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	<title>Government, Courts, and the World of Work</title>
	<link>http://members.eanj.org/eanjblog</link>
	<description>Government, Courts, and the World of Work</description>
	<pubDate>Tue, 27 Jul 2010 18:19:16 +0000</pubDate>
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		<title>Health Reform Regulations Issued on Internal Claims Appeals and External Reviews</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/70</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/70#comments</comments>
		<pubDate>Mon, 26 Jul 2010 18:37:41 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/70</guid>
		<description><![CDATA[Three federal agencies have issued interim Final regulations requiring non-grandfathered health care plans to provide internal claims and appeals procedures and external review processes effective September 23, 2010.
Internal Claims Appeal
The interim final regulations set forth six new requirements
Adverse Benefit Determination. The definition of an &#8220;adverse benefit determination&#8221; is broader than the definition under existing ERISA [...]]]></description>
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		<title>Health Reform Rules Issued on Mandatory Prevention Benefits</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/69</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/69#comments</comments>
		<pubDate>Fri, 16 Jul 2010 20:56:31 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/69</guid>
		<description><![CDATA[On July 14, 2010, Interim Final Regulations implementing provisions of the Patient Protection and Affordable Care Act (the “Act”), concerning mandatory preventive health care benefits were issued by the U.S. Departments’ of Health and Human Services, Labor and Treasury.  Unless grandfathered (see earlier posts) all insured and self-insured health care plans will be required to offer these [...]]]></description>
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		</item>
		<item>
		<title>Health Care Consumer Protection Rules Issued</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/68</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/68#comments</comments>
		<pubDate>Fri, 25 Jun 2010 17:42:21 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/68</guid>
		<description><![CDATA[On June 21, 2010, Interim Final Regulations implementing major provisions of the Patient Protection and Affordable Care Act (the &#8220;Act&#8221;), including provisions relating to preexisting conditions, lifetime and annual limitations on benefits, rescissions on coverage, dollar limitations on benefits, and claims&#8217; appeals, were issued by the U.S. Departments&#8217; of Health and Human Services, Labor and [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/68/feed</wfw:commentRss>
		</item>
		<item>
		<title>HHS Issues Guidance on &#8220;Grandfathered&#8221; Health Care Plans</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/67</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/67#comments</comments>
		<pubDate>Mon, 14 Jun 2010 20:51:11 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/67</guid>
		<description><![CDATA[On June 14, 2010, guidance explaining how group health plans are &#8220;grandfathered&#8221; from some healthcare changes under the Patient Protection and Affordable Care Act and how grandfathered status may be lost was issued by the U.S. Departments Health and Human Services and Treasury.
A grandfathered health plan is an insured or self-insured health plan in existence [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/67/feed</wfw:commentRss>
		</item>
		<item>
		<title>Questions Arise About Automatic Enrollment</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/63</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/63#comments</comments>
		<pubDate>Fri, 11 Jun 2010 16:05:42 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/63</guid>
		<description><![CDATA[The Patient Protection and Affordable Care Act requires employers with 200 or more full-time employees to automatically enroll all new full-time employees in the firm&#8217;s group health care plan.  Current employees will be automatically re-enrolled.  Employees will be allowed to opt out, similar to how many employers enroll employees in a 401(k) plan.
Important questions have emerged.  [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/63/feed</wfw:commentRss>
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		<item>
		<title>Interim Final Rules Issued Covering Children Until Age 26</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/62</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/62#comments</comments>
		<pubDate>Mon, 10 May 2010 17:12:27 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/62</guid>
		<description><![CDATA[On May 10, 2010, the Internal Revenue Service, U.S. Department of Labor and the U.S. Department of Health and Human Services issued interim final rules for group health plans and health insurance issuers relating to dependent coverage of children to age 26 under the Patient Protection and Affordable Care Act (the &#8220;Act&#8221;).
The rules generally apply [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/62/feed</wfw:commentRss>
		</item>
		<item>
		<title>IRS Notice: Tax-Free Medical Coverage to Dependent Adult Children</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/61</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/61#comments</comments>
		<pubDate>Fri, 30 Apr 2010 19:03:25 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/61</guid>
		<description><![CDATA[
A Special Alert from Palmieri &#38; Eisenberg (P&#38;E):
 
On April 27, 2010, the IRS issued Notice 2010-38.  This Notice is the first round of guidance by the IRS under the new healthcare reform legislation, generally referred to as the Patient Protection and Affordable Care Act (“PPACA”).  
 
In the guidance the IRS explains that employers may provide [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/61/feed</wfw:commentRss>
		</item>
		<item>
		<title>Employer Health Care Reform Meeting</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/60</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/60#comments</comments>
		<pubDate>Mon, 12 Apr 2010 19:44:11 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Management and Leadership]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/60</guid>
		<description><![CDATA[EANJ&#8217;s Membership Meeting
May 19, 2010 (Wednesday)
9:00am - 12:00noon
Register (at least 24 hours in advance)
A New Era for Employers
Strategies for Affordable, Better Quality Health Care, Employee Wellness and Engagement
As national Health Care Reform continues to rile the economy, sky-rocketing health care costs, recession-weary employees and stressed out managers threaten business survival as the economy slowly picks [...]]]></description>
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		<item>
		<title>Health Care Reform - What&#8217;s Ahead This Year For New Jersey</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/59</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/59#comments</comments>
		<pubDate>Sun, 28 Mar 2010 20:49:34 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/59</guid>
		<description><![CDATA[Provisions of the Patient Protection and Affordable Care Act are phased in over a ten-year period but important reforms are required to be implemented before year-end.
The uninsured will receive access to coverage through high-risk pools if they are uninsured because of a pre-existing condition.  But the complexity of that task presents big challenges.
The federal risk [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/59/feed</wfw:commentRss>
		</item>
		<item>
		<title>What Health Care Reform Means to Employers</title>
		<link>http://members.eanj.org/eanjblog/index.php/archives/58</link>
		<comments>http://members.eanj.org/eanjblog/index.php/archives/58#comments</comments>
		<pubDate>Fri, 19 Mar 2010 19:28:32 +0000</pubDate>
		<dc:creator>John Sarno</dc:creator>
		
		<category><![CDATA[Legislation]]></category>

		<guid isPermaLink="false">http://members.eanj.org/eanjblog/index.php/archives/58</guid>
		<description><![CDATA[One more impressive step has been taken toward health care insurance reform in the United States.  The requirements of the monumental bill will be phased in over several years and tens of thousands of pages of regulations will be issued over time.  For the time being,  EANJ summaries the major points of interest and responsibility [...]]]></description>
		<wfw:commentRss>http://members.eanj.org/eanjblog/index.php/archives/58/feed</wfw:commentRss>
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