Risk Management & Insurance Industry - Knowledge & Resource Center

GCat: Health - Medicine
MCat: Health
Cat: Insurance

The most common reasons health insurance claims are denied. Common components of a group long-term disability contract. Questions and answers about STD/LTD insurance. Large collection of articles about disability and insurance issues. Insurance Company Credit Ratings - Life & Health - Standard & Poor's and Duff & Phelps Credit Rating Co.

61 Resources
50 State Health Insurance Comparisons [20257] ?

Data on managed care enrollment, state consumer protection laws, state benefit requirements, etc.

Updated Affordable Care Act - Guidance for Employers [36933] ?

Health care reform regulations and employer requirements

Updated Affordable Care Act - Rules for Health Plans on Extending Benefits for Children Under Age 27 [pdf] [36930] ?

Requirements for group health plans and health insurance issuers

Affordable Care Act - Supreme Court Decision [pdf] [36932] ?

June 28, 2012 the Supreme Court rendered a final decision to uphold the health care law

Affordable Care Act - Tax Treatment of Benefits for Children Under Age 27 [pdf] [36929] ?

IRS guidance for businesses - required for the first plan year beginning on or after September 23, 2010

Affordable Care Act of 2010 [36931] ?

Text of the law - consists of 10 titles

Affordable Care Act - Benefit Appeal Rights [18718] ?

Appealing health plan decisions

Affordable Care Act - Health Insurance Rate Increases [40078] ?

Affordable Care Act Requires Insurance Companies to Justify High Rate Hikes

Affordable Care Act - IRS Guidance [36922] ?

News releases and legal guidance related to health reform and business taxes

Affordable Care Act - Rights and Protections [36926] ?

Restricts and phases out the annual dollar limits that all job-related plans

Affordable Care Act - Small Employers Tax Credit [36941] ?

What You Need to Know about the Small Business Health Care Tax Credit and the Small Business Health Options Program SHOP

Affordable Care Act - Tax Provisions [36928] ?

IRS guidance for businesses

Updated Affordable Care Act - Young Adults [36936] ?

A fact sheet

Affordable Care Act : The Law [37013] ?

Read the act

Updated Affordable Care Act Implementation FAQs [40430] ?

Prepared jointly by the US Dept of Labor and Health and Human Services

Affordable Care Act: Early Retiree Reinsurance Program [36939] ?

Financial relief for employers so retirees can get quality, affordable insurance

Affordable Care Act: FAQ [36942] ?

Answers to common questions

American Association of Preferred Provider Organizations [6688] ?

Mission to advance the development, growth and success of all network-based managed health care

Basics: Social Security - Disability Program [1825] ?

Information on US Social Security Disability Insurance Program - SSDI

CCIIO - Center for Consumer Information and Insurance Oversight [40080] ?

Oversight for state-based health insurance exchanges - administer early retiree, PCIP, consumer assistance programs

Consumer Operated and Oriented Plan Program [40079] ?

CO-OP creates qualified nonprofit health insurance issuers to offer competitive health plans

Defined Contribution Health Plan Overview [40499] ?

Rather than paying the costs to provide a specific group health plan benefit, employers can reimburse employee expenses

Updated Dependent Coverage of Children to Age 26 Requirements [36935] ?

Affordable Care Act allows young adults to stay on their parents' health care plan until age 26

Updated Disability Insurance Basics [28731] ?

An overview of the benefits, tax issues, coverages

Early Retiree Reinsurance Program [36986] ?

Was established by the Affordable Care Act

Early Retiree Reinsurance Program Rule [pdf] [36938] ?

Text of the interim final rule

Updated Employee Notice for Employers Who Do Not Offer Health Insurance [pdf] [40494] ?

A template of the employee notification required of all employers regardless of size who do not offer health insurance

Updated Employee Notice for Employers Who Offer Health Insurance [pdf] [40493] ?

A template of the employee notification required of all employers regardless of size who offer health insurance

Get Affordable Healthcare [40342] ?

Find a healthcenter

Group Health Purchasing Pools Listed by State [3190] ?

Focuses on groups that offer recipients a choice of health plans

Health Benefit Exchanges 2014-2015 [pdf] [40230] ?

Outlines the three levels of exchanges

Health Care Changes Wizard [40498] ?

Provides guidance on business requirements related to health insurance and the Affordable Care Act

Health Care Reform [9157] ?

Help in understanding the new health care reforms

Health Care Reform Regulations and Guidance [36985] ?

Guidance documents from US Dept of Health and Human Services

Health insurance and High-.Risk Pools [28800] ?

Federal pool and state-sponsored programs

Health Insurance Consumer Insurance Guide [877] ?

The basics on health insurance in the USA

Health Insurance Costs [24790] ?

Studies and surveys related to employer health benefits

Health Insurance Enrollment Advice [40506] ?

How individuals can shop for health insurance on the state and federal health insurance exchanges

Health Insurance Market Reforms [40077] ?

Condensed summaries of important provisions in the Affordable Care Act

Health Insurance Marketplace [40340] ?

Open enrollment begins November 1 annually

Health Insurance Marketplace for the Self-Employed [40886] ?

How to determine if you are a small business or self-employed

Health Insurance Options [37899] ?

Insurer pricing and denial rates - compare cost estimates and benefits offered by different plans head to head

Health Insurance Subsidy Calculator [40505] ?

For direct buyers of individual health insurance to determine if eligible for government subsidies

Updated Health Plan and Health Care Reform Resources [40429] ?

Affordable Care Act regulations and guidance

Health Policy Center [29052] ?

Research papers related to health insurance, etc in the USA

Health Reform and You [36934] ?

Key provisions of health reform and guidance on the benefits of the health reform laws

Health Reform: Early Retiree Reinsurance Program [36864] ?

A $5 billion program to provide financial relief to companies that offer health coverage to early retirees

HIPAA Administrative Simplification Requirements [22631] ?

Understanding HIPAA Administrative Simplification provisions of the Health Insurance Portability and Accountability Act

Integrated Healthcare Association [2583] ?

California association of health plans, physician groups, health systems and hospitals

IRS Publication 502 Medical and Dental Expenses [pdf] [40500] ?

Explains what qualifies for medical and dental expenses

IRS Rules regarding Health Reimbursement Accounts, et al [40501] ?

The basics regarding HRA's, HSA's, MSA's, FSA's

Mental Health Coverage for Children [17378] ?

Checklist to determine if your health plan provides adequate mental health care for your child

Updated Notice to Employees of Health Insurance Coverage Options - Guidance [40495] ?

Employers are required to provide the notice to each new employee at the time of hiring

SHOP: Small Business Health Options Program [40885] ?

Health insurance for businesses with fewer than 50 employees

Should You Offer Health Insurance in 2014 [pdf] [40229] ?

Outline and discussion of legal requirements

Small Business - Health Care Reform [13639] ?

Guidance for small business of the Affordable Care Act

Small Employers: Tax Credit for Employee Health Insurance [36923] ?

IRS guidance on the health care tax credit as it relates to small business

Social Security Disability: Basics [11766] ?

Understanding the basics about SSDI

State Health Insurance Consumer Assistance Programs [40507] ?

Help to consumers with health insurance problems through Consumer Assistance Programs

State High Risk Health Insurance Pools [28801] ?

Links to state websites that give information about State Health Insurance Risk Pools

State-by-State Consumer Guides for Getting and Keeping Health Insurance [22632] ?

Summaries of state laws related to health insurance


Related Categories & Information

- rmLibrary : Related Categories (9)

Health / HIPAA
Health Insurance Portability and Accountability Act (HIPAA) of 1996 materials

Health / HSA
Resources related to Medical Savings Accounts (MSAs)

Health / Medicare
Beneficiary and consumer info

Managed Care / Report Cards
USQA Quality Reports. NCQA accreditation. CVO certification and more

Regulations / ERISA
Full text of US ERISA laws (Employee Retirement Income Security Act)

Risk Mgt / Insurance
Commercial property and casualty insurance industry issues

Statistics / Health
Government and industry sources of statistical data on health conditions

Statistics / Insurance
Insurance industry data, including health insurance statistics

Statistics / Mortality
Statistical data on mortality by occupation, industry, injury deaths, etc.


- Cross References to other LAD Libraries (15)


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