Need to Verify Access to Coverage Could Be Huge Burden for Employers, in AIS’s Inside Health Insurance ExchangesAugust 1, 2012
Adam Solander, an Associate in the Health Care and Life Sciences practice, in the Washington, DC, office, wrote an article titled "Need to Verify Access to Coverage Could Be Huge Burden for Employers."
Following is an excerpt:
The Supreme Court's June 28 decision represented a major hurdle that the reform law had to clear before the 2014 finish line, when a majority of the law takes effect. In this sprint for home, state and federal health insurance exchange implementation activities will increase in intensity. However, what is seemingly lost in the implementation conversations has been the role the exchanges will play with regard to the application of the employer mandate. Under the law, exchanges will be required to verify employer-sponsored coverage and handle appeals prior to the application of the employer mandate penalty. But very little substantive guidance has been released to inform employers on how the communications between the exchanges, employees and employers will actually take place. If the associated reporting requirements are not implemented effectively, at least initially, these requirements could be as burdensome to employers as any of the other substantive requirements contained in the law.