Legislation
There is much changing in the health care industry both on the state and federal level. Dean Health Plan is staying on top of these changes and how they will effect you and your employees.
Health Care Reform
In March of 2010 the Patient Protection and Affordable Care Act was passed and signed into law by President Obama. Below are the key provisions impacting health plans and how it may affect your group coverage in the immediate term. We appreciate your patience as we work to evaluate and implement these provisions. Please visit this site regularly as we will continue to update as more details become known.
Compliance
Learn how recent legislative changes may impact your employees' coverage benefits and your responsibilities.
Preventive Services
The following list reflects the preventive services covered under the Affordable Care Act in the 2012 benefit year and is consistent with the Federal mandates found here. This indicates the services covered in full without being applied to co-insurance. This applies only when services are delivered by a network provider.
American Recovery & Reinvestment Act (COBRA)
The American Recovery and Reinvestment Act of 2009 (ARRA) provides premium reductions and additional election opportuntiies for health benefitsunder the Consolidated Omnibus Budget Reconciliation Act of 1985, commonly called COBRA (applicable to employers with 20 or more employees).
Childrens Health Insurance Program Reauthorization Act (CHIPRA)
The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 was one of the first pieces of legislation passed by the 111th Congress and signed by President Obama on February 4, 2009. The Act extends and expands the State Children's Health Insurance Program (now referred to as CHIP, not SCHIP) which was enacted a decade ago as part of the Balanced Budget Act of 1997 (BBA).
CMS Creditable Coverage Notice
In January 2006 the Centers for Medicare and Medicaid Services (CMS) implemented rules and that require employers who offer prescription coverage to provide notification to their enrollees whether the coverage is creditable. Creditable Coverage is prescription drug coverage that is, on average, equal to or better than the basic Medicare Part D Coverage.
