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A Timeline of the AHP Final Rule and Recent Litigation

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By Compliance Dashboard
 on May 10, 2019
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On June 21, 2018, the Department of Labor (โ€œDOLโ€) published an Association Health Plan Final Rule (โ€œAHP Final Ruleโ€ or โ€œFinal Ruleโ€) expanding the definition of โ€œemployerโ€ under ERISA Section 3(5) for purposes of determining how an association health plan (โ€œAHPโ€) can be considered a single-employer plan under ERISA. Our previous blog recaps the AHP Final Rule here.

Below is a timeline of the recent litigation surrounding the Final Rule. More information can be found on the DOLโ€™s website.

July 25, 2018:

11 states (New York, Massachusetts, California, Delaware, Kentucky, Maryland, New Jersey, Oregon, Pennsylvania, Virginia, and Washington) and the District of Columbia filed a complaint in the U.S. Federal District Court for the District of Columbia arguing, among other things, that the Final Ruleโ€™s expansion of โ€œemployerโ€ was unlawful.

March 28, 2019:

In State of New York v. United States Department of Labor, the United States District Court for the District of Columbia vacated essential portions of the โ€œemployerโ€ definition under the AHP Final Rule.

March 28, 2019:

The DOL responded to the ruling with an Initial Response.

April 26, 2019:

In response to the ruling, the DOL, with the Department of Justice (โ€œDOJโ€), filed a Notice of Appeal to the district courtโ€™s ruling.

April 29, 2019:

The Department of Laborโ€™s Employee Benefit Security Administration (“EBSA”) released a policy statement regarding the status of AHPs formed in reliance prior to the district courtโ€™s rulingโ€”below are three important takeaways from the statement:

  1. Good faith reliance will not be punished
    • Violations from good faith reliance upon the AHP Final Rule will not be punished by the DOL or the Department of Health and Human Services (โ€œHHSโ€), as long as responsibilities to participants and beneficiaries are met.
  2. Coverage will generally remain in force under AHPs formed pursuant to the Final Rule
    • AHPs formed pursuant to the Final Rule, prior to the district courtโ€™s ruling, may continue to provide benefits through the remainder of the plan year or contract term.
  3. Questions are welcomed
    • The DOL, HHS, and the States will work with affected parties to address their compliance issues resulting from the district court’s ruling.

The information and content contained in this blog are for general informational purposes only, and does not, and is not intended to, constitute legal advice.