At Sterling Benefits, we are proactively working with multiple resources to dissect the various facets of the law and to understand the guidelines and timelines it presents to our clients. You can expect that we will provide ongoing communications and information as interpretation and implementation details continue to unfold from the government.

Our priority at Sterling Benefits is to stay focused on delivering value and quality customer service to our customers as we work together with health care reform. Significant changes will take place in 2014. In the meantime, there are some items that will require attention much sooner. We will keep you posted as details and clarifications from the government are made available. We encourage you to review this information and utilize our office as a resource in addressing questions and concerns.

Friday, February 22, 2013

Pre-Existing Condition Insurance Plan Enrollment Suspension

Beginning February 16, 2013, the federally-run Pre-Existing Condition Insurance Plan (PCIP) is suspending acceptance of new enrollment applications until further notice. State-based PCIPs may continue accepting enrollment applications through March 2, and will then suspend acceptance of new enrollment applications until further notice. PCIP will continue providing coverage to more than 100,000 people currently enrolled nationwide.

This suspension will help ensure that funds are available through 2013 to continuously cover people currently enrolled in PCIP.

Federal Government To Run Insurance Marketplaces In Half The States

Article:  Federal Government To Run Insurance Marketplaces In Half The States - Kaiser Health News

Wednesday, February 20, 2013

HHS Releases Final Regulations on Essential Health Benefits Standards

On February 20, 2013, the Department of Health and Human Services (HHS) released a final rule that helps consumers shop for and compare health insurance options in the individual and small group markets by promoting consistency across plans, protecting consumers by ensuring that plans cover a core package of items that are equal in scope to benefits offered by a typical employer plan, and limiting their out of pocket expenses.

The Final Rules include details on:

Friday, February 1, 2013

Proposed Rule Eases Contraceptive Mandate for Non-Profit Religious Organizations

On February 1, 2013, the Departments of Health and Human Services announced a proposed rule that, according to an agency press release, lays out "how nonprofit religious organizations, such as nonprofit religious hospitals or institutions of higher education, that object to contraception on religious grounds can receive an accommodation that provides their enrollees separate contraceptive coverage, and with no co-pays, but at no cost to the religious organization."

Here's the
HHS fact sheet and proposed rule.