Healthcare Reform Compliance for Employee Benefits: Required Plan Changes, Limiting Exposure, Transparency Rules

ACA Rules and Regulations Updates, Recent State Insurance Mandates, Pay or Play, PCORI Fees, Other ACA Taxes and Fees

Note: CPE credit is not offered on this program

Recording of a 90-minute premium CLE webinar with Q&A

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Conducted on Wednesday, April 22, 2020

Recorded event now available

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Course Materials

This CLE course will guide ERISA counsel, plan sponsors, and administrators on critical issues and requirements stemming from recent healthcare reform impacting employee benefits. The panel will discuss updates regarding ACA rules and regulations, recent state insurance mandates, necessary plan changes, compliance issues for pay or play, new proposed transparency in coverage and model notice rules, and other critical challenges for ensuring compliance with healthcare reform for employee benefit plans.


Employers providing health and welfare benefits to employees are subject to both federal and state rules and regulations. To ensure that benefit plans align with current rules and regulations, benefits counsel must grasp a complete understanding of any healthcare reform to ensure compliance and avoid potential penalties or litigation.

Employers need to be aware of several healthcare regulatory changes that will impact employee health benefits in 2020. The ACA rules contain comprehensive health insurance reforms and include tax provisions that affect individuals, families, businesses, insurers, tax-exempt organizations, and government entities. Despite repeal of the individual mandate penalty of the ACA, the remaining provisions still apply. Additionally, some states have now enacted individual insurance mandate laws.

Changes in preventive care benefits, proposed transparency rules in coverage and model notice, changes in ACA's affordability percentage, employer shared responsibility penalty and other issues also hinder compliance with healthcare laws.

Listen as our panel discusses updates to ACA rules and regulations, recent state insurance mandates, and other compliance issues impacting health and welfare benefit plans.



  1. Updates to ACA rules and regulations
  2. State insurance mandates and recent regulations
  3. Necessary plan modifications in light of healthcare reform
  4. New transparency in coverage and model notice rules
  5. Best practices to ensure compliance for employers


The panel will review these and other key issues:

  • How does healthcare reform impact health and welfare benefit plans?
  • What are the most recent updates to the ACA rules and regulations?
  • What are the recent state insurance mandates and regulations?
  • What changes or modifications must be made in light of new and proposed rules and regulations?
  • What are the new transparency rules and their impact on plan design and implementation?
  • What steps must be taken to overcome compliance issues and avoid penalties and litigation?


Andrew, Laura
Laura Miller Andrew

Smith Gambrell & Russell

Ms. Andrew advises clients in all major aspects of employee benefits including qualified and nonqualified plans, IRS...  |  Read More

Delano, Dannae
Dannae Delano

The Wagner Law Group

Ms. Delano concentrates her practice in employee benefits law, executive compensation and taxation. She counsels...  |  Read More

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