Benefit Plan Compliance for Accountable Care Organizations

Benefit Plan Compliance for Accountable Care Organizations
June 19, 2013

In the rush to affiliate with other providers in light of the Affordable Care Act, it is easy to overlook the importance of the IRS controlled group rules and their impact on employee benefit plans. Doctor groups often want their own plans, which can make compliance with IRS discrimination requirements difficult for both the doctor group and the health system. On top of the regulatory structure governing employee benefits plans is a myriad of federal laws and regulations that complicate the process. Learn how to sort through these rules and select appropriate employee benefit plan designs for your health system.

Other topics to be covered include:

  • the rules governing 403(b)s, 401(k)s, defined benefit plans and health insurance plans commonly used by health systems and doctor groups.
  • the discrimination rules that apply to benefit plans on a controlled group basis and an in-depth analysis of the controlled group rules that apply to health systems.
  • the pros and cons of various benefit plan designs.
  • the implications under the Affordable Care Act of forming joint ventures and other types of organizational structures on health coverage requirements. Multiple combinations of different entities will be explored, including tax-exempt nonprofit corporations; for-profit corporations; and limited liability companies and other types of non-exempt nonprofit member groups.
  • a discussion about how these entities can be combined to form a cohesive unit for various benefit plan purposes without running afoul of fraud and abuse rules.

This seminar will feature employee benefits attorneys Sarah “Sally” Lockwood Church, Paul A. Kasicky and Kevin A. Wiggins. Dunbar, Bender & Zapf’s Mark Dunbar, who has significant experience with doctor plans, also will participate in the panel.

The seminar will take place at the Rivers Club, 301 Grant Street, in Pittsburgh, Pennsylvania. The event will begin with breakfast and networking at 7:00 a.m. The seminar will run from 8:00 a.m. – Noon. Lunch will be served after the seminar ends.

To register, click here or contact Mary Brightman at 215-972-7773 or mbrightman@saul.com.

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