ACA Compliant Plans. Emerging Solutions
|
|
- Domenic Chapman
- 8 years ago
- Views:
Transcription
1 ACA Compliant Plans Emerging Solutions
2 Today s Speakers Carl Pilger VP, Legal Counsel Abigail Pullman Account Executive Digital Benefit Marketplace Wayne Mertel VP, Integrated Solutions
3 Agenda 1. Skinny Plans 2.Private Marketplaces
4 Skinny Plans Defined Option 1 Limited Benefit Plan Offered to all employees or select classes as is compliant with employer laws. (including part-time) Targeted Monthly Cost $ Option 2 Minimum Essential Coverage (MEC) ACA Compliant affordable choice for newly benefit eligible employees $ Option 3 Minimum Value Plan (MVP) ACA Compliant choice for benefit eligible employees. 60% actuarial value $ Option 4 ACA Compliant Major Med coverage for eligible employees. When paired with other options not required to meet affordability requirements. $ 300 and up
5 Are they compliant? ACA Requirements Pay penalty or offer group health plan (GHP) Minimum essential coverage Eligible employer-sponsored plan Group health plan or group health insurance coverage offered by an employer to the employee which is offered in the small or large group market Self-insured health plan of any size NOT HIPAA excepted benefits (e.g., specific illness, fixed indemnity, limited dental/vision)
6 Are they compliant? GHP Defined Plan, fund, or program that provides participants or beneficiaries, through the purchase of insurance or otherwise, medical, surgical, or hospital care or benefits, or benefits in the event of sickness Provides medical care directly or through insurance, reimbursement, or otherwise. Medical care means amounts paid for diagnosis, cure, mitigation, treatment, or prevention of disease, or amounts paid for the purpose of affecting any structure or function of the body
7 Are they compliant? First-dollar preventive care and wellness benefit Meets requirement to provide preventative and wellness services and chronic disease management Self-Insurance Avoids need to offer essential health benefits or match such benefits in state benchmark plan
8 Important ACA Terms Applicable Large Employer: Employer who employs 50 or more full-time employees or full-time equivalents (FTEs). Affordable Coverage: Employee s share of plan cost cannot exceed 9.5% of safe-harbor income. (e.g., W-2, Box 1 wages) Minimum Value: A plan that at least meets the required 60% actuarial value rule. Essential Health Benefits (EHB)
9 Important ACA Terms Minimum Essential Coverage (MEC): Employer-sponsored plan Includes self-insured plan whether or not offered on Marketplace Plans in the individual market Grandfathered health plan Medicare Medicaid CHIP program TRICARE Certain other Peace Corps, Veterans or Department of Defense plans Medicare Advantage Refugee Medical Assistance supported by the Administration for Children and Families Self-funded student health plans (plan or policy years beginning on or before December 31, 2014) State high-risk pools (plan or policy years beginning on or before December 31, 2014) Other plans as approved by HHS
10 Avoiding Employer Penalties Tier 1 Penalty $2,000/year for each full-time employee (after subtracting first 30 employees) if offer no coverage and one person gets subsidized Marketplace coverage Avoid by offering group health coverage to all full-time employees 5% safe harbor Tier 2 Penalty $3,000/year for each full-time employee who actually gets subsidized Marketplace coverage because offered inadequate employer coverage Adequate Coverage Affordable Cost of lowest tier employee-only coverage does not exceed 9.5% of employee s household income Use income safe harbor (e.g., Box 1, Form W-2) Minimum Value Plan s share of total costs of covered services is at least 60% HHS calculator Capped at potential pay-or-play penalty max
11 Avoiding Individual Penalties Individual Shared Responsibility Tax Applies to any non-excepted individual who fails to obtain MEC In 2014 greater of $95/year for each individual ($47.50 for each dependent child) or 1% of amount of individual s household income above federal tax filing threshold Flat dollar amount capped at 300% (i.e., $285 in 2014) Percentage of income not capped Transition Relief No penalty for months during which could have been covered under non-calendar year plan
12 MEC Plan Components Design Partial self-funded medical plans Limited benefits medical plan (buy-up) Supplemental health benefits (voluntary buy-up) Anticipated program outcomes Savings compared to traditional major medical plans Lower cost point for entry into offering insurance options Provides built in employer expense predictability Benefits to employees First dollar coverage Easy access to PPO network providers and discounts Flexibility and affordability in a changing environment Partial Self-Funded Medical Limited Benefit Plan Supplemental Health Benefits
13 Employer Profile Any employer who Has at least 51 benefit eligible employees or FTEs Targeted Industries Staffing Hospitality Restaurant Many newly benefit eligible employees in the future Workforce consisting of low wage and/or variable hour employees Retail Convenience stores Has interest in looking for creative, multi-tiered solutions providing base and base-plus benefit options Healthcare / Nursing Homes Service Industries.many others
14 What is required to be covered? What is required to be covered in the MEC Preventive/Wellness Plan? 15 covered preventive services for adults 22 covered preventive services for women, including pregnancies 26 covered preventive services for children
15 Skinny Plan Providers
16 Frequently Asked Questions Why would I do this now? Who pays for it? Can an employee still go to the public marketplace? What happens after 12 months? If an ER funds for the EE, does that eliminate the EE from Medicaid? Is the Limited Benefit Plan buy-up required?
17 Articles of Interest Wall Street Journal Employers Eye Bare-Bones Health Plans Under New Law POLITICO Obamacare penalties spawn skinny plans Washington Post with Bloomberg Death of bare-bones health plans may be greatly exaggerated
18 Understanding Private Exchange / Marketplace Digital Insurance All Rights Reserved
19 Employee Benefits. Simplified. More than anything, today s executives, business owners and HR decision-makers most desire one characteristic from an employee benefits strategy: Simplicity. With Digital Benefits Marketplace, you determine how much you want to contribute toward each employee s benefits. That s it. Your costs are fixed, and you re done. Your employees choose the options that work best for them. Our experts provide complete administration plus individual decision support. It might be the easiest, most comprehensive approach that serves businesses of any size. It s that simple.
20 The Three C s of a Benefits Marketplace The employer has an expectation of being removed from the day-to-day management of a benefit plan such an enrollment, changes, terminations, managing eligibility, etc. 1. Consolidated benefits administration Employee enrollment system that integrates into the carriers & payroll service provider Employer administrative system that easily provides the important data to manage the program Benefit administration service team to manage the day-to-day activities of the benefit program 2. Complete array of benefits choices Health Plans: 8-15 health plan choices to meet the many demographics within the workforce Ancillary Benefits: build your own dental, vision, life, disability, accident, critical illness, and more New Benefits: such as telemedicine and concierge medicine 3. Customer service including decision support before, during and after enrollment Educational tools including videos Decision support for medical, dental, vision, life insurance and disability insurance Plan recommendations based on an individual s personal situation Benefit counselors available telephonically and via chat
21 Think of it Like a Benefits Shop BEFORE WITH DIGITAL BENEFITS MARKETPLACE HMO PPO EPO HDHP 1 HDHP 2 HDHP 3 1 plan HSA Dental Vision Life Dental Vision Life LTD STD Accident Critical Illness Telemedicine Wellness Pet And we simplify it all with one-call customer service!
22 Defined Contribution An employer can consider 4 types of defined contribution.
23 Employer Specific Portal
24 Providing Decision Support
25 Full Administrative Access for the Employer
26 Your Benefits Store Health The goal is value-based choices. In this example, an individual can make financial decisions that balance cost and risk.
27 Your Benefits Store Dental, Vision, and more
28 Annual Employer Cost Comparison Net employer health plan costs Net employer ancillary costs TOTAL NET EMPLOYER COSTS
29 Visit Register for a webinar to learn more.
30 Where do I get more information? Who to contact Your Digital connection Wayne Mertel wmertel@digitalinsurance.com
31 Thank you for your participation.
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 informationShared Responsibility: What It Means for Your Business
Shared Responsibility: What It Means for Your Business The provisions of the Affordable Care Act (ACA) apply to nearly all companies in the United States. The ways they apply, however, can be different
More informationWells 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 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 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 informationHUMAN RESOURCE EXECUTIVE WEBINAR PREPARING FOR HEALTH CARE EXCHANGES
HUMAN RESOURCE EXECUTIVE WEBINAR PREPARING FOR HEALTH CARE EXCHANGES FEBRUARY 13, 2013 Tracy Watts, Partner Mercer, Washington DC AGENDA FOR TODAY Evolution of health care benefits environment Public Exchanges
More informationAffordable 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 informationSURVIVAL GUIDE FOR SMALL BUSINESS
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 informationAffordable Care Act 101: What The Health Care Law Means for Small Businesses February 2013
Affordable Care Act 101: What The Health Care Law Means for Small Businesses February 2013 These materials are provided for informational purposes only and are not intended as legal or tax advice. Readers
More informationFast Forward. 2015 Employer Mandate: Pay or Play?
Fast Forward 2015 Employer Mandate: Pay or Play? Employer Mandate Beginning Jan. 1, 2015, the Affordable Care Act (ACA) will impose an employer mandate that states that grandfathered and non-grandfathered
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 informationGUIDE TO HEALTH CARE REFORM S TAX PENALTIES
The GUIDE TO HEALTH CARE REFORM S TAX PENALTIES Calculate Your Health Insurance Tax Penalty 2 Introduction The Affordable Care Act (ACA) requires certain employers and employees to purchase health insurance
More informationIRS Proposes Rules for Federal Subsidy of Health Insurance Purchased in State Exchanges
IRS Proposes Rules for Federal Subsidy of Health Insurance Purchased in State Exchanges August 2011 The Internal Revenue Service (IRS) on August 12, 2011 issued proposed regulations relating to the federal
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 informationAustin Small Business Owners Benefits Program
Austin Small Business Owners Benefits Program Administered by: Small businesses and PPACA: Did you know that employers with 50 or less full-time employees are not required to provide minimum essential
More informationHEALTH 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 informationHEALTH 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 informationAffordable 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 informationCopayment: The amount you must pay for each medical visit to a participating doctor or other healthcare provider, usually at this time service.
Basic Terms How to calculate Out of Pocket Costs on a Hospital Stay: If you have a $2000 deductible and 30% coinsurance health insurance plan. If you have a $10,000 emergency room or hospital stay your
More informationIRS Releases 2015 Forms and Instructions for 6055/6056 Reporting
IRS Releases 2015 Forms and Instructions for 6055/6056 Reporting Background Under the Patient Protection and Affordable Care Act (ACA), individuals are required to have health insurance while applicable
More informationAffordable Care Act: What The Health Care Law Means for Small Businesses
Affordable Care Act: What The Health Care Law Means for Small Businesses August 2013 Indian Country Business Summit These materials are provided for informational purposes only and are not intended as
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 informationAffordable 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 July 2013 These materials are provided for informational purposes only and are not intended as legal or tax advice. Readers
More informationACA Penalties Individual Shared Responsibility Provision. Kristy Maitre Tax Specialist Center for Agricultural Law and Taxation October 9, 2014
ACA Penalties Individual Shared Responsibility Provision Kristy Maitre Tax Specialist Center for Agricultural Law and Taxation October 9, 2014 Enrollment period You can generally buy Marketplace health
More informationSURVIVAL GUIDE FOR SMALL BUSINESS
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 informationAffordable Care Act Update
Affordable Care Act Update Presented by: Jill Brooking, Vice President, Benefits Compliance National Financial Partners Corp. and its subsidiaries do not provide legal or tax advice. Compliance, regulatory
More informationEmployer-Shared Responsibility
Affordable Care Act Planning to Deal with the Pay-or-Play Penalties Effective January 1, 2015 Anne Hydorn Hanson Bridgett LLP Telephone: (415) 995-5893 Email: ahydorn@hansonbridgett.com Judy Boyette Hanson
More informationHEALTH 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 informationState Health Reform Assistance Network
State Health Reform Assistance Network Charting the Road to Coverage ISSUE BRIEF February 2014 Consumer Assistance Resource Guide: Minimum Essential Coverage Prepared by Manatt Health Solutions Early evidence
More informationHow To Report Health Insurance To The Irs
ACA REPORTING WEBINAR QUESTIONS AND ANSWERS The following questions on ACA reporting requirements to the IRS were collected at a series of webinars offered by ThinkHR. Introduction The Affordable Care
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 informationBEST PRACTICES Health Insurance Marketplace Guidance
BEST PRACTICES Health Insurance Marketplace Guidance TABLE OF CONTENTS: Health Insurance Marketplace 3 Small Business Options 8 Notification of Exchanges 10 Common Pitfalls 13 Staffing Plus Solutions 14
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 informationHealth-Care Reform Employer Shared Responsibility Provisions
Health-Care Reform Employer Shared Responsibility Provisions CPA EDITION... This document provides an overview of the Employer Shared Responsibility provisions of the Affordable Care Act based on guidance
More informationThe 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 informationQ. My company already offers employee health coverage, how does the law impact me?
Frequently Asked Questions Q. Will my business be required to provide employee health insurance under the health care law? A. The law does not mandate employers provide employees health care coverage.
More informationHealth 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 informationEmployer Reporting of Health Coverage Code Sections 6055 & 6056
Brought to you by Hickok & Boardman HR Intelligence Employer Reporting of Health Coverage Code Sections 6055 & 6056 The Affordable Care Act (ACA) created new reporting requirements under Internal Revenue
More informationThe Insurance Mandates of the Affordable Care Act
1 A. Affordable Care Act Individual Mandate The Insurance Mandates of the Affordable Care Act 1. All citizens of the United States are subject to the individual mandate as are all permanent residents and
More informationFlorida Memorial University s 2014-15 Student Insurance Plan. Frequently Asked Questions
Florida Memorial University s 2014-15 Student Insurance Plan Frequently Asked Questions Did you know college students have several choices for health coverage? Did you know there is no special college
More informationEmployer Tax Penalties Linked to Employees Receiving Tax Credits. Calculation of Non-deductible Excise Taxes Under IRC 4380H
Washington Council Employer Tax Penalties Linked to Employees Receiving Tax Credits Employers will face taxes under IRC 4980H if they do not offer minimum essential coverage or if the coverage they offer
More information4/8/2013. 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 informationThe 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 informationMinimum Creditable Coverage, Minimum Essential Coverage and ACA Insurance Market Reforms
Minimum Creditable Coverage, Minimum Essential Coverage and ACA Insurance Market Reforms Kaitlyn Kenney Director of Policy & Research and National Health Reform Coordinator Board of Directors Meeting October
More informationThe Affordable Care Act: What Public Employers Need to be Doing Now
The Affordable Care Act: What Public Employers Need to be Doing Now April 30, 2014 J. Richard Johnson IPMA-HR Webinar Copyright 2014 by The Segal Group, Inc. All rights reserved. 1 ACA Update Discussion
More 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 informationQ&A from Assurex Global Webinar. Employer ACA Reporting Requirements. Q: Where will these forms come from? will the IRS provide them?
Q&A from Assurex Global Webinar Employer ACA Reporting Requirements Questions Q: Where will these forms come from? will the IRS provide them? A: IRS has provided draft Forms 1094 and 1095 along with draft
More informationAdvantage Payroll Services Presents. March 24, 2015 Presenter: Jessica Stelfox, MBA, PHR
(c )A dv an ta ge Pa yr ol l Se rv ic es 20 15 Advantage Payroll Services Presents March 24, 2015 Presenter: Jessica Stelfox, MBA, PHR We encourage you to benefit from resources and information provided
More informationHEALTHCARE REFORM: WHAT YOU NEED TO KNOW
WHAT IS HEALTHCARE REFORM? Healthcare reform refers to the healthcare law passed in 2010 that significantly changed health policy in the United States. Healthcare reform includes numerous requirements
More informationGetting Ready for 2014: The Big Year for Healthcare Reform Anne Arundel County SHRM. David Johnson jdjohnson@rcmd.com November 15, 2012
Getting Ready for 2014: The Big Year for Healthcare Reform Anne Arundel County SHRM David Johnson jdjohnson@rcmd.com November 15, 2012 0 Topics for Discussion 1. Recap of Supreme Court Decision on Affordable
More informationDefined Contribution Approach to Benefit Planning
Defined Contribution Approach to Benefit Planning 1 Sue Sieger, ACFCI, CAS Senior Compliance Consultant Employee Benefits Corporation sue.sieger@ebcflex.com The material provided in this webinar is by
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 informationThe Affordable Care Act: Health Coverage Options & Considerations in 2014
The Affordable Care Act: Health Coverage Options & Considerations in 2014 J A C K S O N V I L L E A R E A C H A M B E R O F C O M M E R C E A U G U S T 2 7, 2 0 1 3 L A U R A M I N Z E R E X E C U T I
More informationillinois health insurance marketplace
illinois health insurance marketplace healthcare reform is coming. find answers here. healthcarereform.illinois.gov The Affordable Care Act. What it means for you. In March of 2010, the Affordable Care
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 informationPatient Protection and Affordable Care Act (H.R. 3590)
on Health Reform Passing comprehensive health care reform has been a priority of the President and Congress. The U.S. House of Representatives passed the Affordable Health Care for America Act on November
More informationAmbulatory patient services (outpatient care you get without being admitted to a hospital)
What is the Affordable Health Care Act (ObamaCare)? Whether you need health coverage or have it already, the health care law offers new rights and protections that make coverage fairer and easier to understand.
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 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 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 informationIntroduction to the New Health Care Laws Michelle Walker, Rocky Mountain Health Plans January 14, 2015
Introduction to the New Health Care Laws Michelle Walker, Rocky Mountain Health Plans January 14, 2015 Agenda Basics of Health Care Reform Changes in Individual Healthcare Coverage Mandates Affordability
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 informationESSENTIAL HEALTH BENEFITS
on ESSENTIAL HEALTH BENEFITS Fact sheet This fact sheet reflects the final rule of Standards Related to Essential Health Benefits published by the Department of Health and Human Services on February 20,
More informationList of Insurance Terms and Definitions for Uniform Translation
Term actuarial value Affordable Care Act allowed charge Definition The percentage of total average costs for covered benefits that a plan will cover. For example, if a plan has an actuarial value of 70%,
More informationAffordable 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 February 2014 These materials are provided for informa2onal purposes only and are not intended as legal or tax advice. Readers
More informationEmployee Healthcare Program
Employee Healthcare Program 14,344 ees 14,673 ees 14,948 ees 14,040 ees 15,422 ees 16,005 ees 16,411 ees 16,632 ees 16,626 ees 16,847 ees 17,110 ees 17,560 ees 17,685 ees 17,723 ees Indiana University
More informationAffordable 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 informationState 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 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 informationIntroduction: What Are Voluntary Benefits?... 3 Traditional Voluntary Benefits... 4
Table of Contents Introduction: What Are Voluntary Benefits?... 3 Traditional Voluntary Benefits... 4 Short-term Disability Insurance... 5 Long-term Disability Insurance... 7 Critical Illness Insurance...
More informationHEALTH CARE REFORM: PLAY OR PAY?
The Ultimate Guide to HEALTH CARE REFORM: PLAY OR PAY? Calculate Your Health Benefits Savings 23 DISCLAIMER The information provided herein by Health Insurance Brokers is general in nature and should not
More informationGLOSSARY OF KEY HEALTH INSURANCE CONCEPTS
The Affordable Care Act: A Working Guide for MCH Professionals Module 2 GLOSSARY OF KEY HEALTH INSURANCE CONCEPTS Overview A fundamental first step in accessing health care in the United States is having
More informationPresentation 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 informationHealth Insurance Basics and the Federal Marketplace in Indiana. Module #3 Training Resource for Indiana Navigators
Health Insurance Basics and the Federal Marketplace in Indiana Module #3 Training Resource for Indiana Navigators 2 Module #3 Overview After reviewing this module, you will be able to: Explain basic health
More informationHealth 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 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 informationSmall Business Tax Credit
Small Business Tax Credit Effective January 1, 2010 Up to 4 million small businesses are eligible for tax credits to help them provide insurance benefits to their workers. The first phase of this provision
More informationThe 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 informationAFFORDABLE 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 informationHealth 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 informationKansas Insurance Department
Kansas Insurance Department The Affordable Care Act What Happens Now? Kansas Society of CPAs June 5, 2013 Linda J. Sheppard, Special Counsel & Director of Health Care Policy and Analysis 2010 Affordable
More informationHealth Insurance Marketplace 101. Find health care options that meet your needs and fit your budget.
Health Insurance Marketplace 101 Find health care options that meet your needs and fit your budget. March 2014 The Health Care Law In March 2010, President Obama signed the Affordable Care Act into law
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 informationHealth 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 informationMEMORANDUM. Affordable Care Act (ACA) Action Items for Supplemental Benefit Funds to Consider
333 West 34th Street New York, NY 10001-2402 T 212.251.5000 F 212.251.5490 www.segalco.com MEMORANDUM To: From: Lynette Metz Lawrence Singer, Karen Johnson Date: July 19, 2013 Re: Affordable Care Act (ACA)
More informationThe 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 informationAFFORABLE CARE ACT (OBAMACARE)
AFFORABLE CARE ACT (OBAMACARE) The Affordable Care Act (ACA) Large Employer Mandate requires employers to offer full time employees a compliant health care plan effective January 1, 2015. Full Steam Staffing
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 informationHow To Continue Health Insurance Coverage In Illinois
Illinois Insurance Facts Illinois Department of Insurance Health Insurance Continuation Rights (mini-cobra) The Illinois Law Updated July 2014 Note: This information was developed to provide consumers
More informationOffice Hours. ACA Potluck: IRS Provides Full Serving of New ACA Guidance. Recording
Recording Office Hours ACA Potluck: IRS Provides Full Serving of New ACA Guidance Guest Host Brian Gilmore, ABD Lead Benefits Counsel, VP Elizabeth Loh, Director, Trucker Huss, APC MARCH 24, 2016 ACA Potluck:
More informationEmployer 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 informationSection 125 Qualifying Events. Revised June 2013
Section 125 Qualifying Events Revised June 2013 Section 125: Qualifying Events Page 2 of 6 A Section 125 Cafeteria Plan must provide that participant elections are irrevocable and cannot be changed during
More informationTHE AFFORDABLE CARE ACT: THE AFFORDABLE COVERAGE OPTIONS AND CONSIDERATIONS IN 2014 THE NEW HEALTH INSURANCE: MARKETPLACE AND MEDICAID
THE AFFORDABLE CARE ACT: THE AFFORDABLE COVERAGE OPTIONS AND CONSIDERATIONS IN 2014 THE NEW HEALTH INSURANCE: MARKETPLACE AND MEDICAID Deloris Summers Deaf In-Person Counselor Navigator Jacksonville Area
More informationCourtesy of Corporate Health Systems, Inc
Courtesy of Corporate Health Systems, Inc Table of Contents Introduction... 3 Health Insurance Basics... 4 Health Care Reform... 11 Types of Health Insurance Plans... 13 Tax-advantaged Health Accounts...
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 informationWhat s News in Tax Analysis That Matters from Washington National Tax
What s News in Tax Analysis That Matters from Washington National Tax The Impact of the Affordable Care Act on International Assignees and Their Health Care Plans Employers and individuals in the United
More informationSize Matters. How different size employer groups might adjust under the Affordable Care Act (ACA) 04/24/15
Size Matters How different size employer groups might adjust under the Affordable Care Act (ACA) 04/24/15 Agenda FTE (Full Time Equivalent) Individual coverage What is a large group? Who says? Pay or Play
More informationThe Small Business Health Care Tax Credit Kit
The Small Business Health Care Tax Credit Kit About the Small Business Health Care Tax Credit Kit This Kit is designed to assist small employers in understanding the Small Business Health Care Tax Credit,
More information