Focus on Health Care Fraud

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Regulations and Guidance under ACA

How To Protect Your Employees When Purchasing Health Insurance - A fact sheet with tips employers can use when comparing benefits and costs of multiple insurance products.
What To Do If Your Health Coverage Can No Longer Pay Benefits - This fact sheet provides basic information regarding options consumers may have if health coverage can no longer pay benefits because of insolvency or fraud, causing the plan to file for bankruptcy or to go out of business.
Multiple Employer Welfare Arrangements Under ERISA (MEWA) - A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs.
Final Affordable Care Act Regulations Related to Multiple Employer Welfare Arrangements - A fact sheet describing final rules under the Affordable Care Act relating to the reporting requirements for multiple employer welfare arrangements and the additional enforcement authority to crack down on fraudulent health plans.
MEWA Enforcement - The Labor Department has devoted significant resources to investigating and litigating issues connected with abusive MEWAs who sell the promise of inexpensive health benefit insurance, but default on their obligations. Particular emphasis has been put on identifying ongoing abusive and fradulent MEWAs and working to shut down such operations.
Procedures for Administrative Hearings Regarding Plans Established or Maintained Pursuant to Collective Bargaining Agreements Under Section 3(40)(A) of ERISA - These regulations are intended to assist labor organizations, plan sponsors and state insurance departments in determining whether a plan is a "multiple employer welfare arrangement" within the meaning of section 3(40) of ERISA.
The Form M-1 Online Filing System is an electronic filing system for the Form M-1 annual report for Multiple Employer Welfare Arrangements (MEWAs). The system allows filers to complete the form and submit it at no cost. This system is an example of an E-Government initiative which uses improved technology to make it easier for citizens and businesses to interact with the government.
The Form M-1 Online Search tool allows users to find reports for MEWAs and Association Health Plans (AHPs) filed with the Department of Labor. The Form M-1 is filed annually by MEWAs, (including AHPs) and ECEs (Entities Claiming Exception). Users can search by MEWA name, plan sponsor name, MEWA employer identification number (EIN), or the state of the MEWA headquarters or where coverage is offered by entering information in one or more fields. For more information on how to use the Form M-1 search, you can view the online search instructions, or go directly to the Form M-1 Online Search. Copies of the Form M-1 filings are also available from EBSA's Public Disclosure Room at 200 Constitution Avenue, NW, Room N-1515, Washington, DC 20210, or by calling (202) 693-8673.
National Association of Insurance Commissioners - The NAIC Website will help you find out information about the regulation of health insurance providers in your state.