A Digital Insurance Health Care Reform Handbook for Employers

Size: px
Start display at page:

Download "A Digital Insurance Health Care Reform Handbook for Employers"

Transcription

1 A Digital Insurance Health Care Reform Handbook for Employers Health care reform is complicated. Sifting through all the regulations and provisions can be time-consuming and confusing. That s why Digital Insurance has created this handbook for business owners, which includes a simplified overview and clear, concise answers to the health care reform issues facing employers.

2 Can I Get Tax Credits for Providing Insurance to My Employees? Yes, if you re a small business (less than 25 employees) or a tax-exempt organization that provides health insurance coverage to your employees you may qualify for the small business health care tax credit, where you can claim up to 35 percent of premiums (25 percent for tax-exempt organizations). You can start claiming the credit on the 2010 tax return your business files in Use this IRS worksheet to help see if you qualify. Your Digital Insurance benefits consultant can provide further assistance. Are your average employee wages less than $50,000? yes no Do you pay at least half of the insurance premium for your employees at the single (employee only) coverage rate? yes no If you said YES to both of the above you may be able to claim the credit and can visit for more details. IRS TAX CREDIT WORKSHEET STEP 1 Determine the total number of your employees (not counting owners or family members) # full-time employees (number of employees who work at least 40 hours per week) + add the number of full-time equivalent or part-time employees (calculate the number of full-time equivalents by dividing the total annual hours of part-time employees by 2,080) = total employees If you re total employee count is less than 25 go to step 2 STEP 2 Calculate the average annual wages of employees (not counting owners or family members) # Total annual wages you pay to employees divide it by the number of employees from STEP 1 (total wages number of employees) = average employee wages HEALTH CARE REFORM TIMELINE 2010 Dependents covered to 26 Dependents can remain on their parent s plan until their 26th birthday. No lifetime or annual limits No lifetime dollar maximum limits or annual maximum limits on essential benefits. No pre-existing restrictions for children Children under the age of 19 can t be denied coverage because of pre-existing conditions. Tax credits for small employers Businesses with less than 25 employees and an average wage under $50,000 could get a tax credit up to 35% of premiums. Preventive services coverage Plans must cover preventive services without making members share the cost of deductibles or copayments. Reinsurance for employers with retirees Program for employers providing insurance to retirees over 55 not eligible for Medicare. Nondiscrimination testing Employer plans are barred from favoring highly compensated employees. Pre-Existing Condition Insurance Plan Coverage available for those denied because of pre-existing conditions Employer disclosure notices required (If applicable to your plan: lifetime limits, coverage to age 26, designation of primary care provider and grandfathered plan status). Will I Pay Less for My Health Insurance Coverage or More? Unfortunately, this issue will take awhile to shake out and there are different schools of thought here. Health reform requires insurance companies to add new benefits to all policies, and this could increase costs in the near future. Others argue since more businesses and individuals will be entering the insurance-buying pool, it s hoped that more buyers will help lower premiums for everyone. New restrictions on HSA, FSA and HRA fund use Over-the-counter drugs can no longer be reimbursed without a prescription, and the tax for non-medical use increases to 20% Wellness grants for small businesses Employers with fewer than 100 employees can tap into over $200 million in federal grants. Summary of Benefits/Glossary of Terms A simplified 4-page summary of benefits coverage and commonly used terms must be provided to all consumers/employees. Moreover, a 60-day notice of material modifications to health plans must also be communicated to members 60 days before implementation.

3 Will I Be Required to Buy My Insurance From a State Health Insurance Exchange? No, the requirement is that everyone has health insurance. Health care reform doesn t dictate where individuals or groups must purchase it. An exchange is simply a new place to buy insurance that will be available to individuals and small businesses. Digital encourages you to utilize licensed health insurance brokers to make sure you re getting the best benefits for your employees and to help you find the best rates. Keep in mind that depending on plan participation, an exchange may not offer you the same number of choices and plan designs. Am I Required to Provide My Employees With Health Insurance? Although businesses aren t specifically required to provide insurance coverage, owners could pay hefty penalties if their employees get coverage through an exchange. Beginning in 2014, if you have more than 50 full-time employees and don t offer coverage and even one employee receives a government subsidy to purchase insurance through an exchange, you ll be required to pay a penalty. Penalties aren t tax deductible. Also, employers with more than 200 employees will be required to automatically enroll employees into health plans (although employees may opt out). Do you have less than 50 full-time employees? yes no Do you offer health coverage to your employees? yes no If you answered NO, you may be at risk for a penalty beginning in Penalties for employers who don t offer health insurance $2,000 for each full-time employee after the first 30 OR $3,000 for each employee who receives a government subsidy for health insurance or $2,000 for each full-time employee, whichever is less For information on affordable health plans for your business, visit Administration simplification Rules established making payment, enrollment, claims and authorization processes simpler. Medicare tax increase Medicare Part A tax rate on wages goes up from 1.45% to 2.3% for certain individuals. Employers must inform employees of health options Employers must provide employees with information on employer plans, health exchanges and subsidies. W-2 reporting for employers Employers who file 250 or more W-2s are required to report the cost of health benefits on W-2s distributed in 2013 for tax year 2012 (those filing less don t have to comply at this time). Reporting is informational only (i.e., employees will not be taxed). Pre-tax FSA contributions capped at $2,500 Itemized deductions for unreimbursed medical expenses Threshold increases to 10 percent of AGI (up from 7.5 percent) 2014 Individual mandate Everyone must have health coverage or pay a penalty. Employer mandate Employers with more than 50 employees must provide coverage or pay a penalty if any employee receives a subsidy. Large employer auto enrollment Employers with more than 200 full-time employees that offer coverage must auto-enroll employees (who can opt out). Exchanges open States must have exchanges up and running by 2014 or the government will come in and set up itself. Wellness incentives Employers can offer rewards of up to 30 50% of premiums to employees who take part in wellness and meet health standards. No pre-existing condition exclusions Coverage cannot be denied for those with pre-existing conditions. Comprehensive coverage requirement Individual and small group plans must include essential health benefits. Limits on deductibles and copayments Group health plan deductibles are limited to amounts allowed for HSA plans. Ban on all annual limits Plans may no longer impose any annual benefits limits.

4 Do Individuals Have to Buy Insurance? Starting in 2014, every U.S. citizen and legal resident will be required to have health insurance. If you aren t covered through your employer and don t purchase coverage on your own, you ll have to pay a yearly fine of $695 per person (maximum of $2,085 per family) or 2.5 percent of household income, whichever is greater. (Note: This is one area of the law being challenged by the courts and may vary by state depending on legal outcomes.) 2018 Cadillac plan excise tax Tax on employer plans valued at over $10,200 for individuals and $27,500 for families. Where Can Individuals Find Good Rates on Health Insurance? Digital Insurance is a great way to find the best rates for individual and group health insurance and all at no cost to you. Better still, we ll take complete care of you and your employees throughout the year, providing you with your own benefits consulting team, a Customer Advocate Center to answer your employees questions directly (so you don t have to), an online Ask the Expert benefits resource center for next-day answers to your HR and legal questions and much, much more. An Employer Checklist: 10 Things to Remember 1. Tax credits for small employers 2. Dependent coverage to age Wellness grants for small businesses 4. W-2 reporting of health benefits 5. Informing employees about their health options; 60-day notice of plan changes 6. Grandfathering plans/nondiscrimination rules 7. Employer play or pay 8. Tax on Cadillac plans 9. Automatic enrollment of employees 10. Breastfeeding accommodations Want to get started? Check us out at

5 Your Guide to Health Care Reform The health care reform legislation signed into law on March 23, 2010 affects everyone. This handbook highlights the areas of health care reform that most impact employers. The guide includes some basic questions and answers to help employers prepare for the upcoming changes, take advantage of new benefits and tax credits and plan for new requirements. A simple timeline showing what happens when is included, along with an employer checklist. Will My Current Benefits Change, and What Does Grandfathering of Health Plans Entail? If you currently have a health plan for your business, you ll probably see few immediate changes. The law provides for grandfathering of policies that were in effect on or before March 23, 2010, allowing employers to keep their benefits for currently enrolled employees, dependents and new hires. Minor changes to a plan are allowed. Major changes are not. Routine Plan Changes That Won t Trigger a Loss of Grandfathered Status > Cost adjustments to keep pace with medical inflation > The addition of new benefits > Modest adjustments to existing benefits > Voluntarily adopting new consumer protections under the law > Making changes to comply with state or federal laws Changes That Would Cause a Health Plan to Lose Its Grandfathered Status > Significantly cut or reduce benefits > Raise co-insurance charges > Significantly raise co-payment charges > Significantly raise deductibles > Significantly lower employer contributions Keep in mind that there are many moving parts to this legislation. Several legal specifics have yet to be worked out. Digital Insurance recommends that you stay in close contact with your benefits consultant team to ensure your business is properly prepared and to answer specific questions regarding potential changes to your benefits plan and available options that can keep your employees and your business healthy, happy and strong. > Add or lower annual limits > Change insurance companies (prior to 11/15/2010) New Plan Requirements Summary > Dependents covered until age 26 > No lifetime benefit maximums > No pre-existing condition exclusion for children under 19 > No annual limits for essential benefits > Coverage can t be rescinded except for fraud > 100 percent coverage for preventive care (N/A if grandfathered) > Ban on discrimination in favor of highly compensated workers (N/A if grandfathered) > Right to designate a primary care provider (pediatrician, OB/GYN, etc.) and access to emergency care without increased cost-sharing (N/A if grandfathered)

6 400 Galleria Parkway, Suite 300 Atlanta, GA Note: This handbook is based on a general review of widely available sources and does not represent legal advice. PPACA changes occur frequently and may not be reflected in this handbook. Up-to-date reform modifications can be found here: (Revised 1/2012)

A Digital Benefit Advisors Health Care Reform Handbook for Employers

A Digital Benefit Advisors Health Care Reform Handbook for Employers A Digital Benefit Advisors Health Care Reform Handbook for Employers Health care reform is complicated. Sifting through all the regulations and provisions can be time-consuming and confusing. That s why

More information

Health Reform: A Guide for Employers

Health Reform: A Guide for Employers Updated with information on the Supreme Court health reform decision July 2012 Health Reform: A Guide for Employers Simple answers to health reform s complex issues facing every employer and what you can

More information

Health Reform: A Guide for Employers

Health Reform: A Guide for Employers updated with new grandfather rules issued june 14, 2010 Health Reform: A Guide for Employers Simple answers to health reform s complex issues facing every employer and what you can do now to protect your

More information

Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.

Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide

More information

Health Care Reform Frequently Asked Questions

Health Care Reform Frequently Asked Questions Health Care Reform Frequently Asked Questions On March 23, 2010, President Obama signed federal health care reform into law, also known as the Patient Protection and Affordability Act. A second, or reconciliation

More information

Keeping up with the new health care reform law. Helping you better understand what to expect and when to expect it. anthem.com/ca 14376CAEENABC 8/10

Keeping up with the new health care reform law. Helping you better understand what to expect and when to expect it. anthem.com/ca 14376CAEENABC 8/10 Keeping up with the new health care reform law Helping you better understand what to expect and when to expect it. 14376CAEENABC 8/10 anthem.com/ca 1 Staying up to date Here s a timeline of what you can

More information

Health Care Reform. Employer Action Overview

Health Care Reform. Employer Action Overview Health Care Reform Page 1 of 6 Health Care Reform Immediatemmediate Employer Action Required Notes Employers must provide a reasonable break time for employees who are nursing mothers to express breast

More information

Health Care Reform Frequently Asked Questions

Health Care Reform Frequently Asked Questions Health Care Reform Frequently Asked Questions On March 23, 2010, President Obama signed federal health care reform into law, also known as the Patient Protection and Affordability Act. A second, or reconciliation

More information

Health Care Reform How it Will Affect Employers and their Group Health Plans. Benecon Comments and Observations

Health Care Reform How it Will Affect Employers and their Group Health Plans. Benecon Comments and Observations Health Care Reform How it Will Affect Employers and their Group Health Plans This Health Care Reform Summary applies to all employers (including government and church plans) that provide health coverage

More information

Health Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years

Health Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years Health Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years Seyfarth Shaw has generously given permission to Lawyers Alliance for New York to circulate this chart

More information

HEALTH CARE REFORM FREQUENTLY ASKED QUESTIONS

HEALTH CARE REFORM FREQUENTLY ASKED QUESTIONS HEALTH CARE REFORM FREQUENTLY ASKED QUESTIONS Consumers When will the health care reform law take effect? The health insurance reforms adopted as part of the Patient Protection and Affordable Care Act

More information

Your guide to health care reform provisions

Your guide to health care reform provisions Your guide to health care reform provisions February 2014 edition Since the Patient Protection and Affordable Care Act (PPACA) was enacted in March 2010, businesses have been impacted by federal health

More information

Health Reform in a Nutshell: What Small Businesses Need to Know Now.

Health Reform in a Nutshell: What Small Businesses Need to Know Now. Health Reform in a Nutshell: What Small Businesses Need to Know Now. With the passage of the most significant reform of America s modern-day health care system, many small business owners and human resources

More information

The Impact on Business

The Impact on Business The Impact on Business Affordable Care Act Reform addresses access to coverage not healthcare cost or population health ACA passed in 2010. The Supreme Court upheld ACA in 2012 and President Obama was

More information

Employer s guide to health care reform requirements

Employer s guide to health care reform requirements Employer s guide to health care reform requirements June 2015 edition As the Affordable Care Act (ACA) continues to be implemented, you ll need to remain aware of the policies and provisions that affect

More information

Health Reform in a Nutshell: What Small Businesses Need to Know Now.

Health Reform in a Nutshell: What Small Businesses Need to Know Now. Health Reform in a Nutshell: What Small Businesses Need to Know Now. With the passage of the most significant reform of America s modern-day health care system, many small business owners and human resources

More information

Health Care Reform Checklist: Provisions, Obstacles and Solutions

Health Care Reform Checklist: Provisions, Obstacles and Solutions Health Care Reform Checklist: Provisions, Obstacles and Solutions HEALTH CARE REFORM PROVISION: COVERAGE FOR CHILDREN UNTIL AGE 26 Summary of Benefit: Benefits are the same as those for other dependent

More information

Health Reform. Employer Penalty Delay: What are the Consequences? Impact of the Delay on Employers

Health Reform. Employer Penalty Delay: What are the Consequences? Impact of the Delay on Employers Health Reform Employer Penalty Delay: What are the Consequences? Martin Haitz (484) 270-2575 martin.haitz@marcumfs.com Issued date: 07/29/13 The employer penalty provisions and two reporting requirements

More information

Employer s Guide To Health Care Reform

Employer s Guide To Health Care Reform Employer s Guide To Health Care Reform A nonprofit independent licensee of the Blue Cross Blue Shield Association National strength. Local focus. Individual care. SM As part of our commitment to being

More information

What the Health Care Reform Bill Means to Employers

What the Health Care Reform Bill Means to Employers What the Health Care Reform Bill Means to Employers No doubt you have heard the news that on Tuesday, March 23, 2010, President Obama signed into law sweeping health care overhaul legislation. This followed

More information

Timeline of New Health Care Law and Its Impact on American Businesses

Timeline of New Health Care Law and Its Impact on American Businesses Timeline of New Health Care Law and Its Impact on American Businesses Summaries of the Patient Protection and Affordable Health Care Act (Public Law 111-148) Health Care and Education Reconciliation Act

More information

Section 2: INDIVIDUALS WHO CURRENTLY HAVE

Section 2: INDIVIDUALS WHO CURRENTLY HAVE Section 2: INDIVIDUALS WHO CURRENTLY HAVE COVERAGE OR AN OFFER OF COVERAGE FROM THEIR EMPLOYER Section 2 covers enrollment issues for individuals who have coverage or an offer of coverage whether through

More information

Preparing for 2015. A compliance and decision guide for large (more than 50 employees) private, government, and not-for-profit employers

Preparing for 2015. A compliance and decision guide for large (more than 50 employees) private, government, and not-for-profit employers Preparing for 2015 A compliance and decision guide for large (more than 50 employees) private, government, and not-for-profit employers 1 This guide is intended to provide information to help employers

More information

Important Effective Dates for Employers and Health Plans

Important Effective Dates for Employers and Health Plans Brought to you by Krempa Associates, Inc. Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into

More information

Health care reform for large businesses

Health care reform for large businesses FOR PRODUCERS AND EMPLOYERS Health care reform for large businesses A guide to what you need to know now DECEMBER 2013 CONTENTS 2 Introduction Since 2010 when the Affordable Care Act (ACA) was signed into

More information

Important Effective Dates for Employers and Health Plans

Important Effective Dates for Employers and Health Plans Brought to you by Sullivan Benefits Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into law.

More information

THE PATIENT PROTECTION AND AFFORDABLE CARE ACT and THE RECONCILIATION ACT

THE PATIENT PROTECTION AND AFFORDABLE CARE ACT and THE RECONCILIATION ACT THE PATIENT PROTECTION AND AFFORDABLE CARE ACT and THE RECONCILIATION ACT On Sunday, March 21 st, the U. S. House of Representatives passed the Patient Protection and Affordable Care Act (H. R. 3590) by

More information

Answers about. Health Care REFORM. for your business

Answers about. Health Care REFORM. for your business Answers about Health Care REFORM for your business Since the time of its enactment in 2010, the health care reform law has remained controversial at least in part due to a constitutional challenge to the

More information

2015-2016: What You Need To Know About The Affordable Care Act

2015-2016: What You Need To Know About The Affordable Care Act 2015-2016: What You Need To Know About The Affordable Care Act A nonprofit independent licensee of the Blue Cross Blue Shield Association National strength. Local focus. Individual care. SM We are committed

More information

Important Effective Dates for Employers and Health Plans

Important Effective Dates for Employers and Health Plans Brought to you by Hipskind Seyfarth Risk Solutions Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act

More information

Healthcare Reform Provisions Unique to Small Employers/Financial and Other Benefits Concerns for All Employers (updated May 2, 2014)

Healthcare Reform Provisions Unique to Small Employers/Financial and Other Benefits Concerns for All Employers (updated May 2, 2014) /Financial and Other Benefits Concerns for All Employers (updated May 2, 2014) Lisa L. Carlson, J.D., Area Senior Vice President, Compliance Counsel Gallagher Benefit Services, Inc. While most healthcare

More information

ABC Company 123 Main Street Anywhere, USA 12345 www.sampleabccompany.com 800.123.4567

ABC Company 123 Main Street Anywhere, USA 12345 www.sampleabccompany.com 800.123.4567 WHAT HEALTH CARE REFORM MEANS FOR YOUR BUSINESS Your promotional imprint here and/or back cover. ABC Company 123 Main Street Anywhere, USA 12345 www.sampleabccompany.com 800.123.4567 The Patient Protection

More information

Health Care Primer: What Do You Really Need to Know? Christianna L. Finnern

Health Care Primer: What Do You Really Need to Know? Christianna L. Finnern Health Care Primer: What Do You Really Need to Know? Christianna L. Finnern Obligations Under the Health Care Law Employers should be aware of their short and long term obligations under the Patient Protection

More information

SEMA MEMBERS WANT TO KNOW

SEMA MEMBERS WANT TO KNOW SEMA MEMBERS WANT TO KNOW WHEN DID OBAMACARE TAKE EFFECT? It is being phased-in over 10 years beginning in 2010, with new requirements and benefits being added each year. The most consequential change

More information

Health care reform at-a-glance. August 2014

Health care reform at-a-glance. August 2014 Health care reform at-a-glance August 2014 Employer mandate Shared responsibility payment for failing to offer coverage to at least 95%* of all fulltime employees (FTE) and children if any FTE gets subsidy

More information

Health Care Reform: Answers for Employers

Health Care Reform: Answers for Employers For Immediate Release: April 2010 Issue 2010 Volume 5 Contact: Lisa R. Nelson, Esq. (858) 875-3017 lisan@barneyandbarney.com Health Care Reform: Answers for Employers The Patient Protection and Affordable

More information

HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal)

HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal) Group Health Insurance Q & A HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal) 1. Will small employers continue to have 12 month rates as they exist today? a. Yes. Employer groups

More information

Health care reform at-a-glance. December 2013

Health care reform at-a-glance. December 2013 December 2013 Employer mandate Play or pay penalty for failing to offer coverage to at least 95% of all full-time employees (FTE) and children if any FTE gets subsidy in exchange $2,000 (indexed) times

More information

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers This page provides answers to frequently asked questions (FAQ) regarding The Patient Protection and Affordable Care Act (PPACA; P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010

More information

The Large Business Guide to Health Care Law

The Large Business Guide to Health Care Law The Large Business Guide to Health Care Law How the new changes in health care law will affect you and your employees Table of contents Introduction 3 Part I: A general overview of the health care law

More information

Employer Health Reform Survey Results

Employer Health Reform Survey Results Employer Health Reform Survey Results June 2011 L O C K T O N C O M P A N I E S, L L C Figure 1 - Levels of Concern Regarding the Following Aspects of the Health Reform Law, Across All Industries Levels

More information

Health Reform. Presented by USI Affinity

Health Reform. Presented by USI Affinity Health Reform Presented by USI Affinity USI Affinity Introduction USI Affinity has been working with Associations and their members for over 50 years. USI Affinity has offices in Philadelphia, Harrisburg,

More information

HEALTH CARE REFORM CHECKLIST

HEALTH CARE REFORM CHECKLIST HEALTH CARE REFORM CHECKLIST As a small employer, you need to be aware of the new regulations tied to the Affordable Care Act. Refer to this checklist to ensure you understand each one and that you re

More information

WHAT HEALTH CARE REFORM

WHAT HEALTH CARE REFORM WHAT HEALTH CARE REFORM MEANS FOR YOUR BUSINESS Celebrating A Tradition our of Excellence 85th Year of Since Excellence 1924 2322 Tremont Drive Baton Rouge, LA 70809 225.928.4770 www.htbcpa.com 178 Del

More information

HEALTH CARE REFORM INFORMATION FOR BUSINESSES March 2013

HEALTH CARE REFORM INFORMATION FOR BUSINESSES March 2013 PARTNERS: Dennis V. King, CPA Charles R. Alleman, Jr., CPA Robert N. Jensen, Jr., CPA Thomas E. Engman, CPA SENIOR PARTNER: David F. King, CPA 27200 Tourney Road, Suite 475 Valencia, California 91355 tel

More information

Healthcare Reform: Top 10 Issues for Employers

Healthcare Reform: Top 10 Issues for Employers Healthcare Reform: Top 10 Issues for Employers presented by Thomas A. Walker (612) 604-6568 twalker@winthrop.com Are Companies Required to Provide Health Coverage to Employees? NO requirement to provide

More information

Health Care Reform: General Q&A for Employees

Health Care Reform: General Q&A for Employees From Baugher Financial & Associates, Inc. Health Care Reform: General Q&A for Employees Common questions answered I ve heard a lot about the health care reform law. When do the reforms become effective?

More information

Health Care Reform: Ready or Not, Here it Comes! Presented by:

Health Care Reform: Ready or Not, Here it Comes! Presented by: Broader Perspective. Business Solutions. Health Care Reform: Ready or Not, Here it Comes! Presented by: Ryan Fridborg, MAOD, SPHR Executive Vice President, Employee Benefits rfridborg@boltonco.com Marilyn

More information

InSight. A Littler Mendelson Report. Health Care Reform: Are You Prepared? A Timeline for Employers to Follow

InSight. A Littler Mendelson Report. Health Care Reform: Are You Prepared? A Timeline for Employers to Follow A Littler Mendelson Report InSight An Analysis of Recent Developments & Trends In This Issue: April 2010 The Patient Protection and Affordable Care Act was signed into law on March 23, 2010. Amendments

More information

What an employer should know about Health Care Reform

What an employer should know about Health Care Reform What an employer should know about Health Presented By David L. Fear, Sr. RHU NAHU Education Foundation Sponsored by PPACA - history Signed into law in March, 2010 2,700 page rough draft became the law

More information

the Affordable Care Act: What Colorado Businesses Need to Know

the Affordable Care Act: What Colorado Businesses Need to Know 22 About questions the Affordable Care Act: What Colorado Businesses Need to Know 1 What is the Affordable Care Act? Who is impacted (small, large businesses and self-insured)? The Patient Protection and

More information

Christy Tinnes, Brigen Winters and Christine Keller, Groom Law Group, Chartered

Christy Tinnes, Brigen Winters and Christine Keller, Groom Law Group, Chartered Preparing for Health Care Reform A Chronological Guide for Employers This Article provides an overview of the major provisions of health care reform legislation affecting employers and explains the requirements

More information

FAQ New Health Insurance Law

FAQ New Health Insurance Law FAQ New Health Insurance Law (Enacted on March 21, signed into law on March 23, and amended on March 25) On March 23, 2010 President Barack Obama signed the Patient Protection & Affordable Care Act (H.R.

More information

HEALTH CARE REFORM TIME TO PREPARE FOR 2014 OCTOBER 2012

HEALTH CARE REFORM TIME TO PREPARE FOR 2014 OCTOBER 2012 HEALTH CARE REFORM TIME TO PREPARE FOR 2014 OCTOBER 2012 Key elements of health reform for employers Change in tax treatment for overage dependent coverage Accounting impact of change in Medicare retiree

More information

Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010

Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 This chart outlines, in depth, selected provisions in the Patient

More information

Chart: Key employer health care reform elements

Chart: Key employer health care reform elements Chart: Key employer health care reform elements Health care reform with major implications for employers has now become law, with a package of revisions heading for Senate action. The approved measure

More information

Basics of Health Care Reform. What You Should Know

Basics of Health Care Reform. What You Should Know Basics of Health Care Reform What You Should Know The Affordable Care Act (ACA) has resulted in major across the U.S. health care system. This brochure provides an overview and timeline of the that have

More information

Health Care Reform Update. Spring 2014

Health Care Reform Update. Spring 2014 Health Care Reform Update Spring 2014 Quincy Quinlan Texas Association of Counties 512 478 8753 quincyq@county.org http://www.county.org Today s Agenda Timeline Fees/Taxes Individual Mandate Marketplace

More information

THE AFFORDABLE CARE ACT ( ACT ), NEW EMPLOYER MANDATES, AND IMPACTS ON EMPLOYER- SPONSORED HEALTH INSURANCE PLANS

THE AFFORDABLE CARE ACT ( ACT ), NEW EMPLOYER MANDATES, AND IMPACTS ON EMPLOYER- SPONSORED HEALTH INSURANCE PLANS Community THE AFFORDABLE CARE ACT ( ACT ), NEW EMPLOYER MANDATES, AND IMPACTS ON EMPLOYER- SPONSORED HEALTH INSURANCE PLANS Prepared for the 2014 Massachusetts Municipal Association Annual Meeting On March

More information

CUPA-HR New York Metro Chapter Fall Event

CUPA-HR New York Metro Chapter Fall Event CUPA-HR New York Metro Chapter Fall Event Introduction to Panel Discussion on Health Care Reform and Compliance Strategies October 18, 2012 The Compliance Timeline 2011 Plan Year 2011 2012 2013 2014 2018

More information

HEALTH REFORM UPDATE GRANDFATHERED GROUP HEALTH PLANS August 3, 2010

HEALTH REFORM UPDATE GRANDFATHERED GROUP HEALTH PLANS August 3, 2010 HEALTH REFORM UPDATE GRANDFATHERED GROUP HEALTH PLANS August 3, In July, the Departments of Treasury, Labor, and Health and Human Services jointly released the Interim Final Rules for Group Health Plans

More information

Presented by Scott Day State Treasurer of the Kansas Association of Health Underwriters

Presented by Scott Day State Treasurer of the Kansas Association of Health Underwriters Reform Provisions and their effective dates Outline of Health Insurance Reforms that Will Impact Private Health Insurance Coverage under H.R. 3590, the Patient Protection and Affordable Care Act and H.R.

More information

Affordable Care Act (ACA) Frequently Asked Questions

Affordable Care Act (ACA) Frequently Asked Questions Grandfathered policies Q1: What is grandfathered health plan coverage? A: The interim final rule on grandfathering under ACA generally defines grandfathered health plan coverage as coverage provided by

More information

Health Care Implementation Timeline

Health Care Implementation Timeline Health Care Implementation Timeline The massive healthcare (H.R. 3590) and its companion reconciliation bill (H.R. 4872) passed by the Senate and House in early 2010 will go into effect over several years.

More information

HEALTH CARE REFORM DOCUMENT FROM THE WEBSITE OF BLUE CROSS BLUE SHIELD OF NORTH DAKOTA

HEALTH CARE REFORM DOCUMENT FROM THE WEBSITE OF BLUE CROSS BLUE SHIELD OF NORTH DAKOTA HEALTH CARE REFORM DOCUMENT FROM THE WEBSITE OF BLUE CROSS BLUE SHIELD OF NORTH DAKOTA Frequently Asked Questions I ve heard the federal government launched a new website called Healthcare.gov. How can

More information

Health Care Reform Planning for the Financial Impact on Businesses

Health Care Reform Planning for the Financial Impact on Businesses October 13, 2010 Health Care Reform Planning for the Financial Impact on Businesses Joseph Kra, FSA, MAAA, New York Services provided by Health & Benefits LLC Agenda Future of Employer Sponsored Coverage

More information

Bankers Insurance, LLC Your Health Care Reform Partner

Bankers Insurance, LLC Your Health Care Reform Partner Bankers Insurance, LLC Your Health Care Reform Partner Are you in compliance with health care reform regulations? We can help you stay on top of health care reform to avoid penalties from legislative briefs

More information

Health Care Reform Overview

Health Care Reform Overview Health Care Reform Overview By Marcia S. Wagner The Wagner Law Group 99 Summer Street, 13th Floor Boston, MA 02110 www.erisa-lawyers.com Introduction President Obama signed the Patient Protection and Affordable

More information

National Health Insurance Reform

National Health Insurance Reform JANUARY2011 National Health Insurance Reform Impact Year by Year With the passage of National Health Insurance Reform it is crucial that employers and plan sponsors have clear information about the impact

More information

Health Care Reform Implications for Employers with Seasonal Employees

Health Care Reform Implications for Employers with Seasonal Employees Health Care Reform Implications for Employers with Seasonal Employees Many industries (e.g. ski resorts, retail, restaurants, agriculture, fishing and tourism) have a significant number of seasonal employees.

More information

HEALTH CARE REFORM FOR BUSINESSES

HEALTH CARE REFORM FOR BUSINESSES HEALTH CARE REFORM FOR BUSINESSES Grandfathered Health Plans. We will start with information on health plans that were in existence on March 23, 2010 (i.e., the enactment date of the Affordable Care Act).

More information

Health Care Reform Impacts Grandfathered Employer-Sponsored Group Health Plans: Now What?

Health Care Reform Impacts Grandfathered Employer-Sponsored Group Health Plans: Now What? April 2010 EMPLOYEE BENEFITS & EXECUTIVE COMPENSATION UPDATE Health Care Reform Impacts Grandfathered Employer-Sponsored Group Health Plans: Now What? This bulletin discusses certain provisions of The

More information

Managing Health Care Reform Benefit Changes within your Own Organization

Managing Health Care Reform Benefit Changes within your Own Organization ICCMHC Winter Conference February 17, 2011 Managing Health Care Reform Benefit Changes within your Own Organization John F. Gause, President jgause@apexbg.com Overview Health Care Reform - Short Term Impact

More information

Health care reform: Past, present and future. Manufacturer & Business Association September 25, 2013

Health care reform: Past, present and future. Manufacturer & Business Association September 25, 2013 Health care reform: Past, present and future Manufacturer & Business Association September 25, 2013 Agenda Health Care Reform - The Past - The Present - Coverage - Exchanges - The Future Questions 1 The

More information

Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345

Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345 1 Sandy Wood, CEBS (Certified Employee Benefit Specialist) Healthcare Consultant sandy@thebenefitsacademy.com 206-669-3345 2 Terms you need to know Required Notices 2014 Plan Requirements The Grandfathered

More information

Health-Care Reform. Begley Insurance Group, Inc. Mary Angelo 5225 Old Orchard Rd. Skokie, IL 60077 800-867-7074

Health-Care Reform. Begley Insurance Group, Inc. Mary Angelo 5225 Old Orchard Rd. Skokie, IL 60077 800-867-7074 Begley Insurance Group, Inc. Mary Angelo 5225 Old Orchard Rd. Skokie, IL 60077 800-867-7074 Health-Care Reform August 14, 2012 Page 1 of 8, see disclaimer on final page One primary goal of the Patient

More information

American employers need prompt action on these six significant challenges. We urge Congress and the administration to address them now.

American employers need prompt action on these six significant challenges. We urge Congress and the administration to address them now. In June 2014, the Board of Directors of the American Benefits Council (the Council) approved a long-term public policy strategic plan, A 2020 Vision: Flexibility and the Future of Employee Benefits. It

More information

Effective dates for provisions of the PPACA are spread out from 2010 through 2018. This document focuses on 2013 and 2014.

Effective dates for provisions of the PPACA are spread out from 2010 through 2018. This document focuses on 2013 and 2014. As part of our ongoing initiative to provide added value to our customers, this health care reform summary is being provided on an information only basis. This is NOT a legal document and is not intended

More information

Health Care Reform: A Guide for Self-Funded Plans. Key steps to prepare for 2014 Preparing for the future Snapshot of reform (2010-2019)

Health Care Reform: A Guide for Self-Funded Plans. Key steps to prepare for 2014 Preparing for the future Snapshot of reform (2010-2019) Health Care Reform: A Guide for Self-Funded Plans Key steps to prepare for 2014 Preparing for the future Snapshot of reform (2010-2019) Table of Contents Health Care Reform is Here: Are you ready? 3 Key

More information

Q. My company already offers employee health coverage, how does the law impact me?

Q. My company already offers employee health coverage, how does the law impact me? Frequently Asked Questions Q. Will my business be required to provide employee health insurance under the health care law? A. The law does not mandate employers provide employees health care coverage.

More information

Health Care Reform Group Health Plan Action Item Timeline

Health Care Reform Group Health Plan Action Item Timeline Health Care Reform Group Health Plan Action Item Timeline Effective Date Now Action Items If you have fewer than 26 FTEs, work with your Finance Department to evaluate whether you are eligible for the

More information

How ACA is Changing Employer Health Benefits and the Marketplace Presented by:

How ACA is Changing Employer Health Benefits and the Marketplace Presented by: North Carolina State Health Plan How ACA is Changing Employer Health Benefits and the Marketplace Presented by: J. Richard Johnson Senior Vice President, Public Sector Health Practice Leader rjohnson@segalco.com

More information

The Affordable Care Act: What Public Employers Need to be Doing Now

The Affordable Care Act: What Public Employers Need to be Doing Now The Affordable Care Act: What Public Employers Need to be Doing Now April 30, 2014 J. Richard Johnson IPMA-HR Webinar Copyright 2014 by The Segal Group, Inc. All rights reserved. 1 ACA Update Discussion

More information

Prescribed Side Effects of the Patient Protection and Affordable Care Act (PPACA): Healthcare Reform Update

Prescribed Side Effects of the Patient Protection and Affordable Care Act (PPACA): Healthcare Reform Update August 14, 2013 Presented by: Jay Hutto, CPA Prescribed Side Effects of the Patient Protection and Affordable Care Act (PPACA): Healthcare Reform Update Click HERE to listen to webinar. August 14, 2013

More information

The Instant Insurance Guide: Federal Health Care Reform

The Instant Insurance Guide: Federal Health Care Reform The Instant Insurance Guide: Federal Health Care Reform From Karen Weldin Stewart, CIR-ML Delaware Insurance Commissioner 1-800-282-8611 www.delawareinsurance.gov A Message From The Delaware Department

More information

COMPLIANCE ADVISOR. 2014 Affordable Care Act Compliance Checklist

COMPLIANCE ADVISOR. 2014 Affordable Care Act Compliance Checklist COMPLIANCE ADVISOR August 2013 2014 Affordable Care Act Compliance Checklist IN THIS ISSUE: 1 2 3 4 5 6 7 8 9 10 11 12 Grandfathered Plan Status Confirmation No Annual Dollar Limits on Essential Health

More information

{PPACA: Update} Not for Profit December 11 & 12, 2013

{PPACA: Update} Not for Profit December 11 & 12, 2013 {PPACA: Update} Not for Profit December 11 & 12, 2013 Agenda Plans that must comply Reforms currently in place 2013 compliance deadlines 2014 compliance deadlines Future compliance deadlines 2 Plans That

More information

Health Care Reform Key Points

Health Care Reform Key Points Health Care Reform Key Points Contact Us 855.220.8634 HealthCareReform@eidebailly.com Individual Implications Individual mandate to have health insurance Penalties applies if NO health insurance 2014 -

More information

Counties as Employers Health Reform Toolkit: Making Sense of Complex Issues

Counties as Employers Health Reform Toolkit: Making Sense of Complex Issues NATIONAL ASSOCIATION OF COUNTIES Counties as Employers Health Reform Toolkit: Making Sense of Complex Issues 25 MASSACHUSETTS AVENUE, NW SUITE 500 WASHINGTON, DC 20001 CONTACT Emmanuelle St. Jean, MPH

More information

Introduction. Healthcare Reform Reference Guide. Release Date: 7.29.10. General Questions Exchanges Adult Dependents Grandfathering Early Retirees

Introduction. Healthcare Reform Reference Guide. Release Date: 7.29.10. General Questions Exchanges Adult Dependents Grandfathering Early Retirees q individual market q small group market Small Business Tax Credits Small Business Wellness Grants q large group market Blue Cross and Blue Shield companies are committed to working with the Administration

More information

Health Care Reform and You

Health Care Reform and You Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of February 2016 Health Care Reform and You The Patient Protection and Affordable Care Act and the Health Care

More information

Federal Health Reform FAQs

Federal Health Reform FAQs Federal Health Reform FAQs Individuals 1. What is an exchange? An exchange, as created under the Affordable Care Act (ACA), is a place where consumers can purchase subsidized health insurance coverage.

More information

HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS. New York Edition

HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS. New York Edition HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS New York Edition NAVIGATING NEXT STEPS IN HEALTH CARE REFORM PAGE 2 www.discovermvp.com There s a constant stream of changes and updates related

More information

Affordable Care Act Overview

Affordable Care Act Overview Affordable Care Act Overview Your guide to health care reform law 205 Edition The foregoing information is general in nature and is intended to keep you apprised of certain important developments. This

More information

Healthcare. Reform. Guidance for Groups. Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company

Healthcare. Reform. Guidance for Groups. Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company Healthcare. Reform Guidance for Groups 01MK4428 R8/10 Blue Cross and Blue Shield of Louisiana incorporated as Louisiana Health Service & Indemnity Company Table of contents Overview of the Patient Protection

More information

Health Care Reform: What to Expect in 2013 2014. Employee Benefits Series. Health Care Reform 2015 COMPLIANCE CHECKLIST

Health Care Reform: What to Expect in 2013 2014. Employee Benefits Series. Health Care Reform 2015 COMPLIANCE CHECKLIST Health Care Reform: What to Expect in 2013 2014 Employee Benefits Series Health Care Reform 2015 COMPLIANCE CHECKLIST This checklist is designed to help employers who sponsor group health plans review

More information

The IRS and its 46 new powers to enforce ObamaCare Galen Institute

The IRS and its 46 new powers to enforce ObamaCare Galen Institute BLOG» The IRS and its 46 new powers to enforce ObamaCare June 5, 2013 The power granted to the IRS to enforce ObamaCare s mandates, taxes, penalties, reporting, and other requirements is unprecedented.

More information

THE AFFORDABLE CARE ACT AND YOU. An Overview for Large Groups

THE AFFORDABLE CARE ACT AND YOU. An Overview for Large Groups THE AFFORDABLE CARE ACT AND YOU An Overview for Large Groups TABLE OF CONTENTS Find Answers to Your Questions About Employer Mandate... 3 Access to Coverage... 5 Coverage Changes... 7 Health and Wellness

More information

Health Care Timeline by Subject

Health Care Timeline by Subject Health Care Timeline by Subject Preliminary Review of Enacted Law as Modified by Reconciliation Note: The Whip s Office will continue to update this document as warranted based on further review of the

More information

Health Care Reform and You

Health Care Reform and You Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of January 2015 Health Care Reform and You The Patient Protection and Affordable Care Act and the Health Care

More information