(5)(C)(iii) (29 U.S.C. § 1185f) — Ending surprise air ambulance bills
    ERISACode / StatuteJan 6, 2025related by meaning
    (b)(5)(C)(iii) (iii) Prohibition on consideration of certain factors In determining which offer is the payment amount to be applied with respect to qualified IDR air ambulance services furnished by a provider, the certified IDR entity with respect to such determination shall not consider usual and customary charges, th…
  5. TR 2023-01P — Technical Release 2023-01P
    ERISADOL Technical ReleasesJul 25, 2023related by meaning
    lliman.com/-/media/milliman/importedfiles/ektron/addictionandmentalhealthvsphysicalhealthwideningdisparitiesinnetworkuseandproviderreimbursement.ashx. Proposed 26 CFR 54.9812-1(c)(4)(iv)(C), 29 CFR 2590.712(c)(4)(iv)(C), and 45 CFR 146.136(c)(4)(iv)(C). Any change that enhances access to covered MH/SUD services and/or …
  6. 81 FR 43430 — Department of Labor Federal Civil Penalties Inflation Adjustment Act Catch-Up Adjustments
    ERISAFinal Rules (FR)Jul 1, 2016related by meaning
    4301(c)(2) of the Omnibus Budget Reconciliation Act of 1993, Pub. L. 103-66, 107 Stat. 312 August 10, 1993.10 29 U.S.C. § 1132(c)(5)/ERISA § 502(c)(5) Section 101(e)(2) of the Health Insurance and Portability and Accountability Act of 1996, Pub. L. 104-91, 110 Stat. 1936 August 21, 1996. 29 U.S.C. § 1132(c)(6)/ERISA § …
  7. 91 FR 46602 — Electronic Disclosure by Group Health Plans Under ERISA
    ERISAProposed Rules (FR)Proposed Jul 23, 2026related by meaning
    ished by nonparticipating providers at participating health care facilities, where an All-Payer Model Agreement or specified state law does not apply. Section 105 of the NSA created Code section 9817, ERISA section 717, and PHS Act section 2799A-2, which contain limitations on cost sharing and requirements for initial …
  8. 91 FR 9213 — Requirement To Provide Paper Statements in Certain Cases-Amendments to Electronic Disclosure Safe Harbors
    ERISAProposed Rules (FR)Proposed Feb 25, 2026
    … a result, DB Beneficiaries will not be included in calculations discussing “beneficiaries”. See 29 USC 1025 for more information. 3  Bureau of Labor Statistics, Job Opening and Labor Turnover. Table A, Total Private. February 2025. Most recent release can be found here: https://www.bls.gov/​news.release/​pdf/​jolts.pd…
  9. ERISA § 720(c)(1)(B) (29 U.S.C. § 1185i) — Protecting patients and improving the accuracy of provider directory information
    ERISACode / StatuteJan 6, 2025related by meaning
    (c)(1)(B) (B) if provided for under applicable State law, any other requirements on providers and facilities regarding the amounts such providers and facilities may, with respect to an item or service, charge a participant or beneficiary of such plan or coverage with respect to which such a provider or facility does no…
  10. 84 FR 37545 — "Open MEPs" and Other Issues Under Section 3(5) of the Employee Retirement Income Security Act
    ERISAProposed Rules (FR)Proposed Jul 31, 2019
    …e)(3)(C)), all employees of such corporations shall be treated as employed by a single employer. 29 USC 1060(c). Back to Citation [FR Doc. 2019-16072 Filed 7-29-19; 8:45 am] BILLING CODE 4510-29-P
  11. 91 FR 10033 — Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure; Extension of Comment Period
    ERISAProposed Rules (FR)Proposed Mar 2, 2026related by meaning
    lower-prescription-drug-prices/​. Back to Citation 3.  Consolidated Appropriations Act, 2026, Division J, Title VII, section 6702. Back to Citation 4.  See ERISA section 408(b)(2)(B)(iii) (“A covered service provider shall disclose to a responsible plan fiduciary, in writing, the following (in accordance with regulatio…
  12. ERISA § 723(a)(4) (29 U.S.C. § 1185m) — Increasing transparency by removing gag clauses on price and quality information
    ERISACode / StatuteJan 6, 2025related by meaning
    (a)(4) (4) Rules of construction Nothing in this section shall be construed to modify or eliminate existing privacy protections and standards under State and Federal law. Nothing in this subsection shall be construed to otherwise limit access by a group health plan, plan sponsor, or health insurance issuer to data as p…
  13. TR 2012-01 — Technical Release 2012-01
    ERISADOL Technical ReleasesFeb 9, 2012related by meaning
    mployer shared responsibility provisions under Code section 4980H and the 90-day waiting period limitation under PHS Act section 2708 are coordinated? A3. Yes. Treasury and the IRS intend to issue proposed regulations or other guidance under Code section 4980H (which imposes shared responsibility on large employers wit…
  14. TR 2013-04 — Technical Release 2013-04
    ERISADOL Technical ReleasesSep 18, 2013related by meaning
    Insurance Portability and Accountability Act (HIPAA), which has parallel provisions in ERISA, the Code and the Public Health Service Act. HIPAA § 104. The Departments operate under a Memorandum of Understanding that implements section 104 of HIPAA, and subsequent amendments, and provides that requirements over which tw…
  15. 81 FR 92639 — Savings Arrangements Established by Qualified State Political Subdivisions for Non-Governmental Employees
    ERISAFinal Rules (FR)Dec 20, 2016related by meaning
    income to its employees, or results in a deferral of income by its employees for periods extending to the termination of covered employment or beyond. (5) For purposes of paragraph (h)(1)(iii) of this section, amounts withheld from an employee's wages by the employer are deemed to be transmitted promptly if such amount…
  16. 82 FR 55507 — Extension of Certain Time Frames for Employee Benefit Plans, Participants, and Beneficiaries Affected by Hurricane Maria
    ERISAFinal Rules (FR)Nov 22, 2017related by meaning
    in accordance with the terms of the plan solely as a result of complying with the postponement of a deadline under those sections. Back to Citation 2.  Section 104 of Title I of Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that the Secretaries of Labor, the Treasury, and Health and Human…
  17. TR 2013-03 — Technical Release 2013-03
    ERISADOL Technical ReleasesSep 13, 2013related by meaning
    curs in the application of the laws under its jurisdiction as set forth in this Technical Release. II. Background A. Health Reimbursement Arrangements An HRA is an arrangement that is funded solely by an employer and that reimburses an employee for medical care expenses (as defined under Code § 213(d)) incurred by the …
  18. 82 FR 5373 — Department of Labor Federal Civil Penalties Inflation Adjustment Act Annual Adjustments for 2017
    ERISAFinal Rules (FR)Jan 18, 2017related by meaning
    re to file annual report for Multiple Employer Welfare Arrangements (MEWAs) 29 CFR 2575.2(d) 1,502 1,527. EBSA Employee Retirement Income Security Act Section 502(c)(6)—Per day for each failure to provide Secretary of Labor requested documentation not to exceed a per-request maximum 29 CFR 2575.2(e) 147 per day, not to…
  19. ERISA § 803 (29 U.S.C. § 1193b) — Reporting and disclosure requirements
    ERISACode / StatuteJan 6, 2025related by meaning
    The Secretary shall— (1) (1) prescribe such regulations as may be necessary to address reporting and disclosure requirements for pension-linked emergency savings accounts; and (2) (2) seek to prevent unnecessary reporting and disclosure for such accounts under this chapter, including for purposes of any reporting or di…
  20. ERISA § 735(d) (29 U.S.C. § 1191d) — Standardized reporting format
    ERISACode / StatuteJan 13, 2021related by meaning
    (d) (d) Authorization of appropriations To carry out this section, there are authorized to be appropriated $5,000,000 for fiscal year 2021, to remain available until expended or, if sooner, until the date described in subsection (e).