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What Employers Need to Know About Health Reform Rules for Health Benefit Summaries


Product Code - HRAU01
Speaker(s): Jeff Capwell, Partner, McGuireWoods LLP; James P. McElligott, Jr., Partner, McGuireWoods LLP; Felicia Mitchell, Associate, McGuireWoods LLP
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On February 9, 2012 the Departments of Labor, Treasury, and Health and Human Services issued final regulations on the "Summary of Benefits and Coverage" (SBC) that group health plans and insurers must provide under the Patient Protection and Affordable Care Act.

To meet the September 23, 2012 effective date for these new rules, employers must know these new requirements and comply in time for their first open enrollment after September 23, 2012.

Join Jeffrey R. Capwell, James P. McElligott, Jr., and Felicia Mitchell of the law firm of McGuireWoodsLLP, as they explain:

  • The new SBC content disclosure requirements
  • The new SBC formatting requirements
  • How deductibles, co-insurance, and co-payments must be described
  • How and when health plan participants must receive the new disclosures
  • The practical considerations associated with electronic delivery
  • The language requirements for SBC disclosures
  • The penalties for noncompliance
  • The use of the SBC Template and SBC Uniform Glossary
  • The connection between SBC disclosures and health plan SPDs
  • The notices required for material plan changes, and
  • The Amara case and misstatements in SBC disclosures

Jeff Capwell, Partner, McGuireWoods LLP; James P. McElligott, Jr., Partner, McGuireWoods LLP; Felicia Mitchell, Associate, McGuireWoods LLP

 Capwell
Jeff Capwell
 is a partner in the Charlotte, N.C. office of McGuireWoods LLP and leader of the firm's Employee Benefits practice group. Jeff has over 20 years of experience helping employers design and administer a wide range of employee benefit and executive compensation programs, including all forms of health benefit plans. He works with employers in a number of different of industries and of varying sizes.

Jeff regularly represents employers in audits and examinations by the IRS, the U.S. Department of Labor, and other government agencies. He advises clients on ERISA fiduciary requirements, prohibited transaction restrictions and other aspects of benefit plan administration, including retention and monitoring of plan service providers. He also counsels clients on plan integration and disposition following mergers and acquisitions.

Jeff is President of the Southern Employee Benefits Conference and a member of the Employee Benefits Committee of the American Bar Association Section of Taxation. He is a graduate of Dartmouth College and Syracuse University College of Law,  where he served as Editor-in-Chief of the Syracuse Law Review.

 

 Mcelligott2
James P. McElligott, Jr
. is partner in the Richmond office of McGuireWoods LLP. He advises and defends corporations, public agencies, benefit plans and fiduciaries concerning employee benefits, labor relations, executive compensation, ERISA litigation, class actions, ERISA fiduciary litigation, withdrawal liability, bankruptcy and benefits, PBGC matters, COBRA, HIPAA and HITECH issues. Mr. McElligott has an active trial and arbitration practice, is a Fellow of the College of Labor and Employment Attorneys, is listed in Who's Who in American Law, Best Lawyers in America, Chambers USA Guide to Leading Lawyers, and Virginia Super Lawyers serves as a member of the US Chamber of Commerce Employee Benefits Committee. Mr. McElligott is a graduate of Harvard Law School, cum laude,  where he served as Note Editor, Harvard Journal on Legislation.

 

 Felicia
Felicia Mitchell
is an associate in the Employee Benefits and Executive Compensation practice group at McGuireWoods LLP. Ms. Mitchell advises employers on all legal aspects of employee benefit and executive compensation matters; her practice includes a variety of employee benefits matters related to pension plans, 401(k) plans, cafeteria and welfare plans and executive compensation arrangements. Ms. Mitchell counsels employers in connection with the design, administration, and regulatory compliance of a wide range of employee benefit programs. She has a background in tax-qualified retirement plans, including 401(k) plans, defined benefit plans, and ESOPs; executive and incentive compensation programs; employee benefit programs for universities, churches, and other tax-exempt organizations, such as 403(b) plans and 457 plans; and group insurance and other health and welfare benefit plans, including healthcare reform, COBRA continuation coverage, and HIPAA compliance. Ms. Mitchell earned her J.D., cum laude, from Georgetown University Law Center in 2009 and earned her B.S., summa cum laude, in accounting from Hampton University in 2003.  She is admitted to practice in North Carolina.