16 Aug 2022
Anti-assignment Clauses in Health Plans
Health plan sponsors and insurers have increasingly added anti-assignment clauses in their health plans in large part to help avert lawsuits by out-of-network healthcare providers who dispute a coverage decision, or the reimbursement rate offered by the plan or insurer for services rendered to a covered individual.
Related Content
- Summary Plan Description Resource Kit
Review the terms of an employee benefit plan that your summary plan description should describe. Not too much . . . and not too little.
Legal Developments
- Action Items Plan Sponsors Should Consider in the Wake of the U.S. Supreme Court Dobbs Decision on Abortion
Get insights on the next steps employers sponsoring group health plans should consider following the Dobbs decision.
- State Abortion Laws Tracker After Dobbs v. Jackson Women's Health Organization
See the latest legal developments at the federal and state level following the Dobbs decision.
- SCOTUS Overturns Roe: Understanding the Impact on Your Benefit Plans
Review this guidance for employers covering limitations on abortion services and restrictions on access to medications.
Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.
- Employee Benefits & Executive Compensation Key Legal Developments Tracker
Stay informed on new developments.- ERISA. DOL proposes changes to prohibited transaction class exemption 84-14 for qualified professional asset managers, which would, among other things, impose a DOL notification requirement, adjust qualification thresholds for inflation, tighten disqualification rules for managers who engage in misconduct, and impose recordkeeping requirements. 87 Fed. Reg. 45,204 (July 27, 2022).
- Retirement Plans. IRS extends deadlines for amending a retirement plan or individual retirement arrangement (IRA) to reflect certain provisions of the SECURE Act, the Bipartisan American Miners Act of 2019, and the CARES Act. R.S. Notice 2022-33.
- Health and Welfare Plans. Biden administration HHS issues regulations under ACA Section 1557 nondiscrimination rules that would largely restore rules to the wider scope when initially finalized in 2016 before the agency significantly narrowed them during the Trump administration, including reimposing notice requirements, and explicitly interpreting discrimination on the basis of sex to include discrimination for sexual orientation, gender identity, and pregnancy-related conditions, among other things. 87 Fed. Reg. 47,824 (Aug. 4, 2022).
- Health and Welfare Plans. HHS, DOL, and IRS issue guidance to clarify birth control coverage requirements under the preventive services rules of the ACA in connection with Executive Order 14076 addressing reproductive healthcare issues in the wake of the Supreme Court’s overturning of Roe v. Wade. FAQs on Affordable Care Act Implementation Part 54; see also HHS Press Release.
- The Inflation Reduction Act of 2022. Read an analysis of the tax provisions by the Congressional Research Service (pre-Senate vote).
- Listen up! The Evolution of The Film & TV Industry In The Wake Of Covid Podcast. Hear from highly lauded entertainment attorney, Victoria Cook of Frankfurt Kurnit Klein & Selz PC, talk about the changes to the film and television market in light of Covid-19 and the ways the market is shifting based on online consumption. See all of our podcasts in the Practical Guidance Podcasts Resource Kit
- Document alerts allow you to stay current on legal developments that affect your practice. Find out how to set up your document alerts.
- Check out the new Practical Guidance Author Center! Learn about the 1500+ leading attorney authors contributing to our 21 practice areas, and find out how you can Become a Practical Guidance Author.
- Share the Summer Associate Resource Kit: Employee Benefits & Executive Compensation with your firm’s summer associates to help them sharpen their research and writing skills, get the inside scoop on summer associate survival, and hit the ground running.
- The Practical Guidance Journal Summer 2022 Edition features wage and hour issues related to remote and hybrid work.
- New Practical Guidance Content
Experience results today with practical guidance, legal research, and data-driven insights—all in one place.
Experience Lexis+