Moody s Nonprofit Hospital Medians

Size: px
Start display at page:

Download "Moody s Nonprofit Hospital Medians"

Transcription

1 Moody s Nonprofit Hospital Medians Category FY 2011 FY 2012 Operating margin 2.7 percent 2.5 percent Excess margin 5.1 percent 5.2 percent Operating cash flow margin 9.9 percent 9.5 percent Cash on hand days days Return on assets 4.5 percent 4.3 percent Annual debt service coverage 4.5x 4.6x Maximum annual debt service coverage 4.2x 4.3x Current ratio 1.9x 1.9x Cushion ratio 15.5x 16.2x Cash-to-debt ratio percent percent Accounts receivable 45 days 49.9 days Average payment period 59.3 days 64.3 days Debt-to-capitalization ratio 39.4 percent 38.9 percent Debt-to-cash flow 3.4x 3.4x Average age of plant 10.5 years 10.6 years Capital spending ratio 1.2x 1.2x Debt-to-total revenue 38 percent 37.6 percent Three-year operating revenue CAGR (*) 5.4 percent 5.1 percent Average length of stay 4.7 days 4.6 days Maintained bed occupancy 65.2 percent 63.5 percent Medicare case mix index (*) Compound Annual Growth Rate 031

2 Cash Budgeting The following example illustrates how a small hospital would determine its cash needs during budgeting, assuming the following financial information: Beginning cash balance $4,500,000 Desired ending cash balance $2,000,000 Gross patient service revenue $100,000,000 Contractual discount percentage 35% Non-operating income (interest & dividends) 1,000,000 Transfer from hospital foundation for new ED unit $3,000,000 Construction of new ED unit $13,000,000 New diagnostic equipment for the new ED unit $2,000,000 Sale of old equipment $400,000 Principal payments $1,500,000 Interest payments $800,000 Total expenses $62,000,000 Depreciation and amortization $4,000,000 Sources of cash: Drawdown of cash 2,500,000 4,500,000 2,000,000 The drawdown frees cash for spending. Income from operations +3,000,000 Net patient service revenue(100,000,000 x (1 -.35)) less 62,000,000 total expenses Depreciation & +4,000,000 Depreciation & amortization are expenses that don t use cash. amortization Non-operating income +1,000,000 Assumes that all non-operating income comes from interest and dividends and none from unrealized gains and losses on trading securities. Recall from the financial statement in case study 1 that unrealized gains and losses on trading securities are included in net income and unrealized gains and losses on other than trading securities are excluded from net income and treated as a change in unrestricted net assets. Gift from hospital + 3,000,000 foundation Sale of old equipment + 400,000 Total sources 13,900,000 Less: Uses of cash Construction of new ED 13,000,000 New diagnostic +2,000,000 equipment Principal payments +1,500,000 Total uses 16,500,000 Cash needed 2,600,

3 Breakeven or Cost-Volume-Profit (CVP) Analysis Breakeven or Cost-Volume-Profit (CVP) analysis provides management with profitability estimates. Profit is a function of sales, variable costs, and fixed costs: Sales Variable Costs Fixed Costs = Profit. Breakeven: Number of units where revenue, less variable costs, covers fixed costs and profit is zero. Contribution margin (CM): Amount of revenue after meeting variable costs (CM = Rev VC). Less: Equals: Less: Equals: Revenue - Variable costs = Contribution margin (CM) - Fixed costs = Profit For example, if widgets are sold at $2.00/unit and variable costs are $.40/unit, the contribution margin (CM) is $1.60/unit. At breakeven, CM = fixed costs. How to calculate breakeven by using the contribution margin concept: If widgets are sold at $2.00/unit, variable costs are $.40/unit, and fixed costs are $20,000, breakeven is: $2.00x = $.40x + $20,000 $1.60x = $20,000 x = $20,000/$1.60 = 12,500 units Breakeven revenue = 12,500 x $2.00 = $25,000. Formula for breakeven: Fixed costs Revenue per unit variable cost per unit = Fixed costs CM per unit = $20,000 $1.60 = 12,500 The contribution margin can also be expressed as a ratio or percent: Contribution margin (CM) ratio or percent: Contribution Margin Total revenue This means that for every dollar of sales, 80% goes to covering fixed costs and profit. = $20,000 $$25,000 = 80%, or: CM per unit Revenue per unit = $1.60 $2.00 = 80% Variation on the basic breakeven calculation: Target net income Selling price is $2.00, variable cost per unit is $.40, fixed costs are $20,000, and desired profit is $5,000. What is the level of sales in units? Fixed costs+proft Shortcut solution: CM per unit = $20,000+$5,000 = 15,625 units $

4 Table: Present Value of an Ordinary Annuity of 1 Period 10% 11% 12% 13% 14% 15% NPV and IRR Compared In most situations the internal rate of return method and present value provide the same choices. The IRR approach has the advantage of providing a rate of return that is easy to interpret. On the other hand, computing a rate of return is usually more difficult than computing a present value. Payback Period Method The payback method is simply the number of years in which the initial cash outlay of a project is fully recovered by its future cash inflows. Hospitals commonly use the payback method to provide a quick ranking of capital projects. It has the following advantages and disadvantages: Easy to calculate Useful in times of rapid inflation or changing technology Does not take into account the time value of money Ignores both the cash flows occurring after the payback period and the project s total physical life span OK if used in conjunction with another analytical method, such as NPV Examples: Gift Shop remodel, MRI and CT Scanner Initial cost: $365,000 for the gift shop remodel, $1,000,000 for the MRI and $600,000 for the CT scanner Annual cash flow for next five years: $100,000 for the gift shop, $300,000 for the MRI and $200,000 for the CT scanner Gift shop remodel payback period: $365,000 $100,000 = 3.65 years MRI payback period: $1,000,000 $300,000 = 3.33 years CT scanner payback period: $600,000 $200,000 = 3 years Capital Budgeting under Uncertainty Notice that the payback method comes to the same conclusion as the NPV method (i.e., the CT is a better investment than the MRI). The IRR (if we calculated it) would say the same thing. Because cash flows of a project often must be estimated on the basis of incomplete information, the capital budgeting evaluation must be performed in a climate of uncertainty. 053

5 The COSO framework describes internal control in terms of a multi-dimensional grid consisting of 5 components and 17 principles. Organizations are encouraged to map their internal controls against this grid. Since COSO is not a standard setter, it does not have the power to require an organization to adopt it. COSO updated Internal Control Integrated Framework in May 2013 in order to adapt it to the technological changes and globalization of business during the last two decades. Compliance Medicare is an ocean of money surrounded by people who want some. --Wall Street Journal, June 8, 2009 Compliance promotes adherence to applicable Federal and State law and regulations. Legal compliance promotes compliance with Federal and State laws; regulatory compliance promotes compliance with Federal and State statutes and regulations. Compliance = conformity with laws and regulations. Sample laws applicable to healthcare, in chronological order: False Claims Act 1863: whistleblower law originally enacted during the Civil War; allows the U.S. Department of Health & Human Services to recover monetary damages from providers for payment of funds by the federal government ($11,000 per false claim). Social Security Act 1935: Title V = Maternal and Child Health Services Block Grants; and 1965: Title XVIII = Health Insurance for the Aged and Disabled (=Medicare) and Title XIX = Grants to States for Medical Assistance Programs (=Medicaid for low-income pregnant women and children, low-income adults, individuals with disabilities, and low-income and disabled seniors). ERISA 1974: Employee Retirement Income Security Act, sets minimum standards for pension plans in private industry (funding; vesting; accountability of plan fiduciaries) and employerprovided, self-insured health insurance plans (anti-discrimination; accountability of plan fiduciaries). ERISA preempts state insurance regulations; i.e., ERISA plans are exempt from in state-mandated health insurance benefits. ERISA applies to the 60 percent of 149 million Americans with job-based coverage whose employers self-fund (rather than purchase) health coverage. COBRA 1985: Consolidated Omnibus Budget Reconciliation Act, establishes the right to continue health coverage for up to 18 months after a qualifying event such as the death of a covered employee, loss of eligibility due to termination or layoff, and divorce, by paying the employer and employee portions of the insurance premium plus up to a 2% administrative fee. Qualified beneficiaries have 60 days to elect whether to continue coverage, measured from the later of the coverage loss date or the date the notice to elect COBRA coverage is sent. Thus COBRA coverage is retroactive if elected and paid for. For example, a person who quit on December 31 and admitted to the hospital on February 15 can regain insurance coverage retroactively by paying two months of insurance premium by March 1. EMTALA 1986: Emergency Medical Treatment and Active Labor Act (anti-dumping law; establishes emergent patient s right to be stabilized and women in active labor to give birth in the Emergency Department without payment). The following excerpt from HFMA s Patient Financial Communications Best Practices (October 2013) describes an EMTALA-compliant registration process in the Emergency Department: 125

6 - Setting for discussions: No patient financial discussions will occur before patient is screened and stabilized. Once a patient has been stabilized, in accordance with EMTALA, the following timings and locations are appropriate for financial discussions: Emergent Patients: Discussions will occur during the discharge process. The discussion can also occur during the medical encounter as long as patient care is not interfered with and the patient consents to these conversations in order to expedite discharge. Patients who do not have an emergency medical condition: Following the medical screening, provider representative will have a discussion with the patient during the registration or discharge process. The discussion can also occur during the medical encounter as long as patient care is not interfered with and the patient consents to these discussions in order to expedite discharge. - Registration, insurance verification, and financial counseling discussions: No patient financial discussions will occur before patient is screened and stabilized, in accordance with EMTALA. Registration: The provider organization will first gather basic registration information including demographics, insurance coverage, as well as determining the potential need for financial assistance. Provision of care: Patient will be informed that their ability to pay will not interfere with treatment of any emergency medical conditions. Uninsured patients will be informed the goal of collecting information is to identify paying solutions or financial assistance options that may assist them with their obligations for this visit. Insurance verification: Once screening has occurred and the patient is stabilized, the provider organization will review insurance eligibility information with the patient to ensure information accuracy. Financial counseling: If appropriate, patient is referred to a financial counselor and/or offered information regarding the provider s financial counseling services and assistance policies. Anti-Kickback Statute 1987: prohibits remuneration, in cash or kind, for inducing or rewarding referrals of any items or services. Example: hospital can t reward physicians for the surgeries they perform at the hospital. Stark I (1989) and II (1993): prohibit physician self-referrals for health services. Example: physician can t steer patient to an imaging facility or surgery center in which the physician has a financial interest. HIPAA 1996: Health Insurance Portability and Accountability Act, limits restrictions or exclusions a group health plan can impose on benefits for preexisting conditions provided the individual had creditable continuous coverage for at least 18 months from another group plan or health insurance prior to enrolling in the new plan; establishes administrative simplification standards for transactions and code sets such as electronic claims (837), remittances (835), eligibility and benefit inquiries (270), and claim status requests (270) and notifications (271); and 2003: adds privacy and security provisions for protected health information (PHI) for covered entities (healthcare providers, health plans, and clearinghouses). The following are not considered covered entities under HIPAA: accident, disability, automobile and general liability insurance and workers compensation. Also excluded: providers that don t transmit any information in an electronic form in connection with a transaction for which HHS has adopted a standard. 126

7 Sarbanes-Oxley 2002: Post-Enron law strengthening auditor independence, corporate responsibility and enhanced financial disclosure; establishes stiffer penalties for corporate fraud. - The most costly provision of the law, Section 404 (improving internal control effectiveness over financial reporting) applies only to public companies; implementation by non-public healthcare organizations is optional. - Portions of the law that apply to not-for-profit healthcare entities: CEO certification of financial statements; audit committee composition and duties; accounting and auditing practice standards. HITECH Act 2009: reimburses providers for electronic health record (EHR) meaningful use ; part of the Great Recession economic stimulus package. PPACA 2010: Patient Protection and Affordable Care Act, healthcare reform ( Obamacare ). State-level Certificate of Need (CON) laws intended to restrain healthcare facility spending. Sample statutes and regulations: Internal Revenue Code (for example: Section 501 tax exemption; unrelated business income, Form 990 reporting). CFR (Code of Federal Regulations): the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. Legal and regulatory compliance affects all Federal healthcare programs: Medicare Medicaid SCHIP (Note 1) CHAMPVA & TRICARE (Note 2) (1) The State Children's Health Insurance Program, created in 1997, provides health insurance to uninsured children in families with incomes too high to qualify for Medicaid (up to 200 percent of the federal poverty line). (2) CHAMPVA covers dependents of veterans with total and permanent service-related disabilities or who die while on active duty. TRICARE (called CHAMPUS before it was revamped into a managed care system in 1997) is a health program for active-duty and retired uniformed services members and their families. The two programs are mutually exclusive. The goal of all compliance programs is to prevent fraud and abuse. Fraud = intentional deception or misrepresentation of facts for gain (criminal penalties) Abuse = unintentional actions (errors) that are inconsistent with accepted, sound medical, business or fiscal practices (civil monetary penalties) 127

8 HFMA Certification Candidate Practicum Ratio and Operating Indicator Calculation Worksheet with Answers 12 Average payment period 1,806,625 1,618,109 7,751, , ,346, , Days cash on hand 527, ,307 2,517, , ,124 2,208,147 7,751, , ,346, , Many bond covenants include unrestricted long-term investments in the numerator as shown here. Some also include long-term investments restricted for capital (i.e., funds the board has designated for capital projects). However, the HFMA study guide omits all long-term investments from the numerator. Unfortunately there is no industry-standard formula for days cash on hand. Capital structure ratios Equity financing ratio Cash flow to total debt Long-term debt to equity Fixed assets financing 5,136,822 4,709, % 9,579,070 8,677, % 485, , , , % 1,806,625 1,705,313 1,618,109 1,542,089 1,705, ,310 1,542, , % 5,136,822 4,709, % 49.9% 1,705,313 1,542, % 4,272,212 3,983, % 18 Times interest earned 485,598 65, ,701 68, ,387 68, Debt service coverage 485,598 65, , ,701 68, , , ,200 65,387 48, ,525 68, Debt capitalization 48, ,200 1,705,313 48, ,525 1,542, % 30.4% 5,136, ,345 1,705,313 4,709, ,200 1,542,089 Note that the Debt to Capitalization ratio has debt in the numerator and denominator, whereas Ratio #16 (Long-term Debt to Equity) does not. 357

Chapter 16. Employment Retirement Income Security Act. Introduction. Background 1/12/2009. Employment Law for Business, 6 th ed.

Chapter 16. Employment Retirement Income Security Act. Introduction. Background 1/12/2009. Employment Law for Business, 6 th ed. Employment Law for Business, 6 th ed. Bennett-Alexander Chapter 16 Employment Retirement Income Security Act Copyright 2007 by The McGraw-Hill Companies, Inc. All rights reserved. Introduction The retirement

More information

Health Insurance Glossary of Terms

Health Insurance Glossary of Terms 1 Health Insurance Glossary of Terms On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. When making decisions about health coverage, consumers should

More information

Covered Entity Guidance

Covered Entity Guidance Covered Entity Guidance Find out whether an organization or individual is a covered entity under the Administrative Simplification provisions of HIPAA 1 Background The Administrative Simplification standards

More information

CHFP. Certified Healthcare Financial Professional (CHFP) Exam.

CHFP. Certified Healthcare Financial Professional (CHFP) Exam. HFMA CHFP Certified Healthcare Financial Professional (CHFP) Exam TYPE: DEMO http://www.examskey.com/chfp.html Examskey HFMA CHFP exam demo product is here for you to test the quality of the product. This

More information

Employee Benefits Compliance Checklist for Large Employers

Employee Benefits Compliance Checklist for Large Employers Brought to you by Ardent Solutions Employee Benefits Compliance Checklist for Large Employers Federal law imposes numerous requirements on the group health coverage that employers provide to their employees.

More information

Health Plan Summary Plan Description

Health Plan Summary Plan Description Health Plan Summary Plan Description as amended Effective April 1, 2015 March 31, 2016 This Summary Plan Description ("SPD") explains the main provisions of the Marshfield Clinic Health Systems, Inc. Health

More information

Compliance Program. Health First Health Plans Medicare Parts C & D Training

Compliance Program. Health First Health Plans Medicare Parts C & D Training Compliance Program Health First Health Plans Medicare Parts C & D Training Compliance Training Objectives Meeting regulatory requirements Defining an effective compliance program Communicating the obligation

More information

COVERED ENTITY CHARTS

COVERED ENTITY CHARTS COVERED ENTITY CHARTS Guidance on how to determine whether an entity is a covered entity under the Administrative Simplification provisions of HIPAA Last Modified: 07/07/03 2 Background The Administrative

More information

Health Care Fraud for Physicians

Health Care Fraud for Physicians Health Care Fraud for Physicians UNM Family Medicine Residency Program May 25, 2011 Or... Why I Should Have Never Become A Doctor In The First Place Fraud Fraud vs. Abuse Intentional deception or misrepresentation

More information

Health Care Reform Overview

Health Care Reform Overview Published on : December 06, 2010 Health Care Reform Overview President Obama signed the Patient Protection and Affordable Care Act into law on March 23, 2010. The law was almost immediately amended by

More information

HIPAA Portability and Accountability. How HIPAA Affects Individual Coverage

HIPAA Portability and Accountability. How HIPAA Affects Individual Coverage HIPAA Portability and Accountability How HIPAA Affects Individual Coverage The Health Insurance Portability and Accountability Act of 1996, known as HIPAA, affects the way state and federal governments

More information

Federal Group Health Plan Mandates

Federal Group Health Plan Mandates Federal Group Health Plan Mandates Note: This document is best used via soft copy in order to link to the sample language and other resources. Federal group health plan mandates are federal laws that impact

More information

North Park Transportation Company 5150 Columbine Street Denver, Colorado 80216

North Park Transportation Company 5150 Columbine Street Denver, Colorado 80216 CAFETERIA WRAP PLAN DOCUMENT AND SUMMARY PLAN DESCRIPTION FOR THE NORTH PARK TRANSPORTATION COMPANY'S EMPLOYEE BENEFIT PLAN WRAP SUMMARY PLAN DESCRIPTION North Park Transportation Company 5150 Columbine

More information

SYRACUSE UNIVERSITY MEDICAL BENEFITS PLAN SUMMARY PLAN DESCRIPTION

SYRACUSE UNIVERSITY MEDICAL BENEFITS PLAN SUMMARY PLAN DESCRIPTION SYRACUSE UNIVERSITY MEDICAL BENEFITS PLAN SUMMARY PLAN DESCRIPTION TABLE OF CONTENTS Page I. GENERAL INFORMATION... 1 II. OVERVIEW OF PLAN... 3 III. ELIGIBILITY... 3 IV. BENEFIT OPTIONS... 4 V. CLAIMS

More information

Administrative Simplification

Administrative Simplification Administrative Simplification Summary: Accelerates HHS adoption of uniform standards and operating rules for the electronic transactions that occur between providers and health plans that are governed

More information

MISSOURI CHAMBER FEDERATION BENEFIT PLAN SUMMARY PLAN DESCRIPTION

MISSOURI CHAMBER FEDERATION BENEFIT PLAN SUMMARY PLAN DESCRIPTION MISSOURI CHAMBER FEDERATION BENEFIT PLAN SUMMARY PLAN DESCRIPTION (the Plan Sponsor ) maintains the Missouri Chamber Federation Benefit Plan (the "Plan") for the exclusive benefit of the participants and

More information

educate. elevate. HEALTHCARE FINANCIAL TRAINING GEARED TO YOUR NEEDS course catalog

educate. elevate. HEALTHCARE FINANCIAL TRAINING GEARED TO YOUR NEEDS course catalog educate. elevate. HEALTHCARE FINANCIAL TRAINING GEARED TO YOUR NEEDS course catalog 2017 welcome This catalog is your essential, easy-to-use reference for e2 Learning from HFMA. It identifies specific

More information

Substitute House Bill No Public Act No

Substitute House Bill No Public Act No Page 1 Substitute House Bill No. 5219 Public Act No. 10-13 AN ACT EXTENDING STATE CONTINUATION OF HEALTH INSURANCE COVERAGE. Be it enacted by the Senate and House of Representatives in General Assembly

More information

WELLNESS PROGRAMS UNDER FINAL HIPAA/PPACA, ADA, AND GINA REGULATIONS

WELLNESS PROGRAMS UNDER FINAL HIPAA/PPACA, ADA, AND GINA REGULATIONS WELLNESS PROGRAMS UNDER FINAL, ADA, AND GINA REGULATIONS Wellness programs come in many different shapes and sizes and may be called something other than wellness programs. These programs may provide very

More information

Region 10 PIHP FY Corporate Compliance Program Plan

Region 10 PIHP FY Corporate Compliance Program Plan Region 10 PIHP FY 2018 Corporate Compliance Program Plan 1 Mission The purpose of the Region 10 Corporate Compliance Program Plan is to provide quality care for all the individuals it serves by acting

More information

COLBY COLLEGE STAFF HANDBOOK APPENDIX TABLE OF CONTENTS

COLBY COLLEGE STAFF HANDBOOK APPENDIX TABLE OF CONTENTS COLBY COLLEGE STAFF HANDBOOK APPENDIX TABLE OF CONTENTS Appendix A (Benefit Plan Summary Plan Descriptions)...2 Life...2 Health...5 Long Term Disability...13 Medical Reimbursement...16 Retirement...19

More information

CIRCLE THE CITY AND SUBSIDIARIES. Consolidated Financial Statements and Supplementary Information

CIRCLE THE CITY AND SUBSIDIARIES. Consolidated Financial Statements and Supplementary Information CIRCLE THE CITY AND SUBSIDIARIES Consolidated Financial Statements and Supplementary Information Year Ended (with comparative totals for 2016) CONTENTS Page Independent Auditors' Report...1-2 Financial

More information

ANCILLARY services: How to Stay Out of Trouble. The neurosurgical minefield Informed consent

ANCILLARY services: How to Stay Out of Trouble. The neurosurgical minefield Informed consent ANCILLARY services: How to Stay Out of Trouble Richard N.W. Wohns, M.D. JD, MBA NeoSpine, Puget Sound Region, Washington The neurosurgical minefield 2013 Informed consent HIPAA ARRA and HITECH Anti-Kickback

More information

PRIVATE HEALTH INSURANCE MARKET REFORMS. Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010

PRIVATE HEALTH INSURANCE MARKET REFORMS. Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010 PRIVATE HEALTH INSURANCE MARKET REFORMS Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010 1 OVERVIEW On March 25, 2010 both chambers of Congress passed H.R. 4872, the Health Care Education

More information

Regulatory Compliance Policy No. COMP-RCC 4.21 Title:

Regulatory Compliance Policy No. COMP-RCC 4.21 Title: I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.21 Page: 1 of 6 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)

More information

Employee Benefits Compliance Checklist for Large Employers

Employee Benefits Compliance Checklist for Large Employers : Provided by [B_Officialname] Employee Benefits Compliance Checklist for Large Employers Federal law imposes numerous requirements on the group health coverage that employers provide to their employees.

More information

Grandfathered Health Plans Under PPACA (P.L )

Grandfathered Health Plans Under PPACA (P.L ) Grandfathered Health Plans Under PPACA (P.L. 111-148) Bernadette Fernandez Analyst in Health Care Financing April 7, 2010 Congressional Research Service CRS Report for Congress Prepared for Members and

More information

Improving Integrity in Nursing Centers

Improving Integrity in Nursing Centers Improving Integrity in Nursing Centers Susan Edwards Reed Smith LLP AHCA/NCAL s General Counsel Goals of this webinar Introduce you to AHCA/NCAL s Fraud and Abuse Toolkit Provide you with a basic understanding

More information

Table of Contents. Welcome Liberty EPO Medical Plan Freedom Direct POS Medical Plan Freedom Access POS Medical Plan...

Table of Contents. Welcome Liberty EPO Medical Plan Freedom Direct POS Medical Plan Freedom Access POS Medical Plan... Allen Health Care Services Benefits Guidebook 2016 Table of Contents Welcome....................................... 3 Liberty EPO Medical Plan.......................... 4 Freedom Direct POS Medical Plan...................

More information

BUSINESS FIRST BANK WELFARE BENEFIT PLAN WRAP SUMMARY PLAN DESCRIPTION

BUSINESS FIRST BANK WELFARE BENEFIT PLAN WRAP SUMMARY PLAN DESCRIPTION BUSINESS FIRST BANK WELFARE BENEFIT PLAN WRAP SUMMARY PLAN DESCRIPTION Business First Bank 500 Laurel St Suite 100 Baton Rouge, Louisiana 70801 V09292015 BUSINESS FIRST BANK WELFARE BENEFIT PLAN TABLE

More information

Fraud, Waste and Abuse: Compliance Program. Section 4: National Provider Network Handbook

Fraud, Waste and Abuse: Compliance Program. Section 4: National Provider Network Handbook Fraud, Waste and Abuse: Compliance Program Section 4: National Provider Network Handbook December 2015 2 Our Philosophy Magellan takes provider fraud, waste and abuse We engage in considerable efforts

More information

D E B R A S C H U C H E R T, C O M P L I A N C E O F F I C E R

D E B R A S C H U C H E R T, C O M P L I A N C E O F F I C E R D E B R A S C H U C H E R T, C O M P L I A N C E O F F I C E R INTEGRATED CARE ALLIANCE, LLC CORPORATE COMPLIANCE PROGRAM It is the policy of Integrated Care Alliance to comply with all laws governing

More information

The Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC ESB

The Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC ESB The Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC Agenda Historical U.S. health care law Recent legislative developments Future possibilities Steps

More information

CHAPTER 27 COBRA CONTINUATION OF COVERAGE

CHAPTER 27 COBRA CONTINUATION OF COVERAGE CHAPTER 27 COBRA CONTINUATION OF COVERAGE Introduction The continuation of coverage provision of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers with 20 or more employees

More information

Employee Assistance Program (EAP)

Employee Assistance Program (EAP) S U M M A R Y P L A N D E S C R I P T I O N L3 Technologies, Inc. Employee Assistance Program (EAP) Effective January 1, 2017 Table of Contents The Employee Assistance Program (EAP) 1 Eligibility and Participation

More information

SUMMARY PLAN DESCRIPTION * FOR THE TUSCOLA COUNTY MEDICAL CARE FACILITY TUSCOLA COUNTY MEDICAL CARE FACILITY EMPLOYEE BENEFITS PLAN

SUMMARY PLAN DESCRIPTION * FOR THE TUSCOLA COUNTY MEDICAL CARE FACILITY TUSCOLA COUNTY MEDICAL CARE FACILITY EMPLOYEE BENEFITS PLAN [INSURED] SUMMARY PLAN DESCRIPTION * FOR THE TUSCOLA COUNTY MEDICAL CARE FACILITY TUSCOLA COUNTY MEDICAL CARE FACILITY EMPLOYEE BENEFITS PLAN EFFECTIVE APRIL 1, 2018 NON-UNION EMPLOYEES THIS DOCUMENT SHOULD

More information

In this course, we will cover the following topics: The structure and purpose of Navicent Health s Compliance Program The requirements of the

In this course, we will cover the following topics: The structure and purpose of Navicent Health s Compliance Program The requirements of the In this course, we will cover the following topics: The structure and purpose of Navicent Health s Compliance Program The requirements of the Navicent Health s Corporate Integrity Agreement (CIA) Your

More information

WHITE CLOUDS HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. January 1 through December 31

WHITE CLOUDS HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. January 1 through December 31 WHITE CLOUDS HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION January 1 through December 31 Note: This plan document and Summary Plan Description together with the applicable group insurance

More information

Welfare Benefit Plan Reporting & Disclosure Calendar

Welfare Benefit Plan Reporting & Disclosure Calendar Reporting and Disclosure Requirements Introduced by the Patient Protection and Affordable Care Act (PPACA) TYPE OF DISCLOSURE Notice of Grandfathered Plan Status Must provide notice that plan is a grandfathered

More information

Health Law 101: Issue-Spotting In Dealing With Health-Care Providers. by William H. Hall Jr.

Health Law 101: Issue-Spotting In Dealing With Health-Care Providers. by William H. Hall Jr. Health Law 101: Issue-Spotting In Dealing With Health-Care Providers by William H. Hall Jr. The anti-kickback statute prohibits arrangements that might be common in other industries. Health care is among

More information

SELF REGIONAL HEALTHCARE AND AFFILIATES. Combined Financial Statements. September 30, 2013 and ( with Independent Auditors Report thereon )

SELF REGIONAL HEALTHCARE AND AFFILIATES. Combined Financial Statements. September 30, 2013 and ( with Independent Auditors Report thereon ) Combined Financial Statements September 30, 2013 and 2012 ( with Independent Auditors Report thereon ) Table of Contents September 30, 2013 and 2012 Page(s) Independent Auditors Report... 1 2 Management

More information

Illinois Insurance Facts Illinois Department of Insurance Health Insurance Continuation Rights Illinois Spousal Law

Illinois Insurance Facts Illinois Department of Insurance Health Insurance Continuation Rights Illinois Spousal Law Illinois Insurance Facts Illinois Department of Insurance Health Insurance Continuation Rights Illinois Spousal Law Revised July 2014 Note: This information was developed to provide consumers with general

More information

Employer Healthcare Reform Requirements in the Near-Term

Employer Healthcare Reform Requirements in the Near-Term Employer Healthcare Reform Requirements in the Near-Term On March 23, 2010, President Obama signed into law The Patient Protection and Affordable Care Act (H.R. 3590). As of this writing, 1 the Congress

More information

Seventh Floor 1501 M Street, NW Washington, DC Phone: (202) Fax: (202) MEMORANDUM

Seventh Floor 1501 M Street, NW Washington, DC Phone: (202) Fax: (202) MEMORANDUM Seventh Floor 1501 M Street, NW Washington, DC 20005 Phone: (202) 466-6550 Fax: (202) 785-1756 MEMORANDUM To: ACCSES Members cc: John D. Kemp, CEO From: Peter W. Thomas and Theresa T. Morgan Date: Re:

More information

SUMMARY PLAN DESCRIPTION STERIS CORPORATION WELFARE BENEFIT PLAN STERIS CORPORATION FLEXIBLE BENEFIT PLAN

SUMMARY PLAN DESCRIPTION STERIS CORPORATION WELFARE BENEFIT PLAN STERIS CORPORATION FLEXIBLE BENEFIT PLAN SUMMARY PLAN DESCRIPTION STERIS CORPORATION WELFARE BENEFIT PLAN STERIS CORPORATION FLEXIBLE BENEFIT PLAN STERIS CORPORATION DEPENDENT CARE ASSISTANCE PLAN January 1, 2015 TABLE OF CONTENTS Page INTRODUCTION...

More information

DATE ISSUED: 7/6/ of 12 UPDATE 111 CRD(LEGAL)-P

DATE ISSUED: 7/6/ of 12 UPDATE 111 CRD(LEGAL)-P Coverage Requirements Districts with 500 or Fewer Employees Self-Funded Districts Districts with More Than 500 Employees TRS-ActiveCare Eligibility Full-Time Employees Certain Part-Time Employees A district

More information

Teton County Hospital District d/b/a St. John s Medical Center

Teton County Hospital District d/b/a St. John s Medical Center Auditor s Reports and Financial Statements June 30, 2016 and 2015 June 30, 2016 and 2015 Contents Independent Auditor s Report on Financial Statements and Supplementary Information... 1 Management s Discussion

More information

CRS Report for Congress

CRS Report for Congress Order Code RS21054 Updated March 5, 2004 CRS Report for Congress Received through the CRS Web Summary Medicaid and SCHIP Section 1115 Research and Demonstration Waivers Evelyne P. Baumrucker Analyst in

More information

HIPAA Glossary of Terms

HIPAA Glossary of Terms ANSI - American National Standards Institute (ANSI): An organization that accredits various standards-setting committees, and monitors their compliance with the open rule-making process that they must

More information

Summary of the Impact of Health Care Reform on Employers

Summary of the Impact of Health Care Reform on Employers Summary of the Impact of Health Care Reform on Employers How to Use this Summary This summary identifies the main provisions of the Patient Protection and Affordable Care Act (Act), as amended by the Health

More information

Wrap-Around Summary Plan Description

Wrap-Around Summary Plan Description Wrap-Around Summary Plan Description Special District Services, Inc. Health and Welfare Plan Summary Plan Description Amended and Restated Effective January 1, 2016 This document, together with the attached

More information

Agent Instruction Sheet for the MRA Plan Document

Agent Instruction Sheet for the MRA Plan Document Agent Instruction Sheet for the MRA Plan Document Thank you for representing the Priority Health Medical Reimbursement Arrangement (MRA) product. Use these instructions to complete the transaction with

More information

DATE ISSUED: 4/26/ of 9 UPDATE 32 CKD(LEGAL)-LJC

DATE ISSUED: 4/26/ of 9 UPDATE 32 CKD(LEGAL)-LJC Uniform Group Insurance Program An institution of higher education, including a college district, shall be covered by the Texas Employees Uniform Group Insurance Program. The institution shall provide

More information

Do You Want To Know A Secret? HIPAA s Medical Privacy Regulations

Do You Want To Know A Secret? HIPAA s Medical Privacy Regulations Do You Want To Know A Secret? HIPAA s Medical Privacy Regulations 2004 ABA Annual Meeting Section of Labor and Employment Law August 10, 2004 Presented by: Phyllis C. Borzi Of Counsel O Donoghue & O Donoghue

More information

04/04 06/05, 05/10, 12/10, 03/11, 11/11, 03/12, 10/13, 09/14, 08/15, 09/17, 12/17, 09/18, 11/18

04/04 06/05, 05/10, 12/10, 03/11, 11/11, 03/12, 10/13, 09/14, 08/15, 09/17, 12/17, 09/18, 11/18 NMHS CORPORATE POLICIES AND PROCEDURES SUBJECT: FINANCIAL ASSISTANCE APPLICABLE: EFFECTIVE DATE: REVIEWED/REVISED: PURPOSE: Nebraska Methodist Hospital, Methodist Fremont Health, Methodist Jennie Edmundson,

More information

Live a Healthy and Vibrant Life

Live a Healthy and Vibrant Life 2017 Annual Enrollment November 2 18, 2016 Medicare -Eligible Retirees DOW U.S. BENEFITS WHAT S NEW FOR 2017 Live a Healthy and Vibrant Life Your Dow retiree benefits support you in living a healthy and

More information

ERISA GUIDELINES. Who must abide by ERISA?

ERISA GUIDELINES. Who must abide by ERISA? ERISA GUIDELINES The Employee Retirement Income Security Act (ERISA) of 1974 establishes minimum standards for retirement, health, and other welfare benefit plans, including life insurance, disability

More information

Provider and Provider Relationships. Primary Fraud and Abuse Issues

Provider and Provider Relationships. Primary Fraud and Abuse Issues Provider and Provider Relationships Primary Fraud and Abuse Issues This document is intended to identify the primary healthcare fraud and abuse laws that may apply to contractual relationships between

More information

SURA/JEFFERSON SCIENCE ASSOCIATES, LLC

SURA/JEFFERSON SCIENCE ASSOCIATES, LLC SURA/JEFFERSON SCIENCE ASSOCIATES, LLC COMPREHENSIVE HEALTH AND WELFARE BENEFIT PLAN Summary Plan Description Amended and Restated Effective April 1, 2011 YOUR SUMMARY PLAN DESCRIPTION This document is

More information

Repay Overpayments (18 USC 1347; 42 CFR et seq.)

Repay Overpayments (18 USC 1347; 42 CFR et seq.) Repay Overpayments (18 USC 1347; 42 CFR 401.301 et seq.) Repaying Overpayments If provider has received an overpayment, provider must: Return the overpayment to federal agency, state, intermediary, or

More information

Health Care Reform Summary Patient Protection and Affordable Care Act (PPACA)

Health Care Reform Summary Patient Protection and Affordable Care Act (PPACA) Health Care Reform Summary Patient Protection and Affordable Care Act (PPACA) Contents The following information summarizes the PPACA s impact on employers, individuals, the health industry and plan design,

More information

MEDICAL MUTUAL OF OHIO GROUP CONTRACT

MEDICAL MUTUAL OF OHIO GROUP CONTRACT MEDICAL MUTUAL OF OHIO GROUP CONTRACT This Contract is entered into between (called the Group or Employer) and Medical Mutual of Ohio ( Medical Mutual ). This Contract supersedes any contracts previously

More information

Medical Ethics. Paul W. Kim, JD, MPH O B E R K A L E R

Medical Ethics. Paul W. Kim, JD, MPH O B E R K A L E R Medical Ethics Paul W. Kim, JD, MPH O B E R K A L E R 410-347-7344 pwkim@ober.com 1 Agenda Federal Fraud & Abuse Laws Federal Privacy Laws Enrollment Audits Post-Payment Audits Pre-Payment Reviews 2 False

More information

GLOSSARY OF KEY AFFORDABLE CARE ACT AND COMMON HEALTH PLAN TERMS

GLOSSARY OF KEY AFFORDABLE CARE ACT AND COMMON HEALTH PLAN TERMS GLOSSARY OF KEY AFFORDABLE CARE ACT AND COMMON HEALTH PLAN TERMS Note: in the event of any conflict between this glossary and your plan document/summary plan description (SPD) or policy/certificate, the

More information

Health Coverage Options Guide

Health Coverage Options Guide Health Coverage Options Guide Overview At Fresenius Kidney Care, we know that providing superior patient care goes beyond delivering industry leading dialysis services. We also strive to help patients

More information

Guide to Participant Notices

Guide to Participant Notices Guide to Participant s What What Groups Description Who When Distributed Annually Group health plan sponsors must provide a Medicare-eligible notice of creditable or non-creditable employees who are prescription

More information

Hospital Incentive Payments to Physicians for Quality and Cost Savings

Hospital Incentive Payments to Physicians for Quality and Cost Savings Hospital Incentive Payments to Physicians for Quality and Cost Savings Implications under the Fraud and Abuse Laws March 1, 2011 Dennis S. Diaz Davis Wright Tremaine LLP dennisdiaz@dwt.com 213-633-6876

More information

Healthcare Reform Timeline

Healthcare Reform Timeline Healthcare Reform Timeline Provisions That Will Impact Individuals & Employers August 2012 No one sees the direct results of the Patient Protection and Affordable Care Act (PPACA) like the health insurance

More information

EmployBridge Holding Company Associates Welfare Benefits Plan

EmployBridge Holding Company Associates Welfare Benefits Plan EmployBridge Holding Company Associates Welfare Benefits Plan Summary Plan Description* *This document, together with the Certificate(s) and SPD Booklet(s) for the Benefit Program(s) in which you are enrolled,

More information

Disclaimer LEGAL ISSUES IN PHYSICAL THERAPY

Disclaimer LEGAL ISSUES IN PHYSICAL THERAPY LEGAL ISSUES IN PHYSICAL THERAPY Paul J. Welk, PT, JD Tucker Arensberg, P.C. pwelk@tuckerlaw.com 2017 PHCA Annual Convention 1 Disclaimer The purpose of this presentation is to provide a general overview

More information

Summary Most Americans with private group health insurance are covered through an employer, coverage that is generally provided to active employees an

Summary Most Americans with private group health insurance are covered through an employer, coverage that is generally provided to active employees an Health Insurance Continuation Coverage Under COBRA Janet Kinzer Information Research Specialist Meredith Peterson Information Research Specialist December 18, 2009 Congressional Research Service CRS Report

More information

CORPORATE COMPLIANCE POLICY AND PROCEDURE

CORPORATE COMPLIANCE POLICY AND PROCEDURE Title: Fraud Waste and Abuse Laws in Health Care Policy # 1011 Sponsor: Corporate Compliance Approved by: Russell J. Matuszak, Interim Director, Corporate Compliance and Chief Privacy Officer Issued: Page:

More information

BEREA COLLEGE HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. July 1 through June 30

BEREA COLLEGE HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. July 1 through June 30 BEREA COLLEGE HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION July 1 through June 30 Note: This plan document and summary plan description together with the applicable class insurance coverage

More information

Employee Benefits Series. How to Avoid the Top 10 COBRA Mistakes

Employee Benefits Series. How to Avoid the Top 10 COBRA Mistakes Employee Benefits Series How to Avoid the Top 10 COBRA Mistakes INTRODUCTION COBRA is a federal law that requires group health plans sponsored by employers with 20 or more employees to offer employees

More information

Plan Document and Summary Plan Description for the Paul Miller Ford Welfare Benefit Plan

Plan Document and Summary Plan Description for the Paul Miller Ford Welfare Benefit Plan Plan Document and Summary Plan Description for the Paul Miller Ford Welfare Benefit Plan Your Health Care Benefits Your Health Savings Account ( HSA ) Your Life Insurance and AD&D Benefits Your Disability

More information

Teton County Hospital District d/b/a St. John s Medical Center

Teton County Hospital District d/b/a St. John s Medical Center Auditor s Reports and Financial Statements Contents Independent Auditor s Report on Financial Statements and Supplementary Information... 1 Management s Discussion and Analysis... 3 Financial Statements

More information

Tarrant County Hospital District d/b/a JPS Health Network A Component Unit of Tarrant County, Texas

Tarrant County Hospital District d/b/a JPS Health Network A Component Unit of Tarrant County, Texas Independent Auditor s Report and Financial Statements Years Ended Contents Independent Auditor s Report... 1 Management s Discussion and Analysis... 3 Financial Statements Balance Sheets... 10 Statements

More information

EASTER SEALS NEW HAMPSHIRE, INC. HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. July 1 through June 30

EASTER SEALS NEW HAMPSHIRE, INC. HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. July 1 through June 30 EASTER SEALS NEW HAMPSHIRE, INC. HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION July 1 through June 30 Note: This plan document and summary plan description together with the applicable group

More information

Corporate Compliance Program. Intended Audience: All SEH Associates 2016 Content Expert: Lisa Frey -

Corporate Compliance Program. Intended Audience: All SEH Associates 2016 Content Expert: Lisa Frey - Corporate Compliance Program Intended Audience: All SEH Associates 2016 Content Expert: Lisa Frey - lisa.frey@stelizabeth.com Developed 2012, reviewed Dec 2015 What is Corporate Compliance? Hospitals,

More information

Manufacturer Patient Support Initiatives: Current Practices and Recent Challenges. Andrew Ruskin Morgan Lewis

Manufacturer Patient Support Initiatives: Current Practices and Recent Challenges. Andrew Ruskin Morgan Lewis Intersecting Worlds of Drug, Device, Biologics and Health Law AHLA/FDLI May 22, 2012 Manufacturer Patient Support Initiatives: Current Practices and Recent Challenges by Andrew Ruskin Morgan Lewis The

More information

PPACA and Health Care Reform. A Chronological Guide to Changes and Provisions Affecting Employee Benefits Plans and HR Administration

PPACA and Health Care Reform. A Chronological Guide to Changes and Provisions Affecting Employee Benefits Plans and HR Administration PPACA and Health Care Reform A Chronological Guide to Changes and Provisions Affecting Employee Benefits Plans and HR Administration AS OF 8/27/2013 Provisions Organized by Effective Date The Affordable

More information

Health Care Reform under the Patient Protection and Affordable Care Act ( PPACA ) provisions effective January 1, 2014

Health Care Reform under the Patient Protection and Affordable Care Act ( PPACA ) provisions effective January 1, 2014 The New Health Care Landscape Today s Agenda Health Care Reform under the Patient Protection and Affordable Care Act ( PPACA ) provisions effective January 1, 2014 Exchanges and Qualified Health Plans

More information

HEALTH CONCEPTS AND TAX CONSIDERATIONS

HEALTH CONCEPTS AND TAX CONSIDERATIONS 14 HEALTH CONCEPTS AND TAX CONSIDERATIONS LEARNING OBJECTIVES Upon the completion of this chapter, you will be able to: 1. Recognize the features of health insurance policies that have been mandated by

More information

Lesson 7 Federal Regulation & Consumer Driven Plans

Lesson 7 Federal Regulation & Consumer Driven Plans Lesson 7 Introduction p1 (LHE) Lesson 7 Federal Regulation & Consumer Driven Plans Federal Regulations since the 1970's have impacted the health insurance sector of the U.S. economy. Since many of the

More information

Tarrant County Hospital District d/b/a JPS Health Network A Component Unit of Tarrant County, Texas

Tarrant County Hospital District d/b/a JPS Health Network A Component Unit of Tarrant County, Texas Independent Auditor s Report and Financial Statements Years Ended Contents Independent Auditor s Report... 1 Management s Discussion and Analysis... 3 Financial Statements Balance Sheets... 9 Statements

More information

CCMC Corporation. Patient Financial Assistance

CCMC Corporation. Patient Financial Assistance Connecticut Children's Medical Center Connecticut Children's Specialty CCMC Affiliates, Inc. Connecticut Children's Medical Center I. Purpose Patient Financial Assistance Connecticut Children's Medical

More information

POLICY #WRMS-1.02 FINANCIAL ASSISTANCE AND COLLECTION POLICY

POLICY #WRMS-1.02 FINANCIAL ASSISTANCE AND COLLECTION POLICY WRMS POLICIES Administrative POLICY #WRMS-1.02 FINANCIAL ASSISTANCE AND COLLECTION POLICY SCOPE Washington Regional Medical Center ( WRMC ) PURPOSE WRMC is committed to improving the health of people in

More information

ACCEPTING ASSIGNMENT 1a

ACCEPTING ASSIGNMENT 1a ACCEPTING ASSIGNMENT 1a WHEN A PHYSIAN AGREES TO TREAT MEDICAID PATIENTS ALSO AGREES TO ACCEPT THE ESTABLISHED MEDICAID PAYMENT FOR COVERED SERVICES. 1b ADVANCE BENEFICIARY NOTICE - ABN 2a FORM GIVEN TO

More information

Grandfathered Health Plans Under the Patient Protection and Affordable Care Act (PPACA)

Grandfathered Health Plans Under the Patient Protection and Affordable Care Act (PPACA) Grandfathered Health Plans Under the Patient Protection and Affordable Care Act (PPACA) Bernadette Fernandez Analyst in Health Care Financing June 7, 2010 Congressional Research Service CRS Report for

More information

DEFICIT REDUCTION ACT OF 2005: IMPLICATIONS FOR MEDICAID PREMIUMS AND COST SHARING CHANGES

DEFICIT REDUCTION ACT OF 2005: IMPLICATIONS FOR MEDICAID PREMIUMS AND COST SHARING CHANGES February 2006 DEFICIT REDUCTION ACT OF 2005: IMPLICATIONS FOR MEDICAID On February 8, 2006 the President signed the Deficit Reduction Act of 2005 (DRA). The Act is expected to generate $39 billion in federal

More information

ALASKA PUBLIC BROADCASTING HEALTH TRUST HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. January 1 through December 31

ALASKA PUBLIC BROADCASTING HEALTH TRUST HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION. January 1 through December 31 ALASKA PUBLIC BROADCASTING HEALTH TRUST HEALTH & WELFARE BENEFIT PLAN AND SUMMARY PLAN DESCRIPTION January 1 through December 31 Note: This plan document and summary plan description together with the

More information

This course is designed to provide Part B providers with an overview of the Medicare Fraud and Abuse program including:

This course is designed to provide Part B providers with an overview of the Medicare Fraud and Abuse program including: This course is designed to provide Part B providers with an overview of the Medicare Fraud and Abuse program including: Medicare Trust Fund Defining Fraud & Abuse Examples of Fraud & Abuse Fraud & Abuse

More information

Health Insurance Continuation Coverage Under COBRA

Health Insurance Continuation Coverage Under COBRA Cornell University ILR School DigitalCommons@ILR Federal Publications Key Workplace Documents 7-11-2013 Health Insurance Continuation Coverage Under COBRA Janet Kinzer Congressional Research Service Follow

More information

Benefit Plan Compliance Checklist

Benefit Plan Compliance Checklist Benefit Plan Compliance Checklist 0 Introduction The checklist in this document is intended for use by employers as a guideline to consider compliance regulations and how each regulation may apply to an

More information

Del Puerto Health Care District. June 30, 2015 & 2014

Del Puerto Health Care District. June 30, 2015 & 2014 Report of Independent Auditors And Financial Statements June 30, 2015 & 2014 JWT & Associates, LLP Certified Public Accountants Audited Financial Statements June 30, 2015 Report of Independent Auditors...

More information

HealtH Care reform 2012 and beyond

HealtH Care reform 2012 and beyond HealtH Care reform 2012 and beyond A guide to the major provisions of health care reform legislation affecting employers in 2012 and 2013 and a timeline of the reforms to be introduced through 2018. Employers

More information

Dealey, Renton& Associates. yrenton.com CA License #

Dealey, Renton& Associates.   yrenton.com CA License # Employee Benefits Report Affordable Care Act January 2013 Volume 11 Number 1 Insurance Exchanges: More Interstate Options, More Competition? The Patient Protection and Affordable Care Act (PPACA) has several

More information

Investigator Compensation: Motivation vs. Regulatory Compliance

Investigator Compensation: Motivation vs. Regulatory Compliance Vol. 12, No. 9, September 2016 Happy Trials to You Investigator Compensation: Motivation vs. Regulatory Compliance By Payal Cramer Physician-investigators play a central role in clinical research. Through

More information

THE AFFORDABLE CARE ACT

THE AFFORDABLE CARE ACT THE AFFORDABLE CARE ACT What is it and What Does it MEAN for NEW YORK? WHAT IS THE PPACA? The Patient Protection and Affordable Care Act was passed in March of 2010 The ACA has two major goals: Increase

More information

DOW U.S. BENEFITS WHAT S NEW FOR

DOW U.S. BENEFITS WHAT S NEW FOR 2018 Annual Enrollment November 1 17, 2017 Medicare -Eligible Retirees DOW U.S. BENEFITS WHAT S NEW FOR 2018 Live a Healthy and Vibrant Life Your Dow retiree benefits support you in living a healthy and

More information