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Reform Document Library

Reform Library

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Health reform is all about change. And these changes affect each business differently. Here you can find guides that explain the changes, as they affect you. Whether you are a fully-insured large business, fully-insured small business or a self-funded organization, these guides are a great way to get started.

Featured

 The Road to Reform (UnitedHealthcare plans)The Road to Reform (Oxford Plans)

Small/Fully Insured Business Resources

(2-99 employees)

 Health Reform Next Steps Health Reform Checklist Essential Health Benefits Guide

Large/Fully Insured Business Resources

(100+ employees)

 Health Reform Next Steps Health Reform Checklist Essential Health Benefits Guide

Self-Funded Business Resources

 Health Reform Next Steps Health Reform Checklist Essential Health Benefits Guide

Health Benefit Exchanges

 Guide to Maximizing Consumer Benefits Ensuring Affordable, Quality Coverage Through Health Benefit Exchanges

Videos

 The Basics of Health Reform Administrative Simplification AppealsDependent (Adult Child) Coverage FSA, HSA, HRA ChangesGrandfathered PlansIs Grandfathered Status Right for Your Health Plan?Lifetime and Annual LimitsPreventive Services (Without Cost Sharing) Small Business Tax Credit

Interim Final Rule Summaries

 Administrative SimplificationAnnual Limits Waiver Process Appeals Appeals Notice on External Review ERRP Summary Grandfathered Summary HHS Guidance Letter on Annual Limits Waivers High Risk Pools Medical Loss Ratio Lifetime and Restricted Annual Limits Summary Patient Protection Provisions Summary Preex Summary Preventive Care Summary Rescission Summary Retiree and Excepted Benefit Plans Technical Release 2010-02 on Appeals Provision Grace

Health Reform and Health Accounts: Impact for Health Care FSAs, HRAs, RRAs and FHRAs

Health Reform and Health AccountsFSAs and OTC medication

Religious Exemption and Temporary Safe Harbor Requirements and Certification Forms

 Instructions: Using the Certification Forms HHS Bulletin: Religious Exemption to Women's Preventive Care Certification and Requirements UnitedHealthcare Fully Insured TESH Certification Form UnitedHealthcare Self-Funded TESH Certification Form UnitedHealthcare Fully Insured REE Certification UnitedHealthcare Self-Funded REE Certification

Other

 Appeals StandardsApplication of Reform Provisions to Grandfathered PlansClinical Perspectives on the New Coverage Guidelines for Preventive Services for WomenCoverage for Dependents to Age 26Essential Health Benefits – Mixed Benefits CategoriesFinancial impact of reform on group plansGrandfather Status – Myth and RealityPreventive Benefit Services UnitedHealthcare Pharmacy – Health Reform FAQ