Under the Consumer Coverage Disclosure Act (CCDA) signed by Governor Pritzker in late August, employers that offer fully insured medical benefits must provide eligible employees with a new notice that compares their coverage to the “essential health benefits” required for coverage obtained through Get Covered Illinois, the Illinois insurance marketplace. The CCDA applies to all employers, regardless of size, if they have employees in Illinois. The Illinois Department of Labor (IDOL) is responsible for enforcement.
The CCDA requires only that employers provide the notice that compares their policy to the essential benefits available through Get Covered Illinois. It does not require employers' plans to provide all of the essential benefits.
The CCDA applies if an employer provides fully insured medical benefits. It does not apply to an employer that provides benefits entirely through a self-insured health plan.
The notice must be provided to employees who are eligible for coverage when they are hired and annually thereafter. In addition, employees can request a copy of the notice at any time.
The notice can be provided by email, by posting to a website, or by hard copy. Employers should retain records of how and when the notice is provided, in case the IDOL requests proof of compliance.
The notice must show...
Health care entities may be able to pay less than half the steep fines ordinarily associated with False Claims Act (FCA) violations by voluntarily reporting issues under a new pilot program launche...