Posts by Brandon Long

ACA reporting deadline extended — but employers should stay focused to avoid penalties

About a month ago, and just months before the reporting deadlines required under the Affordable Care Act (ACA) were set to go into effect, the Internal Revenue Service gave us all a late Christmas present and announced that it would extend the deadlines. Under the ACA, health insurers, self-insured employers, government agencies and other providers of minimum…

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Supreme Court upholds Affordable Care Act once again

This morning, the U.S. Supreme Court issued its long-awaited opinion in King v. Burwell and upheld the Affordable Care Act once again. In a 6-3 opinion written by Chief Justice John Roberts, the court held that tax credits are available for health coverage purchased through a federal exchange, like the one in Oklahoma. The ACA…

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The skinny on narrow networks

The insurance exchanges created under Affordable Care Act have facilitated increased competition. Old version managed care models implemented cost-savings measures like pre-authorizations for medical care, hospital length of stay restrictions, determinations of medical necessity for coverage, second opinions for surgery, exclusions of procedures or services, cost-shifting using higher deductibles and co-payments, and caps on coverage.

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ERISA = Every Ridiculous Idea Since Adam

It is rumored that President Reagan once referred to the Employee Retirement Income Security Act of 1974 (ERISA) as Every Ridiculous Idea Since Adam. ERISA serves important purposes in our society, but it also presents tremendous challenges and potential liabilities for good-intentioned employers who merely want to provide nice benefits to their employees.

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EMPLOYEE BENEFITS LAW UPDATE » Post-DOMA, IRS and CMS issue further guidance regarding same-sex spouses

Last September, three months after the U.S. Supreme Court issued its landmark decision in United States v. Windsor, the IRS issued some much-anticipated guidance regarding the treatment of same-sex spouses. For employers who sponsor qualified retirement plans (e.g., a 401(k) plan), one of the most significant ramifications was the requirement that such plans recognize a…

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