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Monthly Archives: December 2012


    Posted on December 11, 2012


    On November 20, 2012 the DHHS issued a proposed rule that addresses a number of questions surrounding essential health benefits and determining actuarial and minimum value.  This rule is still in the “proposed” stage, which just means more than likely there will be changes when the final rules are issued.

    Beginning in 2014, non-grandfathered insurance coverage in the individual and small group markets will be required to provide coverage for “essential health benefits” (EHBs) at certain levels of coverage.

    The proposed rule:   Confirms that these policies, whether provided through or outside of an exchange, will be required to:

    Cover the 10 essential health benefits:

    • Ambulatory/outpatient
    • Emergency
    • Hospitalization
    • Maternity and newborn care
    • Mental health and substance use
    • Prescription drugs
    • Speech, Physical, and Occupational Therapy
    • Laboratory services
    • Preventive and wellness services and chronic disease management
    • Pediatric services, including pediatric dental and vision care

    For more information regarding please feel free to click on the link below to read the complete article, or contact Kate Mullen at Acadia Benefits at or 761.2426 ext 234

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  • The Impact of the November 2012 Election on PPACA – Where We Go From Here

    Posted on December 11, 2012

    Below is the link to the recent UBA Employer Webinar Series: “The Impact of the November 2012 Election on PPACA – Where We Go From Here”

    Your name and email are required for registration.

    We are fast approaching January 2014, when the key provisions of the Patient Protection and Affordable Care Act (PPACA) are to take effect.  To date, regulations have not been issued on a number of significant provisions.  In addition, the law remains controversial, and the ever-shifting political winds are likely to bring more changes.   UBA is pleased to announce the return of Janet Trautwein, CEO of the National Association of Health Underwriters in Washington, D.C., as the presenter of this webinar.  Ms. Trautwein will offer her perspective on which regulations are likely to be released soon and which requirements might be delayed or repealed.  Understanding what is required and what may happen in terms of PPACA implementation will help employers assess their options and obligations as 2014 nears.

    Janet Trautwein – Executive Vice President and CEO, NAHU NAHU represents more than 100,000 professionals involved in the sale and service of health insurance and related products.  Ms. Trautwein’s responsibilities include oversight of all NAHU activities and primary representation of the association to the media, government agencies and elected officials at all levels, the insurance industry and the public.  Prior to becoming the EVP/CEO of NAHU, she served for many years as the head of NAHU’s government affairs department working with members of Congress and agencies of the executive branch.

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    Please feel free to watch/listen to this whenever it is convenient for you and your staff. It will be available for you to view for the next 11 months. Your name and email are required for registration. There is no cost however, this webinar has been approved for one credit hour toward PHR, SPHR and GPHR recertification through the HR Certification Institute. Once you have viewed the webinar, the last page will provide details on receiving the credit hour.

    These webinars are designed to help keep you up to date on pertinent employee issues. We hope that you find this information valuable.

    If you would like to be removed from our distribution list or if there is someone else in your organization that you would like to receive this, please contact Karen Soule

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