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Reform Resources

 


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Health Reform Meets Mainstreet (an animated video)

Health Insurance Exchanges
What Are Health Insurance Exchanges - PDF
A Profile of Health Insurance Exchange Enrollees - PDF
HHS and States Move to Establish Affordable Insurance Exchanges

Cost Impact of Health Care Reform in 2010 Aetna - PDF

Federal Register
Federal Register/PPACA Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status
as a Grandfathered Health Plan Under the Patient Protection and Affordable Care Act
Department of Health and Human Services links: HHS Regulations and Guidance - including Dependent Extension, Early Retiree Reinsurance Program, Medical Loss Ratio (MLR) HHS final rule on MLR requirements for issuers
Medical Loss Ratio Technical Release on Fiduciary Requirements for Handling Medical Loss Ratio (MLR) Rebates HHS final rule on MLR requirements for issuers News Release Fact Sheet Regulations and Guidance Summary of MLR Provisions IRS links: IRS Reform Webpage  -Including W-2 Reporting IRS Affordable Care Act of 2010: News Releases, Multimedia and Legal Guidance Over the Counter Drugs and Medicines: Text of IR-2010-95 Text of Rev. Rul. 2010-23 - PDF Text of Notice 2010-59 - PDF Small Group Tax Credit: Small Business Healthcare Tax Credit Webinar Small Group Tax Credit Information Three Simple Steps Determine if a group may qualify for the Small Business Health Care Tax Credit - PDF Average Premium for Determining Tax Credit - PDF Congressional Research Service—Summary of Tax Credit with helpful chart - PDF Department of Labor links: Department of Labor (DOL) Reform webpage Technical Release on Fiduciary Requirements for Handling Medical Loss Ratio (MLR) Rebates HHS final rule on MLR requirements for issuers EBSA- Employee Benefit Security Administration External Claims Appeals Guidance for External Review for Group Health Plans and Health Insurance Issuers Offering Group and Individual
Health Coverage, and Guidance for States on State External Review Processes
Preventive Services DOL Coverage of Preventive Services Regulation DOL Coverage of Preventive Services Fact Sheet DOL Coverage of Preventive Services Recommended Preventive Services DOL Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient Protections: Fact Sheet Patient Protection Model Notice Lifetime Limits Model Notice Dependent Extension DOL Dependent Extension Fact Sheet DOL Dependent Extension Regulation DOL Dependent Extension Frequently Asked Questions DOL Dependent Extension IRS Guidance - PDF Grandfathering DOL Grandfathered Health Plans Fact Sheet DOL Grandfathered Health Plans Regulation DOL Grandfathered Health Plans Frequently Asked Questions
DOL Grandfathered Health Plans Table - PDF DOL Grandfathered Health Plans Model Notice Early Retiree Reinsurance Program Click here to visit the ERRP website Other Informative links: Aetna Health Reform Connection Blue Shield and Health Reform / Reform Timeline UnitedHealthcare Reform Resource Center  -Lifetime/Annual Limits Video (click here)  -Grandfathering Video (click here)  -Appeals Video (click here) Health and Human Services (HHS) Web Portal Healthcare.gov New California Recission Regulations (7-16-2010) - PDF PCIP - Pre-existing Condition Insurance Plan - Temporary High Risk Pool PCIP-MRMIB Handbook - PDF Kaiser Family Foundation Reform Website Summary of Coverage Provisions (Kaiser Family Foundation) - PDF Reform Timeline Chart (Kaiser Family Foundation) Robert Wood Johnson Foundation National Association of Insurance Commissioners (NAIC) Website MLR Rebate Formula Draft - PDF (Large file - may take a minute to load) American Health Insurance Plans (AHIP) White Paper Towards A Successful California Health Exchange - PDF The Alan Katz Healthcare Reform Blog