New ACA Pay or Play Penalty Regulations and Update on P.A Mary V. Bauman
|
|
- Eunice Turner
- 8 years ago
- Views:
Transcription
1 New ACA Pay or Play Penalty Regulations and Update on P.A. 152 Mary V. Bauman
2 The materials and information have been prepared for informational purposes only. This is not legal advice, nor intended to create or constitute a lawyer-client relationship. Before acting on the basis of any information or material, readers who have specific questions or problems should consult their lawyer. 2
3 Final Regulations The IRS published final regulations regarding the pay or play penalty on February 12, 2014 The new regulations modify proposed regulations issued more than one year ago and subsequent IRS guidance 3
4 Pay or Play Penalty The penalty applies to large employers with at least 50 full-time employees and full-time employee equivalents in the previous calendar year The pay or play penalty was set to take effect as of January 1, 2014 In July 2013, the IRS announced it was pushing back the effective date to January 1,
5 Pay or Play Penalty There are two different pay or play penalties: $2,000 Penalty If a large employer doesn t offer health coverage to at least 95% of its full-time employees and their dependent children and at least one low income full-time employee receives a premium credit, the employer must pay an annual penalty of $2,000 multiplied by all of the employer s full-time employees, disregarding the first 30 full-time employees Dependent children includes natural born and adopted children until the end of the month the child attains age 26 (transition relief is available in 2015 for employers taking steps to comply) 5
6 Pay or Play Penalty $3,000 Penalty If a large employer does offer health coverage to at least 95% of its full-time employees but it is not affordable or is not of minimum value and a low income full-time employee receives a premium credit, the employer must pay an annual penalty of $3,000 for each such full-time employee. This penalty is capped at the maximum amount under the $2,000 penalty. 6
7 Pay or Play Penalty Affordable means the employee s required contribution for single coverage under the employer s least expensive medical option doesn t exceed 9.5% of the employee s pay Safe harbor methods to determine pay: Box-1 W-2 Rate of pay Federal poverty line for single individual The cost of dependent coverage is disregarded under the affordability test Minimum value means the plan pays at least 60% of the total allowed cost of benefits provided under the plan 7
8 Transition Relief Large employers Large employers are subject to the pay or play penalty in 2015 However, large employers benefit from two transition rules for the first year: The $2,000 penalty can be avoided for 2015 if the employer offers coverage to 70% (vs. 95%) of its full-time employees If the employer is subject to the $2,000 penalty it may disregard the first 80 full-time employees (vs. 30) when calculating the penalty amount for
9 Transition Relief Non-calendar year plans The final regulations provide for a delayed effective date for employers with non-calendar year plans (from January 1, 2015 to the first day of the 2015 plan year) under 3 transition rules In order to qualify under each transition rule the plan must have been in existence on a non-calendar year basis as of December 27, 2012 and must not have been amended to move the start of the plan year to a later calendar year date 9
10 Transition Relief Transition rule #1 With respect to employees eligible for or enrolled in the employer s non-calendar year plan under its terms as in effect on February 9, 2014, the penalty will generally not apply until the first day of the employer s 2015 plan year 10
11 Transition Relief Transition rule #2 - However, if the employer doesn t offer group health coverage to all employees working at least 30 hours per week, transition rule #1 may not apply to those ineligible employees who will be considered full-time. As a result, under transition rule #2, the postponed effective date is available for all employees provided that: At least ¼ of all of the employer s employees were covered as of any date from February 10, 2013 to February 9, 2014; or At least 1 / 3 of all of the employer s employees were offered coverage during the most recent open enrollment period that ended before February 9,
12 Transition Relief Transition rule #3 If an employer can t satisfy transition rule #2, transition relief is available for all full-time employees provided that: At least 1 / 3 of all of the employer s full-time employees were covered as of any date from February 10, 2013 to February 9, 2014; or At least ½ of all of the employer s full-time employees were offered coverage during the most recent open enrollment period that ended before February 9,
13 Measurement Period The final regulations provide two methods for employers to determine whether an employee is full-time a monthly measurement period and a look back measurement period with a stability period Under the monthly measurement period, an employer will be required to offer coverage to any employee with at least 130 hours for the month Under the look back measurement period / stability period, an employer may determine which employees are full-time for a future period based on their hours of service during a look back period There may be a measurement period / stability period for certain new hires and a measurement period / stability period for all ongoing employees 13
14 Measurement Period New Hires Full-time employees Employees who are employed, on average, at least 30 hours per week Hours counted across all applicable large employer members If a new hire is reasonably expected to be full-time upon start date, coverage must be offered no later than the first day of the month following the employee s first three months of employment No exceptions for employees on short term assignments 14
15 Measurement Period Newly-hired variable hours, seasonal and part-time employees Variable hours employees employer can t determine on start date whether employee is reasonably expected an average of 30 or more hours per week Factors to determine include: Whether the employee is replacing a full-time or variable hours employee; The hours of employees in the same or comparable positions; and Whether the job was advertised or communicated as full-time or variable hours 15
16 Measurement Period Seasonal employees work in a position for which the customary annual employment period is six months or less, with the employment period beginning at approximately the same time each year Part-time employees employer reasonably expects on start date that employee will be employed, on average, less than 30 hours per week Newly-hired variable hours, seasonal and part-time new hires can be subjected to an initial measurement period of 3 to 12 months during which the employee must be credited with an average of 30 or more hours per week before health coverage is required to be offered under the pay or play 16
17 Measurement Period Example: Part-time employee hired 5/14/14 Initial measurement period: 6/1/14 5/31/15 - also could start on DOH or first day of first payroll period on or after DOH Administrative period: 6/1/15 6/30/15 - can t extend beyond the last day of the calendar month beginning on or after the anniversary date Stability period: 7/1/15 6/30/16 - must be at least 6 months and as long as the measurement period 17
18 Measurement Period Ongoing employees All ongoing employees (including variable hours, seasonal, part-time and full-time) may be subject to a measurement period in order to qualify for coverage for the immediately following stability period 18
19 Measurement Period Example Large employer group health plan operates on a calendar year plan year basis Standard measurement period 11/1/13 10/31/14 - also could start on the first day of a payroll period Administrative period: 11/1/14 12/31/14 - can t exceed 90 days Stability period: 1/1/15 12/31/15 - must be at least 6 months and as long as the measurement period - first stability period for employers with 100+ full-time employees should start on the first day of the 2015 plan year 19
20 Measurement Period Transition rule For stability periods beginning in 2015, the look back measurement period can be less than 12 months as long as: It begins by July 1, 2014; Is at least 6 months long; and Ends no earlier than 90 days before the start of the 2015 stability period 20
21 Measurement Period Example: Rather than first measurement period for ongoing employees in above example running from 11/1/13 to 10/31/14 it could run from 5/1/14 to 10/31/14 21
22 Measurement Period One size may not fit all The final regulations permit measurement and stability period differences in terms of length and starting and ending dates for the following groups of employees: Salaried vs. hourly Employees working in different states Union vs. non-union Union vs. union Large employer member by member 22
23 Measurement Period Transfers From variable hours, seasonal or part-time to full-time If during initial measurement period, must offer coverage by 1st day of 4 th month after transfer Otherwise may wait until 1 st stability period as of which employee is eligible based on look back measurement period 23
24 Measurement Period From full-time to less than 30 hours / week Continue eligibility until 1 st stability period as of which employee isn t eligible based on look back measurement period; or If employee initially offered coverage within 3 months of hire and later switches to less than full-time status, employer may apply a monthly measurement period mid-year to establish the reduction and terminate coverage before the end of the stability period 24
25 Hours of Service Hourly actual hours including: Paid and worked Paid but not working (e.g., vacation) Unpaid leave due to FMLA, USERRA or jury duty 25
26 Hours of Service Salaried Same as hourly (actual) or equivalency method (either 8 hours for each day credited with one hour or 40 hours for each week credited with one hour) Can use different methods for different reasonable categories of employees 26
27 Hours of Service Rehired Employees The final regulations change the rules for determining whether a rehired employee is treated as a new employee. An employee will generally be treated as a new employee only if the employee is absent from work for 13 weeks (26 weeks for educational organizations) Summer Breaks The final regulations retain the rule for summer breaks for educational organization employees Must credit coverage hours or exclude summer from measurement period 27
28 Temporary Staffing Agencies The final regulations offer a useful tool to large employers leasing full-time employees through a temporary staffing agency Where the employer retains the right to direct and control the employees, the employees will likely be considered the common-law employees of the client employer as opposed to the temporary staffing agency for purposes of the pay or play penalty 28
29 Temporary Staffing Agencies However, if the temporary staffing agency offers the leased employee group health coverage, the offer will be treated as an offer of coverage made by the client employer for purposes of avoiding the pay or play penalty. This relief is contingent on the temporary staffing agency charging the client employer a higher fee with respect to leased employees enrolling in the staffing agency s health plan. Large employers using temporary staffing agencies will want to review their service agreements to consider this option 29
30 What s Still Missing? Definitive guidance regarding temporary staffing agencies and how to determine whether individuals are the common-law employee of the agency or the client employer Guidance explaining the IRS excise tax for failure to meet group health plan requirements Unclear when the IRS will issue nondiscrimination regulations with respect to fully-insured nongrandfathered plans 30
31 What Should Be An Employer s Next Steps? Determine effective date for pay or play and applicability of transition rules Will you offer: Coverage to at least 95% (70% for 2015) of full-time employees? Will your coverage be affordable? Will your coverage meet the minimum value test? 31
32 What Should Be An Employer s Next Steps? Consider whether you will adopt a look back measurement period / stability period Establish look back measurement / stability periods for new hires Establish look back measurement / stability periods for ongoing employees Consider transition rule for first year Will you maintain different rules for different employee groups? 32
33 What Should Be An Employer s Next Steps? Develop a method for capturing hours Hourly employees Salaried employees 33
34 What Should Be An Employer s Next Steps? Modify your health plan and SPD Definition of eligible employee Communicate any measurement period/stability period Definition of dependent child Prepare for reporting to IRS and employees 34
35 P.A. 152 Michigan public employers will be challenged to comply with the Health Care Reform affordability test and, at the same time, comply with Michigan Public Act 152 Under P.A. 152 Michigan public employers may not contribute more than a hard cap toward the annual cost or illustrative rate of employee medical coverage 35
36 P.A. 152 For 2014, the adjusted dollar limits are: $5, (single) $11, (two-person) (but see below) $15, (family) 36
37 P.A. 152 Alternatively, a Michigan public employer s governing board can adopt a percentage cap and not pay more than 80% of the total annual cost for medical coverage Either limit can be allocated as the employer sees fit 37
38 P.A. 152 This may be workable an employer can allocate costsharing in such a way to ensure single coverage is affordable under Health Care Reform, with higher cost-sharing for twoperson and family coverage to address P.A. 152 The employer may want to introduce a lower cost option for single coverage to address the Health Care Reform affordability test and help facilitate P.A. 152 compliance 38
39 P.A. 152 In late December 2013, the Michigan Legislature modified P.A. 152: Employees electing coverage for themselves and one nonspouse dependent, must be included in the individual plus spouse category, not the family coverage category; The hard cap multiplier for the individual plus spouse category for a medical benefit plan coverage year beginning in 2014 was increased to $12,250; 39
40 P.A. 152 Additional compensation paid to employees who elect to waive employer-sponsored health coverage (i.e., cash-inlieu ) is not included in the public employer s total annual costs of employer-sponsored health coverage; and The following amounts are included in the public employer s total annual costs of employer-sponsored health coverage: The 1% claims tax imposed under the Michigan Health Insurance Claims Assessment ( HICA ) Act; Any tax or fee imposed by Health Care Reform; and Insurance agent or company commissions. 40
41 Mary V. Bauman Calder Plaza Building 250 Monroe Ave. NW Suite 800 Grand Rapids, MI Radisson Plaza Building 100 West Michigan Avenue Suite 200 Kalamazoo, MI
Proposed Regulations on the Affordable Care Act - A Guide to Identifying Employees
IRS Releases Proposed Regulations on the Affordable Care Act s Play or Pay Mandate 1710/14380-001 Current/20681029v1 NETWORK smart partners Table of Contents A special report on IRS Proposed Regulations
More informationDocumenting Method for Identifying Full-time Employees
Brought to you by Higginbotham Documenting Method for Identifying Full-time Employees Beginning in 2015, the Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not
More informationPay or Play Penalty Special Rules for Temporary Staffing Firms
Brought to you by Cottingham & Butler Pay or Play Penalty Special Rules for Temporary Staffing Firms The Affordable Care Act (ACA) imposes a penalty on large employers that do not offer minimum essential
More informationIRS Eases Employers Into Employer Mandate
IRS Eases Employers Into Employer Mandate February 2014 The Treasury and Internal Revenue Service (IRS) released final regulations on the employer mandate under the Patient Protection and Affordable Care
More informationGuidance issued on employer shared responsibility requirements
Guidance issued on employer shared responsibility requirements The shared responsibility requirements are one of the most significant provisions that employers need to address under the Affordable Care
More informationSchool District Obligations Under the New Federal Health Care Law: Is Your District Going to Play or Pay the Penalty?
TM MISSOURI SCHOOL BOARDS ASSOCIATION HELPING SCHOOL BOARDS SUCCEED School District Obligations Under the New Federal Health Care Law: Is Your District Going to Play or Pay the Penalty? Click to jump to
More informationAgencies Issue Final Regulations Implementing Employer Shared Responsibility and Waiting Period Rules
February 25, 2014 Authors: Kathryn Bjornstad Amin, Jon W. Breyfogle, Lisa Christensen, Christine L. Keller, Tamara S. Killion, Emily C. Lechner and Brigen L. Winters If you have questions, please contact
More informationPatient Protection and Affordable Care Act Compliance Checklist for Employers
October, 2014 Patient Protection and Affordable Care Act Compliance Checklist for Employers Under the Employer Mandate in the Affordable Care Act, effective January 1, 2015, employers with 50 or more full-time
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 informationTHE AFFORDABLE CARE ACT: DECISIONS THAT NEED TO BE MADE NOW. April 2014
THE AFFORDABLE CARE ACT: DECISIONS THAT NEED TO BE MADE NOW April 2014 Introduction Speakers Anne Pachciarek Partner Employee Benefits and Executive Compensation DLA Piper Mark Boxer Partner Employee Benefits
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 informationKey Considerations in Avoiding and Calculating Penalties Pursuant to the Employer Shared Responsibility Mandate
and Calculating Penalties Pursuant to the Employer Shared Compliance Practice of Arthur J. Gallagher & Co. As a preliminary step, employers must determine if their organization is subject to the mandate.
More informationSchool District Obligations Under the New Federal Health Care Law:
A special thanks to the following who provided technical assistance in drafting this guidance: Leza Conliffe National School Boards Association Ken Mason Spencer Fane Britt & Browne LLP Don Tatman Tatman
More information5 Steps to Take Now: Preparing for the Affordable Care Act Shared Responsibility Excise Tax
5 Steps to Take Now: Preparing for the Affordable Care Act Shared Responsibility Excise Tax By Gregory L. Needles, Morgan, Lewis & Bockius LLP gneedles@morganlewis.com 202-739-5448 This article is a companion
More informationPotential Penalties for Employers under the Pay or Play Rules
The Affordable Care Act (ACA) brings many changes to employers and health plans. One such change essentially amounts to a requirement for some employers to offer a certain level health care to their employees
More informationHelbling Benefits Consulting Your Health Care Reform Partner
Helbling Benefits Consulting Your Health Care Reform Partner Will you be hit with penalties due to health care reform? Once the employer mandate becomes effective, some employers may have to pay a penalty
More 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 informationHEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal)
Group Health Insurance Q & A HEALTH CARE REFORM: FREQUENTLY ASKED QUESTIONS (Group, Individual, Seasonal) 1. Will small employers continue to have 12 month rates as they exist today? a. Yes. Employer groups
More informationDetermining Full-Time Employees under the Affordable Care Act
December 2013 Determining Full-Time Employees under the Affordable Care Act Information for Businesses Employing 50 Employees or More Harrisonburg, VA 22801 Phone: (800) 366-3846 Fax: (540) 434-9670 www.ldbinsurance.com
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 informationPENALTIES Employer Shared Responsibility under the Affordable Care Act (ACA)
PENALTIES Employer Shared Responsibility under the Affordable Care Act (ACA) What employers need to know to make informed decisions about ACA compliance. Employer Shared Responsibility Under the employer
More informationDefinition of Full-Time Employee and Waiting Period Part of the Patient Protection and Affordable Care Act (PPACA)
Definition of Full-Time Employee and Waiting Period Part of the Patient Protection and Affordable Care Act (PPACA) The following provides an overview of recent confirmation (through Regulations) of important
More informationThe Affordable Care Act: Summary of Employer Requirements
The Affordable Care Act: Summary of Employer Requirements February 2013 Disclaimer Any US tax advice contained herein was not intended or written to be used, and cannot be used, for the purpose of avoiding
More informationIRS Guidance on Employer Shared Responsibility Penalty
Brought to you by Hammitt Benefits Group IRS Guidance on Employer Shared Responsibility Penalty Beginning in 2014, the Affordable Care Act (ACA) imposes pay or play requirements on large employers to help
More informationIRS Issues final regulations on employer shared responsibility requirements
IRS Issues final regulations on employer shared responsibility requirements Volume 37 Issue 46 April 17, 2014 The employer shared responsibility requirements commonly called the employer mandate are one
More informationACA: Temporary and Variable Hour Employees Presented by: Larry Grudzien
ACA: Temporary and Variable Hour Employees Presented by: Larry Grudzien We re proud to offer a full-circle solution to your HR needs. BASIC offers collaboration, flexibility, stability, security, quality
More informationEmployee Benefits Compliance
Employee Benefits Compliance Pay or Play Delay, Does it Apply and Strategies to Comply Wells Fargo Insurance 2014 Issues and beyond. U.S. citizens and legal residents are required to have "minimum essential
More informationProcedure: AFFORDABLE CARE ACT COMPLIANCE (AP-006) Contact: Director of Human Resources and Risk Management, Ext. 7017
ROGUE COMMUNITY COLLEGE GENERAL INFORMATION AND ADMINISTRATIVE PROCEDURES Procedure: AFFORDABLE CARE ACT COMPLIANCE (AP-006) Contact: Director of Human Resources and Risk Management, Ext. 7017 1. INTRODUCTION
More informationIRS Clarifies a Number of Health Care Reform Compliance Issues
HEALTH CARE REFORM JANUARY 19, 2016 P R I O R I T Y Alert IRS Clarifies a Number of Health Care Reform Compliance Issues By Tripp W. VanderWal; vanderwalt@millerjohnson.com; 616.831.1796 It s as clear
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 informationHealth Care Reform: Health Plans Overview. Presented by: Brian Lenzo, Preferred Benefits Services
Health Care Reform: Health Plans Overview Presented by: Brian Lenzo, Preferred Benefits Services Agenda What is the legal status of the law? Which plans must comply? Grandfathered plans Reforms currently
More informationMEMORANDUM. March 5, 2014. IRS Final Rule on the Affordable Care Act s Employer Mandate
2120 L Street, NW, Suite 700 T 202.822.8282 HOBBSSTRAUS.COM Washington, DC 20037 F 202.296.8834 MEMORANDUM To: From: Re: Tribal Health Clients Hobbs, Straus, Dean & Walker LLP IRS Final Rule on the Affordable
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 informationWaiting Period and Rehire Rules. What a Mess. Eric Johnson 817-366-7536 eric@comedyce.com
Waiting Period and Rehire Rules. What a Mess. Eric Johnson 817-366-7536 eric@comedyce.com 90 Day Waiting Period Final Rules Orientation Period Proposed Rules 85 Pages! 27 Pages Group Health Plan Includes
More informationHeffernan Benefit Advisors Presents Health Care Reform: What Non-Profits Need to Know. The session will begin shortly
Heffernan Benefit Advisors Presents Health Care Reform: What Non-Profits Need to Know The session will begin shortly Sound should come through your speakers when the session begins Verify that the volume
More informationGUIDANCE ON 90-DAY WAITING PERIOD LIMITATION UNDER PUBLIC HEALTH SERVICE ACT 2708 NOTICE 2012-59 I. INTRODUCTION
GUIDANCE ON 90-DAY WAITING PERIOD LIMITATION UNDER PUBLIC HEALTH SERVICE ACT 2708 NOTICE 2012-59 I. INTRODUCTION The Departments of Labor, Health and Human Services (HHS), and the Treasury (the Departments)
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 informationIRS Notice 2015-87: A Grab Bag of ACA, HRA and FSA Guidance
IRS Notice 2015-87: A Grab Bag of ACA, HRA and FSA Guidance CALLAN CARTER Please note: This article was updated on March 8, 2016 In a welcome set of Questions and Answers, IRS Notice 2015-87 (the Notice
More informationSample Employee FAQs Explaining Benefits Eligibility
Sample Employee FAQs Explaining Benefits Eligibility To assist employers in providing an explanation to their employees of how measurement, administrative, and stability periods will be used to determine
More informationMarch 26, 2015. Q&A from Assurex Global Webinar "Employer ACA Reporting Requirements"
Q&A from Assurex Global Webinar "Employer ACA Reporting Requirements" Question Large employer 500+, have several health insurance coverages some self funded some fully insured so who gets it with both
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 informationHealth Care Reform 2015 Update
Health Care Reform 2015 Update Presented to: Employee Health Benefits Committee Presented by: Pamela A. Boyer Information is current as of time of presentation: Oct. 15, 2015 1 Overview of Presentation
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 informationIRS Issues Final Rules on Large Employer Reporting Requirements
IRS Issues Final Rules on Large Employer Reporting Requirements Provided by TRUEbenefits LLC On March 5, 2014, the IRS issued a final rule on the section 6056 reporting requirements. Reporting is required
More informationIRS Proposed Regulations on "Play or Pay" -- Part II: Counting Hours, and Determining Full-Time Employees
January 21, 2013 IRS Proposed Regulations on "Play or Pay" -- Part II: Counting Hours, and Determining Full-Time Employees Executive Summary This is Part II of our two-alert package on the IRS's proposed
More informationAFFORDABLE CARE ACT REPORTING
AFFORDABLE CARE ACT REPORTING Introduction The Affordable Care Act (ACA) requires the State of Missouri to offer health insurance to full time equivalent employees. The ACA also generally requires individual
More informationDETERMINING FULL-TIME EMPLOYEE STATUS Employer Shared Responsibility Under the Affordable Care Act (ACA)
DETERMINING FULL-TIME EMPLOYEE STATUS Employer Shared Responsibility Under the Affordable Care Act (ACA) What employers need to know to make informed decisions about ACA compliance This document is intended
More informationIRS Issues Final Regulations on Employer Shared Responsibility (Play or Pay)
IRS Issues Final Regulations on Employer Shared Responsibility (Play or Pay) On February 10, 2014, the IRS issued final regulations on the employer-shared responsibility requirements, often known as play
More informationFrom: Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS)
DEPARTMENT OF HEALTH & HUMAN SERVICES Washington, DC 20201 Date: August 31, 2012 From: Center for Consumer Information and Insurance Oversight (CCIIO), Centers for Medicare & Medicaid Services (CMS) Title:
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 informationHealth Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years
Health Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years Seyfarth Shaw has generously given permission to Lawyers Alliance for New York to circulate this chart
More informationAffordable Care Act (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 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 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 informationOverview of 4980H Penalties and IRS Reporting. Measurement Method Basics. Look-Back Measurement Method Details. Forms 1094 and 1095 (B and C forms)
Overview of 4980H Penalties and IRS Reporting Forms 1094 and 1095 (B and C forms) Measurement Method Basics Monthly Measurement Method Look-Back Measurement Method Ongoing Employees New Employees Look-Back
More informationHealth Care Reform Guide for Staffing Firms
Oct. 5, 2012 By Edward A. Lenz, Esq. Senior Vice President, Legal and Public Affairs American Staffing Association 703-253-2035 elenz@americanstaffing.net Alden J. Bianchi, Esq. Chairman, Compensation
More informationContingent Workers: Is the Staffing Agency or the Client
Contingent Workers: Is the Staffing Agency or the Client Employer Liable under the Employer Mandate? The Issues by Lisa Klinger, JD Many employers hire temporary and contract workers (often called contingent
More informationApplying Pay or Play to Special Employees
American Benefits Council P4P Preparing for PPACA Webinar Applying Pay or Play to Special Employees March 20, 2014 Seth Perretta Crowell & Moring LLP Overview 2 Brief refresher on the employer pay or play
More informationHealth Care Reform: What to Expect in 2013 2014. Employee Benefits Series. Health Care Reform 2015 COMPLIANCE CHECKLIST
Health Care Reform: What to Expect in 2013 2014 Employee Benefits Series Health Care Reform 2015 COMPLIANCE CHECKLIST This checklist is designed to help employers who sponsor group health plans review
More informationDetermining Full-Time Employees for Purposes of Shared Responsibility for Employers Regarding Health Coverage ( 4980H)
Determining Full-Time Employees for Purposes of Shared Responsibility for Employers Regarding Health Coverage ( 4980H) Notice 2012-58 I. PURPOSE AND OVERVIEW This notice describes safe harbor methods that
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 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 informationHealth Care Reform Where Are We Now? Preparing for 2015
Tuesday, July 1, 2014 2 3 p.m. Central time Health Care Reform Where Are We Now? Preparing for 2015 David Hunt, CHBC Senior Managing Consultant BKD, LLP dhunt@bkd.com Philip Floyd, CFP, CFS Senior Managing
More informationPERSONNEL POLICIES AND PROCEDURES Personnel Policy Adopted by Res.: 1323 (2014)
BENEFITS 6.1 Health Insurance PERSONNEL POLICIES AND PROCEDURES Personnel Policy Adopted by Res.: 1323 (2014) Personnel Procedures Approved: 11-5 -2014 1. PURPOSE: To establish the policy and procedures
More informationIRS Final Rule Partially Delays ACA Employer Shared Responsibility Requirement
A Timely Analysis of Legal Developments A S A P February 24, 2014 IRS Final Rule Partially Delays ACA Employer Shared Responsibility Requirement By Ilyse Schuman On February 12, 2014, the Internal Revenue
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 informationCOMPLY &CONQUER. Employer Mandate Penalties: Ducking the Sledgehammer and Tack Hammer
INSIGHT TO ACTION COMPLY &CONQUER Employer Mandate Penalties: Ducking the Sledgehammer and Tack Hammer Ed Doherty, Esq., Cammack Health Darcie Falsioni, Esq., Nixon Peabody Presented by The Sledgehammer
More informationWhat s Ahead for 2015: Preparing Your Group Health Plan for the Employer Mandate
What s Ahead for 2015: Preparing Your Group Health Plan for the Employer Mandate May 14, 2014 1 Speakers Moderator: Lisa A. Tavares, Partner Speakers: Thora A. Johnson, Partner Harry I. Atlas, Partner
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 informationCOMPLIANCE ADVISOR. 2014 Affordable Care Act Compliance Checklist
COMPLIANCE ADVISOR August 2013 2014 Affordable Care Act Compliance Checklist IN THIS ISSUE: 1 2 3 4 5 6 7 8 9 10 11 12 Grandfathered Plan Status Confirmation No Annual Dollar Limits on Essential Health
More informationEmployer Shared Responsibility (ESR) Questions and Answers.
Employer Shared Responsibility (ESR) Questions and s. Recent ESR Questions asked by members of the accounting community, answered by senior members of Paychex Compliance Department. Question 1. When using
More informationHealth Care Reform Frequently Asked Questions
Health Care Reform Frequently Asked Questions On March 23, 2010, President Obama signed federal health care reform into law, also known as the Patient Protection and Affordability Act. A second, or reconciliation
More informationThe Patient Protection and Affordable Care Act ( ACA ) and Your Facility
The Patient Protection and Affordable Care Act ( ACA ) and Your Facility By Christine Garrity: Chief Administrative Officer & General Counsel for The Professional Golfers' Association of America President
More informationCopyright 2014 American Fidelity Assurance Company
HEALTH CARE REFORM What You Need to Do from Now to 2015 This is only a brief summary that reflects our current understanding of select provisions of the law, often in the absence of regulations. All of
More informationHealth Care Reform 101 for June 3, 2013
Commercial & Personal Insurance Employee Benefits Retirement Plan Services Wealth Management Health Care Reform 101 for June 3, 2013 Requirements: Pre-HCR vs. Post-HCR Offering/Maintaining Health Insurance
More informationHealth 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 informationOverview of Reporting Requirements. ACA Reporting. Overview. Overview of Reporting Requirements. ACA Reporting Examples
ACA Reporting August 18, 2015 Norbert F. Kugele April A. Goff 2015 Warner Norcross & Judd LLP. All rights reserved. WNJ.com Overview Overview of Reporting Requirements Why have reporting Status of forms
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 informationSummary of Potential Employer Penalties Under the Patient Protection and Affordable Care Act (PPACA)
Summary of Potential Employer Penalties Under the Patient Protection and Affordable Care Act (PPACA) Hinda Chaikind Specialist in Health Care Financing Chris L. Peterson Acting Section Research Manager
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 informationHealth Care Reform Employer Shared Responsibility Provisions
Health Care Reform Employer Shared Responsibility Provisions Safe Harbor Qualification This document provides an overview of the employer shared responsibility (ESR) provisions of the Affordable Care Act
More informationThe Affordable Care Act: What Does It Mean for Agricultural and Small Business Employers?
The Affordable Care Act: What Does It Mean for Agricultural and Small Business Employers? The Patient Protection and Affordable Care Act (ACA) includes provisions that will have significant implications
More informationTo enforce these penalties and properly administer the premium tax credits, ACA imposes two annual reporting requirements on employers.
Employer Health Coverage Reporting Requirements for 2015 Summary The Affordable Care Act (ACA) includes reporting requirements for health care coverage in 2015. The reports will give information to the
More informationAffordable Care Act Guidelines for Casper College Published July 2015 Health Insurance Eligibility
Affordable Care Act Guidelines for Casper College Published July 2015 Effective January 1, 2015, the Patient Protection and Affordable Care Act (ACA) requires large employers (50 or more employees) such
More informationHealth care reform at-a-glance Employer duty to provide coverage
Health care reform at-a-glance Employer duty to provide coverage The Affordable Care Act (ACA or health care reform law) says an employer with 50 or more full-time (or full-time equivalent) employees will
More informationCOMMENTARY. Deciding Whether to Play or Pay Under the Affordable Care Act. Q&A 1: What Is the Employer Mandate? JONES DAY
march 2013 JONES DAY COMMENTARY Deciding Whether to Play or Pay Under the Affordable Care Act The Patient Protection and Affordable Care Act (the ACA ) adds a new Section 4980H to the Internal Revenue
More informationDate(s) Requirement Details Prepare Your Company Date Completed
Health Care Reform Checklist for Small Businesses Some requirements of the health care reform law are already effective and other aspects will be phased in over the next few years. Many regulations have
More informationUsing the Look-Back Measurement Method to Determine Full Time Status Lisa Klinger, J.D. & Susan Grassli, J.D. www.healthreformupdates.
, Using the Look-Back Measurement Method to Determine Full Time Status Lisa Klinger, J.D. & Susan Grassli, J.D. www.healthreformupdates.com 8-4-2014 Background Under the Employer Shared Responsibility
More informationThe 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 informationReporting Requirements for Employers and Health Plans
Brought to you by Cross Employee Benefits Reporting Requirements for Employers and Health Plans The Affordable Care Act (ACA) created a number of federal reporting requirements for employers and health
More informationHow To Prepare A Health Care Plan For A Job Interview
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 informationAFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: November 2014
AFFORDABLE CARE ACT Employers that offer health care coverage to employees are responsible for complying with many of the provisions of the Affordable Care Act (ACA). Most health reform changes apply regardless
More 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 informationAffordable Care Act FAQ
Affordable Care Act FAQ Based on regulatory guidance issued as of March 2014 and subject to change. Contents General ACA Questions... 1 ACA Marketplace... 1 ACA Employer Shared Responsibility... 2 ACA
More informationTwo New Reporting Requirements Beginning in 2016 But Are Important Now
Two New Reporting Requirements Beginning in 2016 But Are Important Now Recently, the IRS published final regulations implementing two new information reporting requirements under ACA that are first due
More informationIRS NOTICE 2015-87: ADDITIONAL GUIDANCE ON HRAS, ACA REPORTING, HEALTH FSA CARRYOVERS AND MORE
Attorneys at Law Friday, January 29, 2016 IRS NOTICE 2015-87: ADDITIONAL GUIDANCE ON HRAS, ACA REPORTING, HEALTH FSA CARRYOVERS AND MORE By: Gabriel S. Marinaro, Esq. In December of 2015, the IRS issued
More informationHealth Care Reform Impacts Grandfathered Employer-Sponsored Group Health Plans: Now What?
April 2010 EMPLOYEE BENEFITS & EXECUTIVE COMPENSATION UPDATE Health Care Reform Impacts Grandfathered Employer-Sponsored Group Health Plans: Now What? This bulletin discusses certain provisions of The
More 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 informationMassachusetts Universal Health Care Law
Massachusetts Universal Health Care Law This guide answers some questions that employers may have when implementing the new Massachusetts Universal Health Care Law. The law requires most employers with
More information