WPS Health Insurance

Legislative Updates

Select the links below to learn more about government regulations that impact the insurance industry, including HIPAA, ERISA, COBRA and Clarifications.

HIPAA

Health Insurance Portability and Accountability Act of 1996

HIPAA is designed to make health coverage more portable for individuals who change jobs or health plans by limiting the coverage exclusions that can be imposed when such a change occurs. HIPAA also contains privacy provisions designed to protect the confidentiality and security of Protected Health Information (PHI).

More information on HIPAA

HIPAA Links

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ERISA

Employee Retirement Income Security Act of 1974

ERISA is a federal law that sets minimum standards for most voluntarily established pension and health plans in private industry to provide protection for individuals in these plans.

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COBRA

Consolidated Ominbus Budget Reconciliation Act of 1985

COBRA allows a qualified beneficiary who loses group health coverage due to a qualifying event to elect to continue group health coverage temporarily on a self-pay basis.

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Clarifications

Clarifications Issued for Newborns' and Mothers' Health Protection Act

The U.S. Department of Health and Human Services, the Department of Labor, and the Treasury Department recently released "final rules" (effective January 1) related to the Newborns' and Mothers' Health Protection Act (NMHPA), which was signed into law in 1996. The purpose of this Act is to prevent group health plans and health insurance issuers from restricting hospital stay benefits to less than 48 hours following childbirth; 96 hours following a C-section.) The final regulations do not vary significantly from the previous interim regulations; however, they do introduce a few important clarifications.

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