Monday, April 12, 2021

The ACA's Newest Nondiscrimination Rules and How They Apply to Group Health Plans

Brought to you by:

Arrow Benefits Group

(707) 992-3780

UBA Employer Webinar Series

The Patient Protection and Affordable Care Act (ACA) Section 1557 provides that individuals shall not be excluded from participation, denied the benefits of, or be subjected to discrimination under any health program or activity which receives federal financial assistance from the Department of Health and Human Services (HHS) on the basis of race, color, national origin, sex, age, or disability. The rules applies to any program administered by HHS or any health program or activity administered by an entity established under Title I of the ACA. These applicable entities are "covered entities" and include a broad array of providers, employers, and facilities. State-based Marketplaces are also covered entities, as are Federally-Facilitated Marketplaces. Regulations implementing Section 1557 have raised a number of questions for group health plans and their sponsors.

This webinar will:

  • Explain the background of Section 1557 and what it prohibits
  • Discuss which employer group health plans are affected
  • Outline when self-funded health plans are required to follow Section 1557
  • Discuss whether the new rule requires group health plans to cover sex reassignment surgey or medications
  • Discuss what "federal financial assistance" can mean
  • Describe how a self-funded health plan's TPA could be obligated to report non-conforming health plans to the government
  • Discuss a health plan's obligations in relation to the limited English proficiency rules
  • Provide tips for benefit plan design

This 60-minute basic webinar will help employers understand the new nondiscrimination regulations.

The presentation will be posted on the UBA website the day before the webinar.

Lori Maring is Of Counsel in the Atlanta, Georgia, office of Fisher Phillips She focuses her practice on helping employers navigate Employee Retirement Income Security Act (ERISA) and other state and federal laws impacting the design, implementation and ongoing compliance of their employee benefit plans and programs.
She regularly advises clients on the Affordable Care Act, health and welfare benefits, qualified plans, executive compensation, Multiple Employer Welfare Arrangements (MEWAs) and multiemployer plan issues.

Contact your local UBA Partner Firm to receive a complimentary registration for this informative presentation or visit

Copyright © 2001-2012 United Benefit Advisors, LLC. All Rights Reserved Terms Of Use Privacy Statement