ACA imposes a 40 percent excise tax on the cost of coverage exceeding $10,200 for single coverage and $27,500 for family coverage.
|
|
- Cody Burke
- 7 years ago
- Views:
Transcription
1 Affordable Care Act In Focus: Provisions Impacting Employer-Sponsored Health Coverage Through 2020 While many employers are wondering if self-funding is the right solution for their business, a number of factors must be weighed in making this decision. The Affordable Care Act introduced a number of new requirements for employer-sponsored health benefits, which are provided in the chart below. The chart also highlights the differences in how fully insured and self-funded health plans are impacted by these provisions. Provision Effective Date Description 2020 Cadillac tax Delayed until 2020 ACA imposes a 40 percent excise tax on the cost of coverage exceeding $10,200 for single coverage and $27,500 for family coverage Cost sharing 2017 plan year In-network OOP maximum cannot exceed $7,150 for self-only coverage and $14,300 for family coverage. Health Insurance Provider Fee There is a one year moratorium in 2017 on this annual Fee collected from health insurers. Estimated to increase premiums in the insured market on average by 1.9% to 2.3% in and, by 2023, to increase premiums 2.8% to 3.7% 1. No. This fee will not be assessed against self-funded plans. *, ** Cost sharing Plan Year In-network OOP maximum may not exceed $6,850 for self-only coverage and $13,700 for family coverage. Employer mandate * Applies to employers with 50 or more full-time employees (FTEs) and equivalents. An employer with 50 or more full-time equivalent employees may be subject to a financial penalty 2 if it either does not provide minimum essential coverage to its employees, or if that coverage is unaffordable 3 or does not provide minimum value. Plans will meet minimum value if they cover 60 percent of allowed costs in and both inpatient hospital and physician services. Essential Health Benefits Package * coverage in the individual and small group markets (on and off the exchanges) must: Provide essential health benefits Cost-share no longer tied to qualified high deductible plan. Meet certain actuarial value 5 requirements. Self-funded employers are not required to provide essential health benefits or meet certain actuarial value requirements but are subject to out-ofpocket limits. If self-funded plans include essential health benefits, including habilitative services, then no annual or lifetime dollar maximums may be applied. 1
2 Continued Habilitative Services HHS adopted a uniform definition of habilitative services (an Essential Health Benefit) for when the state-selected benchmark plan does not include these services and the state has not enacted its own definition. Healthcare services that help a person keep, learn or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings. Self-funded employers are not required to provide essential health benefits or meet certain actuarial value requirements but are subject to out-of-pocket limits. If self-funded plans include essential health benefits, including habilitative services, then no annual or lifetime dollar maximums may be applied. Re Assessment Fee * Funds a three-year re program for carriers in the individual health market. $27.00 average covered life annually Amount subject to change thereafter. Reporting requirements * for the 2015 coverage period Regulations implementing minimum essential coverage reporting for Section 6055 and 6056 of the Internal Revenue Code require certain employers to provide detailed information about their health plan coverage and enrollees. year. $2.17 per average number of covered lives for plan years ending between October 1, 2015 and December 31, Filing date: July 31, $2.17 per average number of covered lives for plan years between January 1,, and September 30,. Filing date: July 31, 2017 The fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, 2019., the, the plan sponsor pays 2
3 2015 *, ** Cost sharing Plan years on or after Jan. 1, In-network OOP maximum for essential health benefits may not exceed $6,600 for self-only coverage and $13,200 for family coverage. Employer mandate * 2015 Applies to employers with 100 or more FTEs and equivalents. Those groups with 50 FTEs and equivalents are exempt in 2015 provided they meet certain criteria. An employer with 50 or more full-time equivalent employees may be subject to a financial penalty 2 if it either does not provide minimum essential coverage to its employees, or if that coverage is unaffordable 3 or does not provide minimum value. Plans will meet minimum value if they cover 60 percent of allowed costs in 2015 and both inpatient hospital and physician services. Essential Health Benefits Package * coverage in the individual and small group markets (on and off the exchanges) must: Provide essential health benefits Deductibles were eliminated Cost-share no longer tied to qualified high deductible plan. Self-funded employers are not required to provide essential health benefits or meet certain actuarial value requirements but are subject to out-of-pocket limits. Meet certain actuarial value 5 requirements. Health Plan As of Oct. 31, Identifier (HPID) *, enforcement of the HPID regulations is delayed until further notice. Small health plans, those with annual receipts of $5 million or less, must obtain a HPID by Nov. 5, As of Oct. 31,, enforcement of the HPID regulations is delayed until further notice. Health plans, including small health plans, must obtain a HPID for use in HIPAA standard transactions if the health plan is identified in the HIPAA standard transaction, effective Nov. 7,. (Applies to Insurers) Re Assessment Fee * Funds a three-year re program for carriers in the individual health market. $44.00 per year for 2015 Amount subject to change thereafter. year. $2.08 per average number of covered lives for plan years ending between Jan. 1, 2015 and September 30, The fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, Filing date: July 31,., the, the plan sponsor pays 3
4 90-Day Waiting Period Limit Plans may not impose a waiting period of more than 90 days. Cost-Share Subsidy Sliding-scale financial assistance made available for certain individuals who make less than 251% of the federal poverty level and who purchase coverage on an exchange and meet certain other qualifications. Exchange coverage only No. Note: 250% of the FPL for a single-person household in was $29,175. Cost sharing ** In-network out-of-pocket maximums may not exceed the limits of $6,350 for self-only coverage and $12,700 for family for. Plan years on or after Jan. 1,. In addition, all member in-network costsharing, such as copayments, co and deductibles, must apply to the out-of-pocket maximum. Special rules apply for the plan year if the plan uses more than one service provider to administer benefits (such as pharmacy benefits manager for pharmacy benefits and a TPA for other medical benefits). Coverage Sold Through Exchanges Open enrollment for individual and small group coverage on the exchanges begins on Oct. 1, Carriers may offer qualified health plans in the individual and small group markets through exchanges. Exchanges may be operated by the federal government, by a state or in a state-federalgovernment partnership. No Employer Mandate * Penalties delayed until 2015 An employer with 50 or more full-time equivalent employees may be subject to a financial penalty 2 if it either does not provide minimal essential coverage to its employees, or if that coverage it does provide is unaffordable 3 or does not provide minimum value 4. Essential Health Benefits Package * coverage in the individual and small group markets (on and off the exchanges) must: Provide essential health benefits Cost-sharing limits apply to qualified highdeductible health plans (except small group plans may not have deductibles greater than $2,000 for individuals or $4,000 for family coverage); and Self-funded employers are not required to provide essential health benefits or meet certain actuarial value requirements but are subject to out-of-pocket limits. Meet certain actuarial value 5 requirements. 4
5 Continued Health Plan As of Oct. 31, Identifier (HPID) *, enforcement of the HPID regulations is delayed until further notice. Health plans, excluding small health plans, must obtain a HPID by Nov. 5,. As of Oct. 31,, enforcement of the HPID regulations is delayed until further notice. Health plans, including small health plans, must obtain a HPID for use in HIPAA standard transactions if the health plan is identified in the HIPAA standard transaction, effective Nov. 7,. (Applies to Insurers) Health Insurance Provider Fee 6,* Fee collected from health insurers. Estimated to increase premiums in the insured market on average by 1.9% to 2.3% in and, by 2023, to increase premiums 2.8% to 3.7% 1. No. This fee will not be assessed against self-funded plans. Individual Mandate Individuals who do not meet certain hardship exceptions will be required to have minimum essential coverage or pay a penalty 7. Individual Premium Tax Credit Sliding-scale financial assistance made available for certain individuals who make less than 401% of the federal poverty level (FPL), who purchase coverage on an exchange and meet certain other qualifications. Exchange coverage only No. Note: 400% of the FPL for a single-person household in was $46,680. Modified Community Rating Individual and small group health carriers may no longer consider health status, industry or gender when setting premium rates. No. Self-funded plans may consider health information to help determine cost expectations. No Pre-Existing Exclusions for Adults year. Health plans may no longer impose pre-existing condition exclusions. An annual fee of: $2 per average number of covered lives for plan years ending between Jan. 1,, and Sept. 30,. Filing date: July 31, 2013 $2.08 per average number of covered lives for plan years ending between October 1, and December 31,. Filing date: July 31,. The fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, 2019., the, the plan sponsor pays Re Assessment Fee * Funds a three-year re program for carriers in the individual health market. $63 per year for Amount subject to change thereafter. 5
6 2013 Exchange Notice Oct. 1, 2013 Employer to provide all employees notice about exchanges: Model notices available on the U.S. Dept. of Labor website. Health Flexible Spending Account (FSA) limits 2013 Plan years beginning on or after Jan. 1, 2013 Limits annual employee salary reduction contributions to an FSA to $2,500. year. The first fee was due by July 31, An annual fee of: $1 per average number of covered lives for plan years ending between Jan. 1, 2013, and Sept. 30, Filing date: July 31, $2 per average number of covered lives for plan years ending between Oct. 1, 2013, and Dec. 31, Filing date: July 31, The fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, 2019., the, the plan sponsor pays Risk Adjustment Individual and small group fully-insured plans sold on and off exchanges will be assessed if their actuarial risk is less than, and credited if their actuarial risk is more than, the average actuarial risk for all plans in the state. No. Self-funded plans will not be required to subsidize one another. Risk Corridor A system using revenue from qualified health plans to subsidize one another from - to limit the gains and losses of those plans. Only carriers selling plans on the exchanges No. Self-funded plans will not be required to subsidize one another. W-2 Reporting W-2 Forms (usually provided by Jan. 31, 2013) Employers filing 250 or more W-2s in the preceding year must report the total cost of each employee s employer-sponsored coverage on each employee s W year. The first fee was due by July 31, An annual fee of: $1 per average number of covered lives for plan years ending between Oct. 1, 2012, and Dec. 31, Filing date: July 31, 2013 The fee is based on increases in the projected per capita amount of the National Health Expenditures. The fee will not apply to policy or plan years that begin after Sept. 30, 2019., the, the plan sponsor pays Rate Increase Review 2011 Rate increases of 10% or more on fully insured health plans must be submitted to the U.S. Department of Health and Human Services. No 6
7 2012 Continued Summary of Benefits and Coverage Document Plan years on or after Sept. 23, 2012 Standardized summary of health plan coverage that insurers and employers must make available to enrollees. Women s preventive *, ** health services Plan years on or after Aug. 1, 2012 Coverage for contraceptive services for women without cost-sharing. (Exceptions have been made for some employers.) 2011 Medical Loss Ratio (MLR) 2011 For small and large groups, respectively, health insurers must spend at least 80% or 85% of every premium dollar on claims and quality improvement activities or rebate the difference to customers. No. Federal regulations do not dictate how plan dollars are spent Mandated Benefit Provisions Removal of annual and lifetime dollar limits Coverage for dependents to age 26 Plan years on or after Sept. 23, 2010 No pre-existing condition exclusions for person younger than 19 Increased parity for out-of-network emergency services 100% coverage for certain preventive services ** Additional claim and appeal rights ** 7
8 1 Estimated Premium Impact of Annual Fees Assessed on Health Insurance Plans; study by Oliver Wyman; Oct. 31, If no health plan is offered, and one full-time employee (FTE) receives a premium tax credit or cost-share subsidy through an exchange, the annual penalty is $2,000 ($2,080 for calendar year 2015 and $2,160 for calendar year ) per full-time employee, and the first 30 full-time employees (first 80 FTEs for 2015) are discounted for purposes of calculating the penalty. If a health plan is offered, but that plan does not provide minimum value or is unaffordable, and one full-time employee receives a premium tax credit or cost-share subsidy through an exchange, the annual penalty is the lesser of: (a) $3,000 ($3,120 for calendar year 2015 and $3,240 for calendar year ) per FTE who is eligible for the tax credit or subsidy or (b) $2,000 ($2,080 for calendar year 2015 and $2,160 for calendar year ) per FTE, and the first 30 FTEs (first 80 FTEs for 2015) are discounted for purposes of calculating the penalty. 3 An employer s health plan is unaffordable if the employee s contribution to the cost of employee-only coverage (in the lowest cost plan option) is more than 9.5% (9.56% for 2015 and 9.66% for plan years beginning in ) of the employee s household income. An employer also can use safe harbors identified by the IRS to determine if its health plan is affordable. 4 An employer s health plan provides minimum value if the plan s share of an enrollee s overall medical expenses is at least 60% and covers inpatient hospital and physician services. 5 Actuarial value is a measure of a health plan s share of an enrollee s overall medical expenses, expressed as a percentage. 6 The Health Insurance Industry Fee is also known as the Health Insurance Tax (HIT). 7 Penalties are the greater of a set dollar amount or percentage of taxable income as follows: : $95 or 1%; 2015: $325 or 2%; : $695 or 2.5% and adjusted to the cost of living thereafter. * See separate brochure providing more detail, available in the Healthcare Reform Tool Kit ** Does not apply to grandfathered plan PLEASE NOTE: This document is designed to provide a high-level overview of aspects of the Affordable Care Act (ACA), as modified by the Health Care and Education Reconciliation Act and various regulation and regulatory guidelines. It is not comprehensive and does not constitute legal or tax advice for healthcare reform implementation. Please consult a professional benefit adviser or legal counsel regarding how the law may impact your specific benefit plan. Last Updated: April 6, For more information on ACA, visit the Trustmark Healthcare Reform blog. The Trustmark Companies and operating divisions include Trustmark Life Insurance Company, Trustmark Life Insurance Company of New York, Trustmark Insurance Company, CoreSource, HealthFitness, Starmark and Trustmark Voluntary Benefit Solutions. 400 Field Drive Lake Forest, Illinois T (4-16) 8
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 informationHealth 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 informationImportant 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 informationHealth 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 informationImportant 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 informationThe 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 informationBasics 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 informationSelf-insured Plans under Health Care Reform
Brought to you by Good Neighbor Insurance Self-insured Plans under Health Care Reform The Affordable Care Act (ACA) includes numerous reforms affecting the health coverage that employers provide to their
More informationSelf-insured Plans under Health Care Reform
Brought to you by Cottingham & Butler Self-insured Plans under Health Care Reform The Affordable Care Act (ACA) includes numerous reforms affecting the health coverage that employers provide to their employees.
More informationAffordable Care Act (ACA) Violations Penalties and Excise Taxes
Brought to you by The Insurance Exchange Affordable Care Act (ACA) Violations Penalties and Excise Taxes The Affordable Care Act (ACA) includes numerous reforms for group health plans and creates new compliance
More informationHealth 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 informationInSight. 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 informationHealth Care Reform - 2016/2017 Strategic Analysis
Health Care Reform - 2016/2017 Strategic Analysis Employers sponsoring health can expect to see no slow-down in Affordable Care Act (ACA) rules, clarifications, and requirements. Understanding these changes,
More informationHealth 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 informationCOMPLIANCE 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 informationHealth 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 informationHealth 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 informationAffordable Care Act FAQ
Affordable Care Act FAQ Based on regulatory guidance issued as of March 2014 and subject to change. Contents General ACA Questions... 1 ACA Marketplace... 1 ACA Employer Shared Responsibility... 2 ACA
More informationHealth 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 informationHealth 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 informationSandy 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 informationHealthcare Reform: Patient Protection & Affordable Care Act (PPACA)- FACT.FICTION.FUTURE
Healthcare Reform: Patient Protection & Affordable Care Act (PPACA)- FACT.FICTION.FUTURE Joanna Antongiovanni TX Assoc. of Health Underwriters - Past President 2014 Embedded Pediatric Dental VS Stand Alone
More informationHealth 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 informationYour 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 informationYear-end Checklist for 2015 Compliance
Brought to you by Fringe Benefit Plans, Inc. / (407) 862-5900 Year-end Checklist for 2015 Compliance The Affordable Care Act (ACA) has made a number of significant changes to group health plans since the
More informationFederal 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 informationHealth 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 informationHEALTH 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 informationREGULATORY UPDATE Vol. 1 No. 18
REGULATORY UPDATE Vol. 1 No. 18 FAQs on Exchanges August 7, 2013 IN THIS ISSUE FAQs on Exchanges Employer Mandate Delay Transitional Guidance Issued Individual Mandate Final Rules Issued Possible Exchange
More informationAFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: November 2014
AFFORDABLE CARE ACT Employers that offer health care coverage to employees are responsible for complying with many of the provisions of the Affordable Care Act (ACA). Most health reform changes apply regardless
More informationThe Affordable Care Act: Summary of Employer Requirements
The Affordable Care Act: Summary of Employer Requirements July 2012 Discussion Outline Overview of the Affordable Care Act (ACA) Employer coverage requirements Employer reporting requirements Individual
More informationHealth Care Reform and Your Business
Health Care Reform and Your Business Timelines and Implications of the Law for Business Owners Updated as of January 2015 Health Care Reform and Your Business The Patient Protection and Affordable Care
More informationSection 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 informationPrescribed 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 informationHealth Reform Employer Impact Analysis. Sample Employer. Prepared for. Date
Health Reform Employer Impact Analysis Prepared for Sample Employer Date 2 Health Reform Employer Impact Analysis Overview Beginning in 2014, an applicable large employer becomes subject to what are referred
More informationTHE 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 informationChart: 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 informationHealth Care Reform (HCR)
Health Care Reform Effects on the Wood County Employee Health Benefits Plan For Plan Year 2013 Employee Health Benefits Committee October 18, 2012 1 Health Care Reform (HCR) Affordable Care Act (ACA) The
More informationParker, Smith & Feek - ACA Update: 2014 November 2013
Affordable Care Act (ACA) Background Core of law is an attempt to reduce # of uninsured Multiple approaches to expanding insurance coverage Requires most in US to have health insurance Creates state-based
More informationHealthcare Reform Update. as of February 15, 2013
Healthcare Reform Update as of February 15, 2013 March 23, 2010: Patient Protection and Affordable Care Act (PPACA aka ACA) signed into law Underlying goals of PPACA: Expand access to healthcare Make healthcare
More informationHealthcare 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 informationSelected 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 informationHEALTH REFORM AND MULTIEMPLOYER PLAN COVERAGE 2014 AND BEYOND
WWW.BKLAWYERS.COM HEALTH REFORM AND MULTIEMPLOYER PLAN COVERAGE 2014 AND BEYOND ABA SECTION OF LABOR AND EMPLOYMENT LAW EMPLOYEE BENEFITS COMMITTEE MID- WINTER MEETING 201 BLITMAN & KING LLP Franklin Center,
More informationChristy 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 informationAffordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion
Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Table of Contents Expanded Coverage... 2 Health Insurance Exchanges... 3 Medicaid Expansion... 8 Novartis Pharmaceuticals Corporation
More informationLegislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES. EmPowerHR
EmPowerHR Legislative Brief: PAY OR PLAY PENALTIES LOOK BACK MEASUREMENT METHOD EXAMPLES The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health insurance
More informationThe Affordable Care Act Update
The Affordable Care Act Update Presented by: The Union Labor Life Insurance Company SOLUTIONS FOR THE UNION WORKPLACE SPECIALTY INSURANCE INVESTMENTS Overview I. Key Provisions II. Major Challenges III.
More informationHealth Care Reform and Your Business
Health Care Reform and Your Business Timelines and Implications of the Law for Business Owners Updated as of December 2013 Health Care Reform and Your Business The Patient Protection and Affordable Care
More informationHealth 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 informationA f f o r d a b l e C a r e A c t. S u s a n L. G r a s s l i, J D M a y 2 0 1 4
Health Care Reform T h e B i g T h r e e P r o v i s i o n s o f t h e A f f o r d a b l e C a r e A c t S u s a n L. G r a s s l i, J D M a y 2 0 1 4 Agenda Background The Big Three o Individual Mandate
More informationHealth in a Handbasket What Employers Need to Know Now
Health in a Handbasket What Employers Need to Know Now Presented by Steven J. Friedman Littler, New York 212-583-2687 Agenda Full Speed Ahead: Again? Pay-or-Play: What is the optimal strategy for you?
More informationAffordable Care Act Resource Guide
Affordable Care Act Resource Guide for Businesses with fewer than 50 employees Effective October 29, 2015 Form No. 3-1018 (11-15) The information in this document is a general overview of the rules, regulations
More informationSimple 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 informationWhat You Need to Know About Health Care Reform
What You Need to Know About Health Care Reform A Toolkit for Small Employer Group Administrators What s inside Health care reform offers new choices for small businesses... 1 Why New Jersey businesses
More information{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 information2015 Open Enrollment Checklist
Brought to you by Benefit Administration Company, LLC. 2015 Open Enrollment Checklist To prepare for open enrollment, health plan sponsors should become familiar with the legal changes affecting the design
More informationHealth 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 informationThe Affordable Care Act: What You Need to Know for 2015 And Beyond. Presented by: Jennifer Zando Director, Account Management, POMCO Group
The Affordable Care Act: What You Need to Know for 2015 And Beyond Presented by: Jennifer Zando Director, Account Management, POMCO Group 2 Agenda The ACA: Where We ve Been Health Plan Identifiers Transitional
More informationHealth Care Reform Update
Small Businesses No Financial Requirements for Small Businesses: The ACA imposes no financial requirements for small businesses to contribute to their employees health insurance. However, beginning in
More informationHealth Care Reform 101 for June 3, 2013
Commercial & Personal Insurance Employee Benefits Retirement Plan Services Wealth Management Health Care Reform 101 for June 3, 2013 Requirements: Pre-HCR vs. Post-HCR Offering/Maintaining Health Insurance
More informationNational 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 informationHealth 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 informationTHE 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 informationEmployer 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 informationMore than benefits. State of the Industry March 3, 2015
More than benefits State of the Industry March 3, 2015 Cuatro s Bio Untangling the Web - efg&m is on your Team! ERISA/Compliance TECHNOLOGY PPACA WELLNESS BENEFITS ADMINISTRATION Never hurry and never
More informationHealth 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 informationPotential Penalties for Employers under the Pay or Play Rules
The Affordable Care Act (ACA) brings many changes to employers and health plans. One such change essentially amounts to a requirement for some employers to offer a certain level health care to their employees
More informationSage HRMS The healthcare reform survival guide. Checklists and explanations to help you meet changing health benefits compliance mandates
Sage HRMS The healthcare reform survival guide Checklists and explanations to help you meet changing health benefits compliance mandates Table of contents Welcome to healthcare reform 3 The big question
More informationHealth 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 informationHealth Policy Essentials: Private Health Insurance. Bernadette Fernandez, Annie Mach, & Namrata Uberoi February 13, 2015
Health Policy Essentials: Private Health Insurance Bernadette Fernandez, Annie Mach, & Namrata Uberoi February 13, 2015 Briefing Agenda What is the purpose of private health insurance (PHI)? How is PHI
More informationKey Provisions of 2010 Healthcare Reform Legislation for Small (under 50) Employers. By Alice Eastman Helle. October 2013 Update
Key Provisions of 2010 Healthcare Reform Legislation for Small (under 50) Employers By Alice Eastman Helle October 2013 Update The sweeping healthcare reform legislation enacted in 2010 is exceedingly
More informationCLICK HERE TO ADD TITLE
CLICK HERE TO ADD TITLE HEALTH CARE REFORM & ITS EFFECTS ON YOUR BUSINESS Presented by Jenny Arthur, SPHR AGENDA Background/History The Past: Previously Implemented HCR Provisions The Present: Current/Pending
More informationNJ CUPA HR The Affordable Care Act & Its Implication for Employers April 4, 2014
NJ CUPA HR The Affordable Care Act & Its Implication for Employers April 4, 2014 About NJBIA Represents 21,000 companies of all sizes and types, which employ over 1 million workers in the State. Advocate
More informationPreparing 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 informationHelbling Benefits Consulting Your Health Care Reform Partner
Helbling Benefits Consulting Your Health Care Reform Partner Will you be hit with penalties due to health care reform? Once the employer mandate becomes effective, some employers may have to pay a penalty
More informationHEALTH 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 informationHealth 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 informationLegislative Brief: 2015 COMPLIANCE CHECKLIST. Laurus Strategies
Laurus Strategies Legislative Brief: 2015 COMPLIANCE CHECKLIST The Affordable Care Act (ACA) has made a number of significant changes to group health plans since the law was enacted over four years ago.
More informationEffective 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 informationthe 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 informationHealth care reform is once again
Marjorie M. Glover and Rachel M. Kurth Employee Benefit Plan Review Reprinted from April 2010 Health Care Reform: How It May Impact Employers, Employees, and Benefit Plans Health care reform is once again
More informationHow To Get Health Care Reform For The United States
Federal Health Care Reform: Implications for New York Division of Coverage and Enrollment Office of Health Insurance Programs Health Bureau Insurance Department June 2010 Federal Health Care Reform: Where
More informationCoinsurance A percentage of a health care provider's charge for which the patient is financially responsible under the terms of the policy.
Glossary of Health Insurance Terms On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law. When making decisions about health coverage, consumers should
More informationThe Health Benefit Exchange and the Commercial Insurance Market
The Health Benefit Exchange and the Commercial Insurance Market Overview The federal health care reform law directs states to set up health insurance marketplaces, called Health Benefit Exchanges, that
More informationSummary of Provisions Affecting Employer-Sponsored Insurance
JULY 2014 AFFORDABLE CARE ACT Summary of Provisions Affecting Employer-Sponsored Insurance Much of the public discussion about the Affordable Care Act (ACA) has focused on the expansion of coverage to
More informationPREPARE FOR AFFORDABLE CARE ACT NOW & AVOID PENALTIES!
PREPARE FOR AFFORDABLE CARE ACT NOW & AVOID PENALTIES! Ken Laks, Tax Specialist Eric Dielmann, Employee Benefit Specialist PRESENTED BY WHY WORRY? Employer Mandate has Been Postponed until 2015! Guaranteed
More informationAffordable 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 informationHealth Care Reform: Health Plans Overview. Presented by: Brian Lenzo, Preferred Benefits Services
Health Care Reform: Health Plans Overview Presented by: Brian Lenzo, Preferred Benefits Services Agenda What is the legal status of the law? Which plans must comply? Grandfathered plans Reforms currently
More informationHEALTH 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 informationIntroduction. Affordable Care Act Overview of Changes
Introduction Affordable Care Act Overview of Changes Presented by: Tim Dillingham, CLU Benefit Resource Group, Inc. 201 E Broad Street, Suite 1 Linden, MI 48451 810-735-6500 810-735-6610 (fax) tim@benefitresourcegroup.net
More informationHealth 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 informationAn Employer s Guide to Health Care Reform
An Employer s Guide to Health Care Reform Important details to navigate employer-provided benefits amidst a changing health care landscape. PAGE 1 Navigating a new health care landscape Health care reform,
More informationHow To Calculate A Health Care Reform Employer Number
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 informationThe Affordable Care Act in New Hampshire
The State of New Hampshire Insurance Department 21 South Fruit Street, Suite 14 Concord, NH 03301 (603) 271-2261 Fax (603) 271-1406 TDD Access: Relay NH 1-800-735-2964 The Affordable Care Act in New Hampshire
More informationwww.thinkhr.com AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST
www.thinkhr.com AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST Employers that provide health coverage to employees are responsible for complying with many of the provisions of the Affordable
More informationFrequently Asked Questions: How Health Reform Law Protects Patients
Frequently Asked Questions: How Health Reform Law Protects Patients In this section: Grandfathered Health Plans Patient Protections Medical Loss Ratio (MLR) Summary of Benefits and Coverage Grandfathered
More informationAnswers 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 informationHHealth HEALTH INSURANCE EXCHANGE FAQs
HHealth HEALTH INSURANCE EXCHANGE FAQs Page 1 TABLE OF CONTENTS Introduction... 3 Background... 3 Health Insurance Exchange FAQs... 4 What is the Patient Protection and Affordable Care Act (PPACA)?...
More information