Thu.Sep 23, 2021

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What Health Coverage Options Are Available to Qualified Beneficiaries Whose COBRA Subsidy Is Ending?

ThomsonReuters

QUESTION: Some of our COBRA participants have asked what they should do for health coverage when their COBRA premium subsidy ends. How should we advise them? ANSWER: Health coverage options available to assistance eligible individuals (AEIs) after their subsidy period ends are described in the subsidy expiration notice provided 15 to 45 days before the subsidy’s end (see our Checkpoint article ).

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SPAC Activity Subject to Contractual Restrictive Covenant

Appraisal Rights

In a federal court ruling from earlier this year, Vogel v. Boris , the New York federal court refused to toss out a claim by an LLC member, Vogel, against his two other business partners, alleging that they violated a restrictive covenant in the LLC’s operating agreement prohibiting any member from forming a new SPAC aside from the existing SPAC they had explicitly agreed to be working for: their violation consisted of forming a sponsor for a second SPAC and closing a $250 million IPO, all while

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HHS Finalizes Various Benefit and Payment Parameters and Provisions for 2022 and Beyond

ThomsonReuters

PPACA; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond; Final Rule, 31 CFR Part 33, 45 CFR Parts 147, 155, 156, 86 Fed. Reg. (Sept. 27, 2021). Final Rule. Fact Sheet. HHS has finalized regulations that amend various benefit and payment parameters and other Affordable Care Act (ACA) insurance market and Exchange-related rules.

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No Penalty for Delay in Providing Documents Requested by Lawyer During Litigation

ThomsonReuters

Hewko v. Coffman Engineers, Inc., 2021 WL 3832241 (D. Alaska 2021). A participant in a self-insured ERISA health plan, in connection with a lawsuit over a benefits denial, asked the court to award him penalties for the plan administrator’s failure to furnish documents in response to a written request. (As background, a court may impose a penalty of up to $110 per day on an ERISA plan administrator that fails to furnish information within 30 days after a participant’s or beneficiary’s written req

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How to Leverage Intent Data for Better Outcomes

Speaker: Susan Spencer, Principal of Spencer Communications

Intent signal data can go a long way toward shortening sales cycles and closing more deals. The challenge is deciding which is the best type of intent data to help your company meet its sales and marketing goals. In this webinar, Susan Spencer, fractional CMO and principal of Spencer Communications, will unpack the differences between contact-level and company-level intent signals.

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Litigation Involving Section 1557 Nondiscrimination Rules Continues

ThomsonReuters

Kadel v. N.C. State Health Plan for Teachers and State Employees, 2021 WL 3891732 (4th Cir. 2021); Boston Alliance of Gay, Lesbian, Bisexual and Transgender Youth v. HHS, 2021 WL 3667760 (D. Mass. 2021). Kadel. Boston Alliance. Lawsuits involving the Affordable Care Act Section 1557 nondiscrimination requirements are making their way through the courts.

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