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The Wagner Law Group

The Wagner Law Group is a nationally recognized practice in the areas of ERISA and employee benefits, estate planning, employment, labor and human resources, investment management and real estate. 

 

Established in 1996, The Wagner Law Group has 27 attorneys engaged exclusively in employee benefits, estate planning and employment law. Seven of our attorneys are AV rated by Martindale-Hubbell as having very high to preeminent legal abilities and ethical standards. The firm is among the largest ERISA boutiques in the country. Our practice is national in scope, with clients in more than 40 states and several foreign countries.

 

 

 

 

Contact Info

The Wagner Law Group

 

  Integrity | Excellence

  

Boston 

Tel: (617) 357-5200 

Fax: (617) 357-5250 

99 Summer Street 

13th Floor

Boston, MA 02110

 

Washington, D.C.

Tel: (202) 969-2800

  Fax: (202) 969-2568

800 Connecticut Ave., N.W.

Suite 810

Washington, D.C. 20006

 


Palm Beach Gardens 

Tel: (561) 293-3590
Fax: (561) 293-3591
7108 Fairway Drive
Suite 125
Palm Beach Gardens, FL 33418

   

Tampa

Tel: (813) 603-2959

Fax: (813) 603-2961

101 East Kennedy Boulevard

Suite 2140
Tampa, FL  33602 

 

San Francisco

Tel: (415) 625-0002

Fax: (415) 358-8300

300 Montgomery Street

Suite 600

San Francisco, CA 94104

 

St. Louis

Tel: (314) 236-0065

Fax: (314) 236-5743
100 South 4th Street, Suite 550
St. Louis, MO  63102 

 

 

www.wagnerlawgroup.com

 

 

 

April 19, 2017

 

 Health and Welfare Law Alert

 

 

 

  HHS Releases Final Rule Intended to Lower Premiums and Stabilize ACA Marketplace   

 

 

 

 

 

HHS has issued a final rule intended to implement certain changes that insurers contend are necessary to help lower premiums and provide stability to the Affordable Care Act individual health insurance marketplace. 

 

 

Final Rule.  The final rule implements certain policy changes intended to enhance the marketplace and promote stability, including:

 

  • 2018 Annual Open Enrollment Period.  The 2018 open enrollment period is shortened and now more closely aligns with the open enrollment periods for Medicare and the private market.  The 2018 open enrollment period will run from November 1, 2017 through December 15, 2017 (rather than January 31, 2018), thereby encouraging individuals to enroll in coverage before the beginning of 2018.
  • Special Enrollment Periods.  Individuals must provide supporting documentation for special enrollments, ensuring that only those who are eligible are able to enroll.  Consumers previously had the option to self-attest to their eligibility for special enrollment.
  • Payment of Past Due Premiums.  Insurers may require individuals to pay outstanding premiums owed for coverage provided during the prior 12 months before enrolling in coverage for the next year without violating the guaranteed availability guidelines.
  • Increase Consumer Choice.  Insurance issuers have been given additional actuarial value flexibility to develop more low-cost choices and continue offering existing plan options to consumers.
  • Certification of Network Adequacy.  The final rule defers to states to certify whether a plan sold in the marketplace meets network adequacy requirements. 

 

The final regulations are available at: https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-07712.pdf

 

  

 

 

 

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This Newsletter is provided for information purposes by The Wagner Law Group to clients and others who may be interested in the subject matter, and may not be relied upon as specific legal advice.  This material is not to be construed as legal advice or legal opinions on specific facts. Under the Rules of the Supreme Judicial Court of Massachusetts, this material may be considered advertising.