Key notification and communication requirements in health care reform

July 28, 2010

You’ve likely been focusing mostly on the plan design and administration requirements of health care reform. But, the law has a series of new notification and communication requirements that start this year and extend over the next several years.

You’ll need to be thinking not only about the strategic communication needs—how to keep employees engaged in their health and managing costs—but also how to meet these legal requirements in a way that adds the most value. (And, creates the least amount of additional work for you and your team.)

Much is still in flux about the changes in health care, but this article captures the key notification requirements and what to look for as regulations are issued.

Seven health care reform notices

The final regulations detailing the exact disclosure requirements for all regulations are not yet out. But here are seven items that should be on your radar for your benefits communication strategy.

  • Notice of key plan design changes effective 1/1/11 (during this fall’s enrollment for most companies)
  • Summary of material changes (2012)
  • Summary of medical coverage (2012)
  • Description of all disease management programs (2012)
  • Automatic medical enrollment and opt-out actions (TBD—likely 2013)
  • Notification of exchanges and “free choice vouchers” (2013)
  • Description of claims process (TBD)

Read more…..

Employee Benefit News article used by permission

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About Ken Mensio

Ken is currently an Employee Benefits Consultant with Chapman Schewe Benefits Consulting (CSI Benefits). He brings to CSI Benefits a broad experience base that includes founding his own company, KM Consulting Group, Inc., as well as holding managerial positions within other organizations, and serving clients through a variety of sales and service roles.
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