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Employee Benefits Answer Book, Ninth Edition

Comprehensive Coverage of the Health Care Reform Act - and its Impact on Employee Benefit Plans!
Employee Benefits Answer Book, Tenth Edition
List Price: $355.00  
Eligible for Free Standard Shipping on U.S. Prepaid Orders
Imprint: Aspen Publishers
ISBN: 9780735591165
Hardcover: 1,368 pages
Publication Cycle: Supplemented annually
Last Updated: 6/19/2012
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Employee Benefits Answer Book provides comprehensive guidance for those involved in the design and administration of employee benefit plans.

The Q&A format is ideal for probing key topics such as:

  • Health care reform
  • COBRA continuation coverage
  • Retiree health care coverage
  • Health coverage portability requirements
  • Group long-term care insurance
  • Dependent care assistance
  • Adoption assistance
  • Vacation and severance pay plans
  • Death benefits
  • Financing employee benefits
  • Financial accounting for employee benefits
  • And more!

Employee Benefits Answer Book will help you:

  • Set the best Health Care Reform Act strategy for your company and your clients
  • Keep in compliance with current and coming requirements
  • Find clear answers to hundreds of employee benefits questions
  • Avoid costly errors related to employee benefits administration
  • Resolve employee benefits issues quickly and effectively
  • And much more!

Employee Benefits Answer Book has been updated to bring you plain-language explanations of the latest health care reform developments, including these important topics:

  • When a plan is a "grandfathered" plan - and how to keep it that way
  • What employers need to do to satisfy "employer responsibility" requirements under the Health Care Reform Act
  • How the Health Care Reform Act restricts preexisting-condition exclusions
  • Which plans and benefits are subject to new prohibitions on annual and lifetime benefit limits
  • When a plan must cover an employee's adult child
  • How to comply with no-cost preventive care requirements
  • What a plan must do when denying a benefit claim
  • What plans must tell employees about their benefits and coverage
  • When health reimbursement arrangements can and cannot pay for over-the-counter drugs
  • How small employer plans can cash in on a valuable new tax credit
  • Why insured plans don't need to worry about tough, new nondiscrimination rules
  • How plans must handle premium rebates from their insurers
  • What health plan information must be reported on employees' W-2 forms
  • And much more!

In addition to Health Care Reform, Employee Benefits Answer Book provides employers and benefits professionals with extensive and up-to-date guidance on other important legal and regulatory developments during the past year, including:

  • Important new regulations under the Age Discrimination in Employment Act (ADEA)
  • Cost-sharing parity requirements for mental health and addiction benefits
  • Expanded FMLA coverage for military family members
  • New fringe benefit rules for employer-provided cell phones
  • Key changes to the Uniformed Services Employment and Reemployment Rights Act (USERRA)
  • New FMLA rules for airline flight crews
  • New ground rules for employer-provided adoption assistance
  • Important U.S. Supreme Court rulings on employee benefits
  • Revised rules for counting intermittent FMLA leave
  • Updated guidance on retiree prescription drug benefits



View the Highlights for this title.
  • 1. Introduction
    • Thumbnail Guide to Important Regulatory Goals
    • Practical Plan Administration
  • 2. The Regulatory Scheme: The Employee Retirement Income Security Act of 1974 (ERISA)
    • Basic Concepts and Definitions
    • Covered Employers
    • Covered Employees
    • Covered Plans
    • Requirements for Plan Document
    • Fiduciaries
    • Fiduciary Responsibility
    • Mandated Benefit Provisions
    • Plan Development: Adoption, Amendment, and Termination
    • Plan Assets
    • Trustees and Investment Managers
    • Trust Requirement
    • Prohibited Transactions
    • Fiduciary Liability
    • Nonfiduciary Liability
    • Bonding Requirement
    • Claims Procedure Requirement
    • Reporting and Disclosure Requirements
    • Preemption of State Laws
    • Penalties and Enforcement
    • Remedies for Breach of Fiduciary Duties
    • Remedies of Plan Participants and Beneficiaries
  • 3. Group Health Plans
    • Basic Concepts
    • Types of Plans
    • Funding Types and Cost Sharing
    • Dependent Coverage Requirements
    • Coordination of Benefits
    • Subrogation
    • Code Section 105(h) Nondiscrimination Rules
    • Legal Requirements Affecting Health Plans
    • Plan Administration
    • Health Benefit Claim Processing and Review
    • Trust Requirement
    • Deductibility of Employer Contributions
    • Tax Treatment of Participants
    • Medical Savings Accounts
    • Employee Assistance Programs
    • Workers' Compensation
  • 4. Retiree Medical Benefits
    • Basic Concepts
    • Obligation to Provide Retiree Medical Benefits
    • Tax Treatment of Retiree Health Benefits
    • Cost Containment Through Plan Redesign
    • Plan Cutbacks - Legal Issues
    • Plan Administration
    • Coordination with Medicare
    • Trust Requirement
    • Financial Accounting Rules
    • Funding Options
    • Medicare Risk HMOs and Medicare
  • 5. HIPAA and Other Laws Affecting Health Benefits
    • Health Insurance Portability and Accountability Act of 1996
    • Laws Affecting Maternity, Newborns, and Mothers
    • Women's Health and Cancer Rights Act of 1998
    • Qualified Medical Child Support Orders
    • Medicare Secondary-Payer Rules
    • Health Maintenance Organization Act of 1973
    • Enforcement
  • 6. COBRA Requirements for Continuation of Coverage Under Group Health Plans
    • Overview
    • Covered Plans
    • Definition of "Plan" for COBRA Purposes
    • Covered Employers
    • Qualified Beneficiaries
    • Qualifying Events
    • Notice to Participants
    • COBRA Election and Enrollment
    • Type and Extent of Required Coverage
    • Duration of Coverage
    • Premiums
    • Mergers and Acquisitions
    • Preemption of State Continuation Laws
    • COBRA Enforcement and Sanctions
    • Plan Year
  • 7. Cafeteria Plans
    • Basic Concepts
    • Written Plan Requirement
    • Eligible Employees
    • Permitted Benefit Choices
    • Use-It-or-Lose-It Rule
    • Salary Reduction
    • Period of Coverage
    • Elections
    • Premium Conversion Plans
    • Flexible Spending Arrangements
    • Trust Requirement
    • Section 125 Nondiscrimination Rules
    • Tax Treatment of Cafeteria Plan Benefits
    • Reporting and Disclosure Requirements
    • Effect of Other Laws
  • 8. Dependent Care Assistance and Adoption Assistance
    • Dependent Care Assistance Programs
    • Adoption Assistance Programs
  • 9. Group Long-Term Care Insurance
    • Basic Concepts
    • Covered Benefits
    • Tax Treatment of Employers
    • Tax Treatment of Coverage Provided to Employees
    • Tax Treatment of Premium Payments Made by Employees
    • Tax Treatment of Benefit Payments Received by Employees
    • Tax Reporting Requirements
    • Characterization Under Other Laws
    • Inclusion in Cafeteria Plans
    • Effective Date of HIPAA Long-Term Care Provisions
  • 10. Disability Income Plans
    • Basic Concepts
    • Plan Design and Administration
    • Trust Requirement
    • Benefit Calculations
    • Tax Treatment of Employers
    • Tax Treatment of Employees
    • Tax Treatment of Self-Employed Persons and Subchapter S Corporation Shareholder-Employees
  • 11. Group Term Life Insurance Plans
    • Basic Concepts
    • General Death Benefit Requirement
    • "Group of Employees" Requirement
    • Policy Carried Directly or Indirectly by the Employer
    • Benefit Formula Precluding Individual Selection
    • Nondiscrimination Rules
    • Other Plan Design Limitations
    • Preemption of State Insurance Laws
    • Plan Administration Issues
    • Trust Requirement
    • Tax Treatment of Employer Contributions
    • Income Tax Treatment of Coverage Provided to Employees
    • Income Tax Treatment of Death Benefits
    • Tax Treatment of Premium Rebates
    • Federal Estate and Gift Taxation
  • 12. Death Benefits Other Than Employee Group Term Life Insurance
    • Dependent Group Term Life Insurance
    • Accidental Death Benefits
    • Business Travel Accident Insurance
    • Group Universal Life Insurance
    • Uninsured Death Benefits
    • Split-Dollar Life Insurance
    • Bonus Life Insurance
    • Death Benefits Under Qualified Retirement Plans
    • Accelerated Death Benefits
    • Living Benefits .
  • 13. Fringe Benefits
    • Overview
    • No-Additional-Cost Services
    • Employee Discounts
    • Working Condition Fringe Benefits
    • Aircraft
    • Cars and Other Vehicles
    • Club Dues
    • De Minimis Fringe Benefits
    • Employer-Operated Eating Facilities
    • Occasional Meal Money and Local Transportation Fare
    • Employer-Provided Transportation in Unusual Circumstances and Because of Unsafe Conditions
    • On-Premises Athletic Facilities
    • Qualified Transportation Fringe Benefits
    • Qualified Moving Expense Reimbursements
    • Meals and Lodging Furnished for the Convenience of the Employer
    • Employee Gifts and Achievement Awards
    • Disaster Relief
  • 14. Educational Assistance and Group Legal Services Plans
    • Educational Assistance Programs
    • Qualified Scholarships and Tuition Reductions
    • Job-Related Educational Benefits
    • Group Legal Services Plans
    • Education Savings Plans
  • 15. Vacation and Severance Pay Plans
    • Vacation Pay Plans
    • Severance Pay Plans
    • Golden Parachute Payments
  • 16. Family and Medical Leave
    • Basic Concepts
    • Covered Employers
    • Eligible Employees
    • Qualifying Family and Medical Leave
    • Certifying a Serious Medical Condition
    • Substitution of Paid Leave
    • Employee Benefits During Leave
    • Rights upon Return from FMLA Leave
    • Failure to Return from FMLA Leave
    • Relationship to COBRA Continuation of Group Health Plan Rules
    • Relationship to Cafeteria Plan Rules
    • Posting and Disclosure Requirements
    • Recordkeeping Requirements
    • Relationship to State Laws
    • Penalties and Enforcement
  • 17. Age Discrimination in Employment Act of 1967
    • Basic Concepts
    • Covered Employers
    • Covered Employees
    • Providing Lesser Benefits to Older Workers
    • Bona Fide Plan Requirements
    • Cost-Equivalency Rule
    • Using Retiree Health Benefits to Reduce Other Benefits
    • Providing Greater Benefits to Older Workers
    • Waiver of ADEA Rights and Claims
    • Arbitration of ADEA Claims
    • Penalties
    • Relationship to State Laws
  • 18. Americans with Disabilities Act of 1990
    • Basic Concepts
    • Covered Employers
    • Covered Employees
    • Covered Disabilities
    • Effect on Welfare Benefits Plan Design
    • Disability Inquiries and Confidentiality
    • Arbitration of ADA Claims
    • Penalties
    • Effect of State Laws
  • 19. Other Federal Laws
    • Labor Laws and Collective Bargaining
    • Title VII of the Civil Rights Act of 1964
    • Title VI of the Civil Rights Act of 1964
    • Equal Pay Act of 1963
    • Rehabilitation Act of 1973
    • Worker Adjustment and Retraining Notification Act of 1988
    • Retiree Benefits of Bankrupt Companies
    • Veterans' Health Care Amendments of 1986
    • Military Retirees
    • Uniformed Services Employment and Reemployment Rights Act of 1994
    • Miscellaneous
  • 20. Funding and Financing Welfare Benefits
    • Overview of Funding Alternatives
    • Welfare Benefit Fund Rules
    • VEBAs
    • Funding Postretirement Medical Benefits Under a Pension Plan
    • Financing Welfare Benefits with Life Insurance
  • 21. Financial Accounting Rules for Nonpension Retiree and Postemployment Benefits
    • Postretirement Welfare Benefits
    • Disclosure Requirements
    • Reducing or Eliminating FAS 106 Liability
    • Postemployment Benefits

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Employers Guide to Health Care Reform, 2012-2013 Edition by Brian M. Pinheiro, Jean C. Hemphill, Clifford J. Schoner, Jonathan M. Calpas, Kurt R. Anderson

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