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Beware this Threat to Exec-Comp Tax Deductions

by Andrew C. Liazos

An IRS compensation rule aimed at health insurers could actually apply to a wide range of companies.

It is well known that the Patient Protection and Affordable Care Act (PPACA, or the federal health care reform law) significantly limits the ability of health insurance companies to deduct payment of compensation beginning in 2013.  What is not so well known is that the Internal Revenue Service might apply this limitation to health care services providers that are not typically considered to be insurance companies, to captive insurance companies, and even to companies outside the health insurance industry.

To read the full article, click here.




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The Patient Protection and Affordable Care Act: The Supreme Court Decision

by Christopher M. Jedrey, Joel L. Michaels, Susan M. Nash, Paul W. Radensky and Eric Zimmerman

While the Supreme Court of the United States has in large part resolved questions regarding the constitutionality of the Patient Protection and Affordable Care Act, participants in the health care industry should prepare for ongoing uncertainty in the manner and degree to which states will participate in the expansion of Medicaid.

To read the full article, click here.




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Health Care Reform – What Happens Now that the Supreme Court has Decided to Uphold the Mandate?

by Amy M. Gordon, Susan M. Nash and Maureen O’Brien

On June 28, 2012, the Supreme Court upheld the most significant provisions of the Patient Protection and Affordable Care Act (the Act), including the controversial individual mandate.  The vote was 5-4 and the majority opinion was written by Chief Justice John Roberts.  Ironically, the justices concluded that the mandate was not a valid exercise of Congress’ commerce clause power but was a proper use of Congress’ tax authority.  One of the most complicated issues that everyone struggled with, the severability issue, is now moot because the individual mandate was upheld.

Click here to view the Supreme Court opinion.

Please join us for a webcast discussing the opinion on Friday June 29, 2012, from 12:00-2:00 p.m. EDT.  To register, click here.




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Recent PPACA Guidance on New $2,500 Health FSA Limit

by Maureen O’Brien and Susan Nash

The Internal Revenue Service (IRS) recently released guidance on the implementation of the $2,500 limit on health flexible spending accounts (FSA) scheduled to go into effect in 2013.  IRS Notice 2012-40 (Notice) clarifies the application of the new limit for plan years beginning after 2013 and solicits comments regarding whether to modify the use-or-lose rule set forth in the current proposed regulations under Section 125 of the Internal Revenue Code of 1986, as amended (Code).

The Notice states that the $2,500 limit on contributions to health flexible spending accounts is applicable for plan years beginning on or after January 1, 2013.  This means that non-calendar year plans do not need to institute a mid-year limit to comply with applicable law.  In addition, the Notice states that the $2,500 limit does not apply to heath savings accounts or health reimbursement accounts or “flex-credits” granted by an employer.  In addition, for cafeteria plans under Section 125 of the Code with grace periods which allow use of contributions for up to two and one-half months after the end of the plan year, the $2,500 limit does not apply to any amounts contributed for the previous plan year and available during such grace period.

If an employee erroneously contributes more than $2,500 to his or her health flexible spending account for plan years beginning on or after January 1, 2013, the Notice provides for a correction method for employers to refund amounts over the limit to the employee and adjust the employee’s reportable wages for the applicable tax year.  This correction method is available only if the employer has complied with the written plan requirements of Section 125 of the Code, the erroneous contribution was due to reasonable mistake and not willful neglect by the employer and the employer’s cafeteria plan is not under examination for the plan year in which the erroneous contributions occurred.

The Notice also provides that employers may amend the cafeteria plan anytime prior to December 31, 2014 to comply with the new FSA limit.  Such amendment may express the limit as a maximum dollar amount or use another method to express the new $2,500 limit.  The $2,500 limit will be subject to cost of living increases and this type of indexing should be considered when drafting any required amendments.

Finally, the Notice requests comments on modifications to the use-or-lose rule for health flexible spending accounts currently in effect given implementation of the new dollar limit.  McDermott will continue to update employers on any changes to the use-or-lose rule for health flexible spending account plans.




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Recent Case Highlights Split of Authority on Whether Corporate Agreements Can Amend Employee Benefit Plans

by Paul J. Compernolle, Michael T. Graham and Maggie McTigue

The U.S. Court of Appeals for the Fifth Circuit recently held that a paragraph in an asset purchase agreement qualified as an amendment to an employee benefit plan, highlighting a split between circuits of the U.S. Courts of Appeal.

Click here to read the full article.




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Health Care in the High Court: Reading the Tea Leaves of Supreme Court Arguments

Thursday, March 29, 2012
12:00 – 1:15 pm EDT

To register, please click here.

On March 26–28, the Supreme Court of the United States will undertake an extraordinary six hours of oral argument to decide the fate of the health reform legislation known as the Patient Protection and Affordable Care Act.  McDermott Will & Emery will be there, and will share the insights gleaned from three days of court-watching with clients and friends of the Firm.

McDermott has assembled a team of constitutional and health law authorities and seasoned political analysts to discuss the arguments and questions from the justices, make predictions about the ultimate decision and offer implications of possible decision outcomes, including the implications for providers, payors, products and employers who offer health insurance.

McDermott Speakers
M. Miller Baker, Partner
Jon Decker, Senior Professional Advisor
Amy Gordon, Partner
Joel Michaels, Partner
Paul Radensky, M.D., Partner
J. Peter Rich, Partner

This interactive webcast is the first of a two-part series.  Our second webcast will occur within 24 hours of the Supreme Court’s ultimate decision, which is expected to be issued in the last week of June.

For more information, please contact McDermott Events.

 




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Summary of Benefits and Coverage Disclosure Requirements

by Amy M. Gordon, Joanna C. Kerpen and Susan M. Nash

Recently issued final regulations and related guidance clarify the requirement under the Patient Protection and Affordable Care Act that group health plans and health insurance issuers provide a summary of benefits and coverage and a uniform glossary.  The guidance includes final regulations and sample summaries and instructions.

To read the full article, click here.




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