Health care reform for large businesses

Size: px
Start display at page:

Download "Health care reform for large businesses"

Transcription

1 FOR PRODUCERS AND EMPLOYERS Health care reform for large businesses A guide to what you need to know now DECEMBER 2013

2 CONTENTS 2 Introduction Since 2010 when the Affordable Care Act (ACA) was signed into law, a number of significant reforms have taken effect. Many parts of the ACA are now well understood, however, the government continues to issue regulations. As a result, some parts of the ACA remain murky. In a few cases, implementation or enforcement has been delayed. And there are more regulations to come. This health care reform guide will provide you with concise information on what is known about the law as it applies to large groups, and what s still evolving. In each section you ll find the status of a requirement, a brief summary, information on action you may need to consider, and what Group Health is doing to meet our responsibilities. Unless otherwise noted, this information applies to fully insured, self-funded, grandfathered, and non-grandfathered plans. CONTENTS Employer requirements 3 The employer mandate 3 W-2 reporting 5 Automatic enrollment 5 Exchange notice 6 Plan design requirements 7 Waiting periods 7 Prohibition on pre-existing 8 condition exclusions Lifetime and annual limits 8 Out-of-pocket maximum 9 limitation Wellness programs 10 Taxes and fees 11 Comparative effectiveness fee 11 Transitional reinsurance fee 12 Health insurance provider fee 12 Cadillac tax 13 Glossary 14 Timeline 15

3 EMPLOYER 3 Employer requirements The employer mandate Also known as employer shared responsibility, and pay or play. Implementation delayed until The employer mandate requires that all large employers offer health insurance to all full-time employees and their dependents or pay a penalty. Spouses are not considered dependents. Implementation was originally scheduled for January 2014 but in 2013 the Department of the Treasury announced the employer mandate would be delayed until January Since it is delayed, the requirements as we know of them today are subject to change. A large employer is defined as having 50 or more full-time equivalent (FTE) employees. A fulltime employee is anyone who works 30 or more hours a week. Special rules apply to how the number of employees is calculated when an employer has part-time, seasonal, and variable hour employees. Employers do not need to offer health coverage to part-time employees, however, they are included in the calculation to determine the size of the employer. Current regulations specify that the health plan offered must: Offer minimum essential coverage. Provide meaningful value designed to pay at least 60 percent of the cost of medical services for a standard population. Be affordable the premiums for the individual employee are no more than 9.5 percent of the employee s household income. The government has provided employers with various safe harbors for determining household income, including using the employee s W-2. Penalties come into play in a number of ways: If an employer chooses not to offer health coverage, or if a plan does not have minimum essential coverage, and any employee buys their insurance through a health care exchange, and receives a government subsidy in the form of a tax credit for the premium or cost share reductions, the employer is subject to penalties of up to $2,000 annually for each full-time employee, excluding the first 30 employees. The proposed rules state that employers who offer coverage to 95 percent of their full-time employees and dependents will not be subject to penalties. If a large employer offers minimum essential coverage that does not provide meaningful value, or is not affordable, and one or more full-time employees purchase health care coverage (Continued on next page)

4 EMPLOYER 4 through the exchange and receive a government subsidy, the employer will be subject to fines. The penalties are up to $3,000 annually for each full-time employee receiving a tax credit or subsidy, or $2,000 for every full-time employee (excluding the first 30 employees), whichever is less. Reporting requirements. There are significant reporting requirements associated with the employer mandate. Employers are required to provide annual reports to the IRS and to employees about the health plan coverage offered by the employer. The reporting to the IRS must include: A certification as to whether the employer offers minimum essential coverage to employees. The employer contribution to the lowest-cost plan s premium. The number of full-time employees for each month during the year. Identification of the employees enrolled in the employer s plan. Other information. Employers must also provide each full-time employee with a written statement with the same required information and additional information (see W-2 reporting on page 5). Penalties are imposed for failure to comply. The one-year delay allows time for the administration to consider ways to simplify the reporting requirements, and to provide additional time for employers to adapt their current coverage and reporting systems to the new requirements. The reporting to the IRS and to employees must be done on specific forms as required by the IRS. For more on these requirements, go to or or speak with your benefits consultant. Figure out if you are subject to the employer mandate by determining whether you have 50 or more full-time equivalent employees and will be subject to the pay or play rules in There are detailed rules around this calculation. Additional guidance is available from the IRS on the Affordable Care Act Tax Provisions Home in the section on Employer Shared Responsibility Payment. By 2015, decide to offer health insurance to all full-time employees and dependents or pay penalties. If you are subject to the employer mandate, determine whether the coverage provided to employees provides minimum value by covering a minimum of 60 percent of the costs of the benefits. Prepare to provide the required information reporting to the IRS and to your employees in 2016 (for coverage provided in 2015). When employers receive their rate confirmation and Summary of Benefits and Coverage, the group-specific designation indicating that the plan meets actuarial minimum value will be included.

5 EMPLOYER 5 W-2 reporting The requirement became effective for tax reporting year In general, the W-2 reporting requirement applies to all employers that offer an employer-sponsored health plan. Employers must report to the IRS the aggregate costs of the health benefits coverage provided to the employee on their employee s W-2 form (excluding FSA salary reduction contributions), whether paid by the employer or the employee. Reporting this cost does not mean that the coverage is taxable. It s for reporting purposes only. There is some transitional relief for employers who filed fewer than 250 W-2 forms for the prior calendar year. These employers were not required to report the costs of their coverage in But the IRS is expected to issue new guidance, so it s unknown how long this transitional relief will be in effect. You can read more about this requirement at the IRS website in the section titled Reporting Employer Provided Health Coverage in Form W-2. You must report the aggregate cost of health benefits coverage on the employee s W-2 form. Since this is an employer responsibility, there is no requirement for action by Group Health Cooperative. Automatic enrollment The final regulation on automatic enrollment has not yet been issued, though it is expected in Until the regulation is issued, employers are not required to comply. Employers that are subject to the Fair Labor Standards Act (FLSA) with more than 200 full-time employees, who offer employees one or more health benefit plans, must automatically enroll full-time employees into one of those health plans. They must also notify their employees of the enrollment and give them an opportunity to optout. When the final regulation is issued, if you have more than 200 full-time employees, you will need to: Automatically enroll them in the health plan you offer. Notify them of this enrollment and give them a chance to optout. Group Health Cooperative will comply with this legislation and enroll employees as requested by the employer.

6 EMPLOYER 6 Exchange notice Employers were required to provide a notice of the ACA s exchanges to current employees no later than Oct. 1, New employees must be notified at the time of hiring as of Oct. 1, For 2014, notice to new hires must be provided within 14 days of an employee s start date. Current guidance indicates that until final regulations are issued, no fines or penalties will be assessed against employers for failure to provide a notice. This regulation applies to employers subject to the FLSA. It requires that the employer deliver written notice to current employees full-time and part-time and new hires that includes: A description of the state s online exchange marketplace (Washington Healthplanfinder) and services provided, and who the employee can contact to request assistance. Information about the employee s potential eligibility for a premium tax credit or cost sharing subsidy through the exchange if the employer plan is less than 60 percent actuarial value, or if the employee premiums exceed 9.5 percent of household income. Notice of possible loss of employer contribution to a health benefits plan offered by the employer if an employee purchases a health plan through the exchange. Employers of all sizes must provide written notice to full-time and part-time employees about the three items detailed above. Employers can use language in a model notice provided by the Department of Labor. Samples of model notices and other information on the notice requirements are available at the Department of Labor website. When employers receive their rate confirmation and Summary of Benefits and Coverage, the group-specific designation indicating that the plan meets actuarial minimum value will be included.

7 PLAN DESIGN 7 Plan design requirements Waiting periods Proposed rules were issued on March 21, 2013 for implementing the waiting period provisions, and are effective for plan years beginning January 2014 and after. This applies to all employers who offer group health plans and refers to the period of time from when an individual first becomes eligible for coverage under an employer-sponsored health plan, to the start of coverage. The waiting period cannot exceed 90 days including weekends and holidays. If an employee has the option of enrolling during that time, but chooses not to, the employer is compliant. There are additional rules that apply to determine whether eligibility conditions for variable hour employees meet the 90-day waiting period limitation. There is additional guidance available at the IRS website in the section on Group Health Plan Requirements. Review policies in regard to your waiting period and when employees become eligible for coverage under an employer-sponsored health plan. Change the policy if it requires a waiting period exceeding 90 days. Group Health will require all large groups that have an eligibility period longer than 90 days to change to one of the following waiting periods: Date of hire First of the month following (or coincident with) 30 days First of the month following (or coincident with) 60 days

8 PLAN DESIGN 8 Prohibition on pre-existing condition exclusions Also known as guaranteed issue Effective for adults beginning Jan. 1, Effective for children under age 19 since Group health plans and health insurance issuers may not impose pre-existing condition exclusions on any covered members. A pre-existing condition exclusion is a limitation or exclusion of benefits related to a condition based on the condition being present before the individual s date of enrollment in the employer s plan. Group health plans are also prohibited from establishing enrollment eligibility rules for coverage based on a potential enrollee s health status, medical condition, or claims experience. They are also prohibited from charging enrollees higher premiums based on health status. Review health plan(s) offered to employees to determine whether the plans impose any preexisting condition exclusions. Group Health has eliminated all pre-existing condition requirements from all plan designs. Lifetime and annual limits The prohibition on lifetime dollar limits of essential health benefits (EHBs) became effective for plan years beginning on or after Sept. 23, The complete prohibition on annual dollar limits will be effective for plan years beginning on or after Jan. 1, 2014 (there was flexibility in specific circumstances between 2010 and 2014). The ACA generally prohibits group health plans and issuers from imposing lifetime or annual limits on the dollar value of health benefits considered to be EHBs. EHBs are generally considered the typical benefits that many plans offer such as emergency room care and preventive care. Large groups are not required to cover EHBs, but if they do, there can be no annual or lifetime monetary limits on such benefits. Confirm with your health plan provider(s) that no annual or lifetime limits will be imposed on benefits considered to be EHBs for the 2014 plan year. Group Health plans have no lifetime or annual limits on benefits defined as EHBs.

9 PLAN DESIGN 9 Out-of-pocket maximum limitation Effective Jan. 1, 2014 Starting in 2014, non-grandfathered health plans must limit the total out-of-pocket (OOP) costs enrollees pay for essential health benefits (EHBs) provided in network. The individual maximum for 2014 is $6,350, and for families it s $12,700. These limits are determined by the IRS on an annual basis and tied to the out-of-pocket limits on Health Savings Account (HSA) qualified high deductible plans. Work with your health plan provider, benefits consultant, or account manager to make sure the health plans offered to your employees in 2014 will properly apply the OOP maximum limitations. Group Health has added all new OOP maximum riders for non-grandfathered groups so that all applicable cost shares apply to the OOP maximum. Group Health will work with producers and purchasers to ensure that the annual limit for OOP maximums does not exceed the mandated limits.

10 PLAN DESIGN 10 Wellness programs Final rules increasing the amount of the reward allowed in wellness programs were published in June 2013, and apply to all health plans on or after Jan. 1, Wellness programs offered by employers both health contingent and participatory are designed to encourage employees to engage in healthy behaviors. They generally offer employees an incentive or reward for participation. Health contingent programs require an individual to meet a standard related to a health factor. The incentives for this type of program may be either a reward (for example, a premium discount) or a penalty (premium surcharge). Under the ACA, the maximum permissible reward for health contingent wellness programs will increase to 30 percent of the cost of coverage. If a tobacco cessation component is included, the reward can increase to 50 percent. In participatory wellness programs which do not require an individual to meet a standard related to a health factor there is no limit on the size of the reward an employee may receive. Review any wellness programs offered to determine whether they comply with current requirements. Our understanding of legal considerations for wellness programs will be used when we consult with employer groups on population health management and they determine the structure of their wellness programs. The flexibility and configuration of the rewards system in RedBrick Health is consistent with legal definitions of programs. Group Health has joined with RedBrick Health to bring employers a worksite wellness program with an engaging online experience that drives healthy behaviors, better outcomes, and stronger returns on everyone s investment.

11 TAXES AND FEES 11 Taxes and fees Comparative effectiveness fee Also called the Patient-Centered Outcome Research Institute (PCORI) fee Fees apply to policy and plan years ending on or after Oct. 1, 2012, and before Oct. 1, This fee provides funding for the Patient-Centered Outcomes Research Institute (PCORI), which was created as part of the ACA. PCORI is a nonprofit corporation whose mission is to help people make informed health care decisions, and improve health care delivery and outcomes. The fee is equal to $1 per covered life the first year and $2 per covered life the second year. Thereafter, the fee amount per covered life will be increased by the percentage increase in the projected per capita amount of National Health Expenditures as published by the Secretary of Health and Human Services (HHS) before the beginning of the fiscal year. Be aware that this fee, along with other fees and taxes, may be reflected in premium rates. Group Health is paying this fee for fully insured groups annually on July 31. The Group Health Research Institute (GHRI) applied for and has received several PCORI grants to conduct comparative clinical effectiveness research. The overall goal of the research is to help patients and those who care for them make better informed health decisions. Because GHRI research frequently includes our own clinics and members, Group Health enrollees are in a unique position to benefit from research supported by this fee.

12 TAXES AND FEES 12 Transitional reinsurance fee Effective for 2014, 2015, and 2016 Health insurance issuers and self-funded group health plans must pay fees to a transitional reinsurance program for the first three years of the health benefit exchange operation. The fees will be used to help stabilize premiums for coverage in the individual market. The reinsurance program s fees will be based on a national contribution rate, which the Department of Health and Human Services (HHS) will announce annually. The reinsurance fee is calculated by multiplying the average number of covered lives by the national contribution rate. Be aware that this fee, along with other fees and taxes, may be reflected in premium rates. Group Health will pay this fee for fully insured groups. For 2014, HHS has proposed a national contribution rate of $5.25 per member per month ($63 per year). Group Health will not collect or pay this fee for self-insured groups. However, we will send a courtesy reminder about this fee and will provide self-insured groups a fee estimation sheet using the different counting methods for comparison purposes upon request. Health insurance provider fee Also called health insurance tax, annual fee, and insurer fee Effective Jan. 1, 2014 This new annual fee on health insurance providers is based on their market share of net premiums written, or the sum of premiums earned from all policies during the previous year. It will be used to help fund federal and state exchanges. The total projected fee amount to be collected across all health insurers is $8 billion in 2014, $11.3 billion in 2015 and 2016, $13.9 billion in 2017, and $14.38 billion in After 2018, it increases annually based on premium growth. The fee is anticipated to raise $101.7 billion and is not tax deductible. Be aware that this fee, along with other fees and taxes, may be reflected in premium rates. We ll pay this fee on behalf of insured businesses as a percentage of premium. We estimate it at 1 percent of premium for Group Health Cooperative and 3 percent for Group Health Options, Inc. plans in 2014.

13 TAXES AND FEES 13 Cadillac tax Takes effect in Health insurance issuers and sponsors of self-funded group health plans will be assessed an excise tax on any benefits provided to employees that exceed a predetermined threshold. These are estimated at $10,200 for individuals, and $27,500 for families. The thresholds may increase depending on medical inflation, and there is also an adjustment for those in high-risk professions, and for age and gender makeup of the group. There are penalties and interest involved with this regulation, and the tax is not deductible for federal income tax purposes. Employers are responsible for notifying insurers of the total benefits provided by the employer to the employee. In the case of contributions to an HSA or Medical Savings Account (MSA), the tax is paid by the employer. For self-funded coverage, the plan sponsor is liable to pay the tax. WHAT GROUP HEALTH WILL DO: When the insurer is responsible for paying the tax, we will pay the tax to the IRS.

14 GLOSSARY 14 Glossary Definitions for these terms are in the context of the Affordable Care Act (ACA). Affordable. When used in connection with health plans offered by large employers, this means that premiums are no more than 9.5 percent of an employee s household income. Comparative effectiveness research. Research that compares the outcomes of two or more options for medical treatment, screening, or care delivery. Dependent. For health care coverage, refers to the children, age 26 and under, of a covered employee. Spouses are not considered dependents for purposes of the employer mandate. Employer mandate, or employer shared responsibility. The ACA rule that says an employer with 50 or more full-time employees must offer those employees and their dependents a health plan or pay a penalty. Essential health benefits. These are a basic list of benefits that health plans in the individual and small group market must include. There are 10 categories of essential health benefits. They are: ambulatory patient services, emergency care, hospitalization, maternity and newborn care, mental health and substance abuse disorder services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services, and pediatric services including dental and vision care. Large group plans are not required to include these benefits. Full-time employee. An employee who works 30 or more hours a week. Full-time equivalent employee (FTE). This is a combination of employees who individually work less than full time. Their hours, together, are combined to determine FTEs. There is a specific method an employer must use to determine FTEs. This calculation is important because of the employer mandate. Individual mandate. The ACA rule that says that all U.S. taxpayers with very few exceptions must have a health plan with minimum essential coverage or pay a tax. Minimum value. When used in connection with health plans offered by employers, this means that the health plan is designed to pay at least 60 percent of the total allowed cost of the benefits provided under the plan for a standard population (actuarial value). Minimal essential coverage. The coverage an individual is required to have to meet the individual mandate. It includes most types of employer-sponsored health plans, as well as Medicare, Medicaid, CHIP, TRICARE, and veteran s health care. Pre-existing condition. A medical condition present before an individual s date of enrollment in a health plan.

15 TIMELINE 15 Timeline 2010 On March 23, President Barack Obama signs the Affordable Care Act (ACA). Health plans are required to allow adult children to remain on parents health plans until age 26. Insurers can no longer deny coverage to children under 19 because of pre-existing conditions. Insurance companies can no longer impose lifetime limits on essential health benefits. Insurance companies can no longer use inadvertent errors on customers applications to deny payment for services when customers get sick Medicare recipients receive key preventive services for free, and a 50 percent discount on brandname drugs in the Medicare prescription drug coverage gap or donut hole On June 28, the Supreme Court upholds the law s core requirement that most Americans carry health insurance but allows states to opt out of the Medicaid expansion, which accounts for about half the law s coverage expansion. Physicians receive incentives for coming together in Accountable Care Organizations to better coordinate care, improve quality, prevent disease, and reduce unnecessary hospitalizations in the Medicare program On July 2, the White House announces a one-year delay until 2015 of the employer mandate to allow more time for the government to simplify the reporting requirements and provide additional time for employers to adapt their current coverage and reporting systems to the new requirements. On Oct. 1, online exchange marketplaces open, allowing individuals and small businesses to easily compare and purchase health plans for coverage beginning in Washington state launches its version, Washington Healthplanfinder. Financial assistance from the government is available to qualifying adults through the exchange The individual mandate takes effect, requiring all Americans with few exceptions to have health insurance or pay a penalty. The penalty increases in 2015 and years thereafter. All non-grandfathered individual and small group health plans must include coverage of 10 essential benefits, including emergency care, hospitalization, mental health and substance abuse, prescription drugs and maternity services, pediatric vision and dental services, and more. Medicaid expands in many states to cover more low-income Americans. Insurance companies can t refuse to cover individuals or renew policies because of pre-existing conditions. Insurance companies are not allowed to charge higher rates due to gender or health status. New plans and existing group plans are prohibited from imposing annual dollar limits on the amount of coverage an individual may receive. Small business tax credit increases up to 50 percent of premiums paid for small business employers and 35 percent small tax-exempt employers The delayed employer mandate takes effect An excise tax, known as the Cadillac tax, begins. It s imposed on any benefits provided to employees exceeding $10,200 for an individual or $27,500 for a family. The thresholds increase for individuals in high-risk professions and for employers that have a disproportionately older population Group Health Cooperative 570GG

AFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: November 2014

AFFORDABLE 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 information

www.thinkhr.com AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST

www.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 information

www.thinkhr.com 877-225-1101 Employer Health Reform Checklist

www.thinkhr.com 877-225-1101 Employer Health Reform Checklist www.thinkhr.com 877-225-1101 Employer Health ThinkHR grants the reader non-exclusive, non-transferable, and limited permission to use this document. The reader may not sell or otherwise use this document

More information

AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST HR COMPLIANCE CENTER

AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST HR COMPLIANCE CENTER AFFORDABLE CARE ACT Employers that provide health coverage to employees are responsible for complying with many of the provisions of the Affordable Care Act (ACA). Provisions take effect on staggered dates

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

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

AFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: October 2015

AFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: October 2015 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 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 insurance Marketplace. What to expect in 2014

Health insurance Marketplace. What to expect in 2014 Health insurance Marketplace What to expect in 2014 Overview The Affordable Care Act (ACA) includes several provisions geared to extend greater access to health insurance benefits to more people. Beginning

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

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

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 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

to Health Care Reform

to Health Care Reform The Employer s Guide to Health Care Reform What you need to know now to: Consider your choices Decide what s best for you Follow the rules 2013-2014 Health care reform is the law of the land. Some don

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

Health Care Law Implementation: What Nonprofits Need to Know WELCOME!

Health Care Law Implementation: What Nonprofits Need to Know WELCOME! Health Care Law Implementation: What Nonprofits Need to Know WELCOME! Health Care Law Implementation: What Nonprofits Need to Know (PPACA) Health Care Law Implementation: What Nonprofits Need to Know Heather

More information

AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST

AFFORDABLE CARE ACT SMALL EMPLOYER HEALTH REFORM CHECKLIST AFFORDABLE CARE ACT SMALL EMPLOYER 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

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

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

Affordable Care Act Resource Guide

Affordable 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 information

How The Affordable Care Act will Affect You and Your Business. Logo

How The Affordable Care Act will Affect You and Your Business. Logo How The Affordable Care Act will Affect You and Your Business. AFFORDABLE CARE ACT (ACA) DISCLOSURE The information provided is to be used as a guide. Since the ACA is still a work in progress, changes

More information

Health Care Reform Update

Health 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 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

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

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

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

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

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

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

HEALTH REFORM AND MULTIEMPLOYER PLAN COVERAGE 2014 AND BEYOND

HEALTH 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 information

It goes by many names: Patient Protection and Affordable Care Act (PPACA) or ACA or Obama Care or simply Healthcare Reform.

It goes by many names: Patient Protection and Affordable Care Act (PPACA) or ACA or Obama Care or simply Healthcare Reform. WHAT IS HEALTHCARE REFORM? Healthcare Reform (HCR) is a law passed by Congress that provides many different requirements. A very important aspect of the law is that it is designed to provide individuals

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

Self-insured Plans under Health Care Reform

Self-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 information

Wells Insurance. 2015 ACA Compliance Update

Wells Insurance. 2015 ACA Compliance Update Wells Insurance 2015 ACA Compliance Update Wells Insurance Today s Agenda Cost-Saving Strategies Deadlines & Implications for you Plan Design Changes Reinsurance Fees Employer Penalty Rules Reporting of

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

Self-insured Plans under Health Care Reform

Self-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 information

Health Care Reform Provision Plans/Insurers Impacted Effective Date What Employers Should be Doing Now

Health Care Reform Provision Plans/Insurers Impacted Effective Date What Employers Should be Doing Now Health Care Reform 2013 & 2014 Planning Employers should review the fast-approaching 2013 and 2014 health care reform requirements. State Exchanges will be opening enrollment as soon as October 1, 2013

More information

New Developments Under the Affordable Care Act

New Developments Under the Affordable Care Act New Developments Under the Affordable Care Act Colleen E. Medill Robert and Joanne Berkshire Family Professor of Law Prelude: How the ACA Works What are the substantive benefit requirements for employer

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

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

Affordable Care Act (ACA) Violations Penalties and Excise Taxes

Affordable 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 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

The New Healthcare Law and Its Impact on Small Business

The New Healthcare Law and Its Impact on Small Business U. S. Small Business Administration Washington Metropolitan Area District Office The New Healthcare Law and Its Impact on Small Business Julie C. Verratti Advisor U.S. Small Business Administration Julie.Verratti@sba.gov

More information

The Patient Protection and Affordable Care Act What Employers need to know

The Patient Protection and Affordable Care Act What Employers need to know The Patient Protection and Affordable Care Act What Employers need to know Presented by: Misty Baker mbake@iiat.org 800-880-7428 This update is based on the known provisions of the PPACA. This is not to

More information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information DISCLAIMER 2 This information is being provided in an effort to alert you to changes required by the

More information

The Effect of the Affordable Care Act on Your Small Business. Presented to : Greater Kansas City Chamber Business Class

The Effect of the Affordable Care Act on Your Small Business. Presented to : Greater Kansas City Chamber Business Class The Effect of the Affordable Care Act on Your Small Business Presented to : Greater Kansas City Chamber Business Class November 6, 2013 KHN Kaiser Health News Current Headlines October 31- November 4,

More information

Frequently Asked Questions Affordable Care Act (ACA) Taxes: Reinsurance Tax and Insurer Tax May 16, 2013

Frequently Asked Questions Affordable Care Act (ACA) Taxes: Reinsurance Tax and Insurer Tax May 16, 2013 Frequently Asked Questions Affordable Care Act (ACA) Taxes: Reinsurance Tax and Insurer Tax May 16, 2013 Background: One of the goals of the Affordable Care Act (ACA) is to ensure that everyone involved

More information

Health 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 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 information

Summary of Provisions Affecting Employer-Sponsored Insurance

Summary 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 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

Nevada Employer s Guide to the Affordable Care Act. Nevada Division of Insurance

Nevada Employer s Guide to the Affordable Care Act. Nevada Division of Insurance Nevada Employer s Guide to the Affordable Care Act Nevada Division of Insurance Nevada Employer s Guide to the Affordable Care Act State of Nevada Department of Business and Industry Division of Insurance

More information

The Affordable Care Act:

The Affordable Care Act: The Affordable Care Act: An Update on the Employer Mandate William A. Dombi, Esq. MARCH ON WASHINGTON Conference & Exposition March 24, 2014 Health Care Reform Framework Health insurance reforms Expanded

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

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information DISCLAIMER 2 This information is being provided in an effort to alert you to changes required

More information

Affordable Care Act 101: Understanding Federal Healthcare Reform

Affordable Care Act 101: Understanding Federal Healthcare Reform Affordable Care Act 101: Understanding Federal Healthcare Reform As of July 16, 2013 For more Information, please contact the Office of Countywide Healthcare Planning by e-mail: healthcareplanning@miamidade.gov

More information

Affordable Care Act 101: What The Health Care Law Means for Small Businesses

Affordable Care Act 101: What The Health Care Law Means for Small Businesses Affordable Care Act 101: What The Health Care Law Means for Small Businesses December 2013 These materials are provided for informational purposes only and are not intended as legal or tax advice. Readers

More information

Health Reform Changes: What s New for 2014? New Hampshire Insurance Department September 11, 2013

Health Reform Changes: What s New for 2014? New Hampshire Insurance Department September 11, 2013 Health Reform Changes: What s New for 2014? New Hampshire Insurance Department September 11, 2013 1 New Hampshire Insurance Department Presentation Overview What s New in 2014 Key Questions for Individuals

More information

2015 Open Enrollment Checklist

2015 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 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

OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS

OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS Brief Prepared by MATTHEW COKE Senior Research Attorney LEGISLATIVE

More information

Healthcare Reform Preparedness for Small Businesses

Healthcare Reform Preparedness for Small Businesses Healthcare Reform Preparedness for Small Businesses Blue KC on Wheels Community awareness initiative Health screenings Wellness information Seminars on healthcare reform, health insurance and wellness

More information

Affordable Care Act 101: What The Health Care Law Means for Small Businesses

Affordable Care Act 101: What The Health Care Law Means for Small Businesses Affordable Care Act 101: What The Health Care Law Means for Small Businesses December 2013 These materials are provided for informational purposes only and are not intended as legal or tax advice. Readers

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

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

Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE

Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE Laurus Strategies Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE The Affordable Care Act (ACA) requires non grandfathered health insurance plans in the individual and

More information

Affordable Care Act FAQs

Affordable Care Act FAQs Note: This material is not intended to serve as legal advice and only constitutes Delta Dental s opinion on the subject matter contained herein based on its own review of available guidance. Delta Dental

More information

4/8/2013. Health Care Reform and the. NYS Exchange. Dr. Arthur Vercillo, MD Regional President April 8, 2013. Health Care Reform and the NYS Exchange

4/8/2013. Health Care Reform and the. NYS Exchange. Dr. Arthur Vercillo, MD Regional President April 8, 2013. Health Care Reform and the NYS Exchange Health Care Reform and the NYS Exchange Presentation to the Health Planning Council Advisory Board April 8, 2013, Ithaca NY By Dr. Arthur Vercillo, MD Additional resources on next to last slide. Health

More information

Understanding Self-Funded Concepts In Light of Health Care Reform

Understanding Self-Funded Concepts In Light of Health Care Reform Understanding Self-Funded Concepts In Light of Health Care Reform Benefit Advisors Network August 21, 2013 Stacy H. Barrow sbarrow@proskauer.com Agenda Overview Differences between self-funded and fully

More information

Affordable Care Act 101:

Affordable Care Act 101: Affordable Care Act 101: What The Health Care Law Means for Small Non-Profit Employers in New Mexico Charlotte Roybal, Policy Connections West Liz Stefanics, Resources for Change Policy Works Lets Talk

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

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: 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

Navigating the New Health Insurance Environment

Navigating the New Health Insurance Environment Navigating the New Health Insurance Environment The Affordable Care Act and Professional Employer Organizations (PEOs) This white paper is an overview of eight building blocks of an effective small-business

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

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

Navigating the New Health Insurance Environment THE AFFORDABLE CARE ACT AND PROFESSIONAL EMPLOYER ORGANIZATIONS (PEOS)

Navigating the New Health Insurance Environment THE AFFORDABLE CARE ACT AND PROFESSIONAL EMPLOYER ORGANIZATIONS (PEOS) Navigating the New Health Insurance Environment THE AFFORDABLE CARE ACT AND PROFESSIONAL EMPLOYER ORGANIZATIONS (PEOS) EXECUTIVE SUMMARY The recent health care overhaul affects how businesses administer

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

Scott Lyon, Senior Vice President Small Business Association of Michigan

Scott Lyon, Senior Vice President Small Business Association of Michigan Scott Lyon, Senior Vice President Small Business Association of Michigan Patient Protection and Affordable Care Act H.R. 3590 Health Care & Education Affordability Reconciliation Act H.R. 4872 20,000 30,000

More information

The Affordable Care Act: What Does it Mean for Individuals and Families?

The Affordable Care Act: What Does it Mean for Individuals and Families? The Affordable Care Act: What Does it Mean for Individuals and Families? FIRM Team Fact Sheet 13-04 Available at http://www.firm.msue.msu.edu David B. Schweikhardt Adam J. Kantrovich Brenda R. Long Michigan

More information

Affordable Care Act Provisions Affecting Employers 2013 and Beyond. Medicare Tax on Investment Income

Affordable Care Act Provisions Affecting Employers 2013 and Beyond. Medicare Tax on Investment Income Affordable Care Act Provisions Affecting Employers 2013 and Beyond 2013 Medicare Tax on Wage Income A 0.9 percent surtax on wage income above $200,000 for individuals and $250,000 for couples. The employee

More information

Employment & Employee Benefits Developments

Employment & Employee Benefits Developments Employment & Employee Benefits Developments January 2015 New Health Care Compliance Considerations for Employers in 2015 Over the past year, the U.S. Departments of Labor (the DOL ), Treasury and Health

More information

HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS. Vermont Edition

HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS. Vermont Edition HEALTH INSURANCE MARKETPLACE SURVIVAL GUIDE FOR SMALL BUSINESS Vermont Edition NAVIGATING NEXT STEPS IN HEALTH CARE REFORM There s a constant stream of changes and updates related to health care reform,

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

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

Presentation for Licensed Producers The Affordable Care Act

Presentation for Licensed Producers The Affordable Care Act Presentation for Licensed Producers The Affordable Care Act Bruce Donaldson, CHC Producer & Stakeholder Specialist Arkansas Insurance Department Affordable Care Act The ACA was passed by Congress and signed

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

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

Legislative Brief: 2015 COMPLIANCE CHECKLIST. Laurus Strategies

Legislative 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 information

HEALTH BENEFIT EXCHANGE SURVIVAL GUIDE FOR SMALL BUSINESS. New York Edition

HEALTH BENEFIT EXCHANGE SURVIVAL GUIDE FOR SMALL BUSINESS. New York Edition HEALTH BENEFIT EXCHANGE 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

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

Affordable Care Act 101: What The Health Care Law Means for Small Employers

Affordable Care Act 101: What The Health Care Law Means for Small Employers Affordable Care Act 101: What The Health Care Law Means for Small Employers These materials are provided for informational purposes only and are not intended as legal or tax advice. Readers should consult

More information

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

This glossary provides simple and straightforward definitions of key terms that are part of the health reform law.

This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. A Affordable Care Act Also known as the ACA. A law that creates new options for people

More information

Year-end Checklist for 2015 Compliance

Year-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 information

Affordable Care Act FAQs

Affordable Care Act FAQs Note: This material is not intended to serve as legal advice and only constitutes Delta Dental s opinion on the subject matter contained herein based on its own review of available guidance. Delta Dental

More information

ACAP Guide to ACA Fees and Taxes for Health Insurers

ACAP Guide to ACA Fees and Taxes for Health Insurers Introduction ACAP Guide to ACA Fees and Taxes for Health Insurers Since being signed into law in March of 2010, the Patient Protection and Affordable Care Act (ACA) has introduced a wide range of health

More information

Health 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 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 information

Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA)

Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA) Health Care Reform: 2015 Refresher of the Affordable Care Act (ACA) Brought to you by Aon Presented by: Ryan Comstock & Shawna Brown This information is provided for informational purposes only and is

More information