Questions and Answers
|
|
- Lillian Hancock
- 5 years ago
- Views:
Transcription
1 Questions and Answers December 14, 2010 Prepared for the Vermont Commission on Health Care Reform by Jennifer Carbee, Legislative Counsel
2 What is a Health Exchange? Mechanism enabling individuals and small businesses to compare insurers health plans Similar to the way Expedia or Orbitz allows comparison of fares, hotels, etc. Not an insurer Only includes qualified health plans
3 What does an Exchange do? Certifies qualified health plans Allows for apples-to-apples comparison of qualified health plans, including a rating system based on quality and price Allows consumers to enroll in qualified health plans online, by phone, or by mail using a uniform paper form Helps consumers determine eligibility for premium tax credits and cost-sharing subsidies Screens, enrolls people in Medicaid and SCHIP
4 What is a Qualified Health Plan? Qualified health plans: Provide essential health benefits Are certified by the Exchange as meeting certain standards and requirements Are offered by Vermont-licensed insurers who agree to offer at least gold and silver level plans
5 When does the Exchange start? State health exchanges must be operational by January 1, 2014
6 Who will operate Vermont s Exchange? Decision Point! Lawmakers must choose one of the following: State exchange operated by a state agency State exchange operated by a nonprofit organization Regional exchange operated on behalf of two or more states State exchange operated by U.S. Department of Health and Human Services on Vermont s behalf
7 Why buy insurance through the Exchange? One-stop shopping for health insurance All plans offer minimum essential benefits Cost-sharing annual maximums Federal tax credits and cost-sharing subsidies only available through Exchange Tax credits based on income (133% - 400% FPL) and linked to price of second-lowest cost silver plan Cost-sharing subsidies based on income (133% - 250% FPL) and only available for enrollees in silver plan
8 Who is eligible for the Exchange? Open to all citizens and legal immigrants who live in Vermont (except those in prison) Open to small employers that offer coverage to all full-time employees small employer = up to 100 employees Decision point! - state may choose to limit to 1-50 employees until 2016 In 2017, open to large employers, too
9 How many Exchanges should Vermont have? Decision points! States may choose: Whether to have separate or combined Exchanges for the individual and small group markets Whether to operate one or more subsidiary Exchanges serving a geographically distinct area (Vermont unlikely to qualify)
10 What will be offered in the Exchange? Qualified health plans offered by insurers licensed to do business in Vermont At least two multi-state plans established by the federal Office of Personnel Management Decision point! States can choose whether to allow the community health insurance option established by HHS to operate in their Exchange Plans offered by nonprofit insurers created under CO-OP program
11 What is offered outside of the Exchange? All large group plans until 2017 Grandfathered plans Other individual and small group plans if an insurer wants and Vermont so chooses Not eligible for subsidies Must include essential benefits package & limits on cost-sharing required by the exchange Medicare supplemental plans
12 How does the Exchange fit in with Medicaid/Global Commitment? Decision point! States may establish a plan ( Basic Health Plan ) in the Exchange for individuals with incomes between % FPL Most are currently eligible for VHAP or ESI, but Global Commitment waiver extension expires at end of 2013 so Vermont will need to decide what, if anything, to do for everyone under 300% FPL
13 What other decisions does Vermont need to make? Decision points! Whether to require Exchange plans to offer benefits beyond the minimum essential benefits in federal law State responsible for paying subsidies associated with additional mandates Whether to allow Exchange to contract with another entity to carry out some its responsibilities Whether to merge the individual and small group insurance markets
Patient Protection and Affordable Care Act of 2009: Health Insurance Market Reforms
Patient Protection and Affordable Care Act of 2009: Health Insurance Market Reforms Provision Notes Standards SUBTITLE C Quality Health Insurance Coverage for All Americans PART I HEALTH INSURANCE MARKET
More informationSome Basics on the Individual Mandate, Subsidies, and Medicaid Expansion Lisa Klinger, J.D.
Some Basics on the Individual Mandate, Subsidies, and Medicaid Expansion Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com 10-23- 2013 As of January 1, 2014, the Patient Protection and Affordable
More informationThe Affordable Care Act: A Summary on Healthcare Reform. The Wyoming Department of Insurance
The Affordable Care Act: A Summary on Healthcare Reform The Wyoming Department of Insurance Additional Resources Wyoming Insurance Department: http://doi.wyo.gov/ or toll free at 1-(800)-438-5768 Information
More information2014 and Beyond. This timeline explains how and when the Affordable Care Act (ACA) provisions will be implemented over the next few years.
December This timeline explains how and when the Affordable Care Act (ACA) provisions will be implemented over the next few years. Get Covered Illinois, the Official Health Marketplace of Illinois While
More informationKey Medicaid, CHIP, and Low-Income Provisions in the Senate Bill Patient Protection and Affordable Care Act (Released November 18, 2009)
Key Medicaid, CHIP, and Low-Income Provisions in the Senate Bill Patient Protection and Affordable Care Act (Released November 18, 2009) On November 18, 2009, the Senate released its health care reform
More informationDiscussion of Key Health Care Reform Provisions Affecting Commercial Health Plans
Discussion of Key Health Care Reform Provisions Affecting Commercial Health Plans Presented by Stuart Rachlin, Alex Cires Milliman Tampa, FL 813-282-9262 SEAC June 2010 Meeting West Palm Beach, FL June
More informationIMPLICATIONS OF THE AFFORDABLE CARE ACT FOR COUNTY EMPLOYERS
IMPLICATIONS OF THE AFFORDABLE CARE ACT FOR COUNTY EMPLOYERS Mississippi Association of Supervisors Annual Convention Biloxi, Mississippi June 20, 2013 Presented by Leslie Scott MAS General Counsel Group
More informationHealth Reform: An Overview. Hinda Chaikind February 25, 2011
Health Reform: An Overview Hinda Chaikind February 25, 2011 Introduction Expanded coverage and reform Insurance and subsidies through Exchanges Medicaid expansion CHIP funding (Children s Health Insurance
More informationExpanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans. Senate Finance Committee May 14, 2009
Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Senate Finance Committee May 14, 2009 1 Introduction Goals of proposed policy options To expand affordable health
More informationAFFORDABLE CARE ACT (ACA)
AFFORDABLE CARE ACT (ACA) Presented By ANDREW H. HOOK, CELA, CFP, AEP 295 Bendix Road, Suite 170, Virginia Beach, VA 23452 5806 Harbour View Blvd., Suite 203, Suffolk, VA 23435 Tel: 757-399-7506 Fax: 757-397-1267
More informationYour Guide to Health Care Reform. April 20, 2015
Your Guide to Health Care Reform April 20, 2015 Agenda Health care reform and you Top 5 must-know facts More peace of mind for you and your family Health Insurance Marketplaces Financial help from the
More informationHealth Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)
Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA) Bernadette Fernandez Specialist in Health Care Financing Annie L. Mach Analyst in Health Care Financing October 10,
More informationHEALTH CARE REFORM Focus on Group Coverage Blue Cross and Blue Shield of Minnesota. All rights reserved.
HEALTH CARE REFORM Focus on Group Coverage 2011 Blue Cross and Blue Shield of Minnesota. All rights reserved. Current Insurance Coverage Environment Minnesota United States Uninsured 9% Ot her Public 1%
More informationThe Affordable Care Act: A Summary on Healthcare Reform. The Wyoming Department of Insurance
The Affordable Care Act: A Summary on Healthcare Reform The Wyoming Department of Insurance The ACA is a federal law that impacts Wyoming and its citizens. The State of Wyoming has filed a lawsuit against
More informationHealth Reform Employer Perspective
Health Reform Employer Perspective Copyright 2008 McGraw Wentworth, Inc. All rights reserved. 1 Government Requirements Expanding Federal requirements effecting employers expanded significantly in 2009
More informationThe Affordable Care Act Update
The Affordable Care Act Update Presented by: The Union Labor Life Insurance Company SOLUTIONS FOR THE UNION WORKPLACE SPECIALTY INSURANCE INVESTMENTS Overview of Presentation 1. 2010 2014 Provisions overview
More informationUnderstanding the Impacts of Health Care Reform on Employers : 2014 and beyond
2013 CliftonLarsonAllen LLP Understanding the Impacts of Health Care Reform on Employers : 2014 and beyond cliftonlarsonallen.com Peoria County Bar Association January 25, 2014 Deb Freeland Objectives
More informationHealthcare Reform and Exchanges Impacts
Producer Webinar Welcome Healthcare Reform and Exchanges Impacts To listen to this presentation please do ONE of the following: Call the conference line 1 888 394 8197 and enter the participant code 966240,
More informationNational Health Reform and You. What You Need to Know About the Affordable Care Act and the Massachusetts Health Connector
National Health Reform and You What You Need to Know About the Affordable Care Act and the Massachusetts Health Connector 2 National Health Reform and You: What You Need to Know Today as many as 40 million
More informationPennsylvania Association of Health Underwriters Advisors and Advocates for Employers, Employees and Health Care Consumers
Pennsylvania Association of Health Underwriters Advisors and Advocates for Employers, Employees and Health Care Consumers Timeline for Health Care Reform March 26, 2010 The Patient Protection and Affordable
More informationNational Healthcare Reform Patient Protection and Affordable Care Act (HR 3590) & The Health Care and Education Reconciliation Act (HR 4872)
National Healthcare Reform Patient Protection and Affordable Care Act (HR 3590) & The Health Care and Education Reconciliation Act (HR 4872) Medicaid/ CHIP Expanded to all individuals (under 65) with incomes
More informationACA impact on Puerto Rico small groups (PYMES)
ACA impact on Puerto Rico small groups (PYMES) Presented by: Luis O. Maldonado, FSA, MAAA Consulting Actuary Agenda Key Elements of Health Care Reform ACA Insurance Market provisions ACA impact for Puerto
More informationHealth Insurance Glossary of Terms
1 Health Insurance Glossary of 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 informationRating and Underwriting Under the New Healthcare Reform Law
Rating and Underwriting Under the New Healthcare Reform Law Provisions Affecting the Operations of Health Insurers in the Individual, Small Group, and Large Group Markets, MAAA The healthcare reforms passed
More informationTHE AFFORDABLE CARE ACT
THE AFFORDABLE CARE ACT What is it and What Does it MEAN for NEW YORK? WHAT IS THE PPACA? The Patient Protection and Affordable Care Act was passed in March of 2010 The ACA has two major goals: Increase
More informationUpdate on the Section 1332 State Innovation Waivers May Update on the Section 1332 Innovation Waivers
Update on the Section 1332 State Innovation Waivers May 2017 Update on the Section 1332 Innovation Waivers Updated October 2017 0 CONTENTS Background...2 Overview of State Section 1332 Waivers...3 Minnesota
More informationThe Affordable Care Act; 2014 and Beyond
The Affordable Care Act; 2014 and Beyond Presented by: Lacey Robinson, ACA Certified Vice President & Senior Benefits Consultant Gregory & Appel December 10, 2013 Agenda 2014 ACA Mandates ACA Intention
More informationUpdate on the Section 1332 State Innovation Waivers April 2017
Update on the Section 1332 State Innovation Waivers April 2017 Section 1332 of the Patient Protection and Affordable Care Act (ACA) allows states to seek State Innovation Waivers of certain ACA provisions
More informationUnderstanding Health Care Reform
Understanding Health Care Reform Dear adidas Group Employee: Included in this mailing is an important legally required notice that helps you understand the implications of Health Care Reform for 2014.
More informationThe Patient Protection and Affordable Care Act of 2010 (ACA)
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION Policy Brief April 2011 Guide to State Requirements and Policy Choices in the Affordable Care Act The Patient Protection and Affordable Care Act of 2010
More informationAffordable Care Act: Impact on the Indiana Market
1 Affordable Care Act: Impact on the Indiana Market Seema Verma President SVC, Inc 2 Affordable Care Act Key accomplishment is access ~48.6 million uninsured in America* ~800 thousand uninsured in Indiana*
More informationComparison of the House and Senate Repeal and Replace Legislation
Comparison of the House and Senate Repeal and Replace Legislation Key topic INSURANCE CHANGES ACA Insurance Subsidies ACA Cost-Sharing Subsidies Health Savings Accounts (HSA) Eliminates the ACA s income-based
More informationJanuary 1, State Notification Regarding Exchanges
January 1, 2013 State Notification Regarding Exchanges While the ACA notes implementation won t begin until January 1, 2013, states must have their health insurance exchange blueprints submitted to the
More informationThe Patient Protection and Affordable Care Act in Colorado
The Patient Protection and Affordable Care Act in Colorado Colorado Center on Law and Policy 789 Sherman St., Suite 300, Denver, CO 80203 303-573-5669 September 20, 2013 The Problem 50 million uninsured
More informationOutreach and Enrollment Lauren Seno Project Specialist
Outreach and Enrollment Lauren Seno Project Specialist lseno@wphca.org 608-443-2955 Focus for Today Explore the health care environment following the second open enrollment period and external pressures
More informationHealth Care Reform: General Q&A for Employees
From Health Care Reform: General Q&A for Employees Common questions answered I ve heard a lot about the health care reform law. When do the reforms become effective? The health care reform bill was signed
More informationImportant Consumer Considerations in Design of Pediatric Dental Benefits
Important Consumer Considerations in Design of Pediatric Dental Benefits Pediatric dental benefits are essential health benefits (EHBs) under federal and state law. 1 Both inside and outside of the Exchange,
More informationThe Patient Protection and Affordable Care Act. An In-Depth Analysis of Provisions Directly or Indirectly Affecting Group Health Plans
The Patient Protection and Affordable Care Act An In-Depth Analysis of Provisions Directly or Indirectly Affecting Group Health Plans Table of Contents Section 1 Insurance Plan Provisions Prohibition on
More informationFinal 2018 Notice of Benefit and Payment Parameters
HIGHLIGHTS The ACA s out-of-pocket maximum limit increases to $7,350 (self-only coverage) and $14,700 (family coverage). The required contribution percentage for the individual mandate s affordability
More informationThe Politics and Impact of PPACA on Brokers and Employers
The Politics and Impact of PPACA on Brokers and Employers By Janet Trautwein, CEO National Association of Health Underwriters The Unintended Consequences Dependents to Age 26 and lifetime and annual limits
More informationAffordable Care Act:
NASUAD National I & R Call July 2013 Affordable Care Act: What to Expect for Older Adults and People with Disabilities Presenter: Leslie Fried, NCOA 1 What we ll cover Background on ACA How the law affects
More informationREPORT OF THE COUNCIL ON MEDICAL SERVICE. Effects of the Massachusetts Reform Effort and the Individual Mandate
REPORT OF THE COUNCIL ON MEDICAL SERVICE CMS Report -A-0 Subject: Presented by: Effects of the Massachusetts Reform Effort and the Individual Mandate David O. Barbe, MD, Chair 0 0 0 At the 00 Interim Meeting,
More informationHealth Care Reform Update
Health Care Reform Update Presented by David Hayes, FSA, MAAA Consulting Actuary Milliman - Atlanta November 16, 2012 Southeastern Actuaries Conference Fall 2012 Agenda This will be an general session
More informationEnacted in March 2010 Makes significant ifi changes to health care system Implemented over several years
Health Care Reform: Top Employer Questions October 2013 Nancy Johnson Tommy Morris Agency LLC Introduction Health Care Reform Affordable Care Act Enacted in March 2010 Makes significant ifi changes to
More informationFive Questions An HR Manager Should Be Asking About The Affordable Care Act
Five Questions An HR Manager Should Be Asking About The Affordable Care Act High Roads Customer Summit May 3, 2011 2010 Foley Hoag LLP. All Rights Reserved. Presentation Title Five Questions For HR Managers
More informationHealth Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief
Health Insurance Premium Tax Credits and Cost-Sharing Subsidies: In Brief Bernadette Fernandez Specialist in Health Care Financing February 10, 2017 Congressional Research Service 7-5700 www.crs.gov R44425
More informationACA LEARNING SERIES. Impact on Massachusetts & Implementation Activities to Date. Federal and State Subsidies available through the Health Connector
ACA LEARNING SERIES Impact on Massachusetts & Implementation Activities to Date Federal and State Subsidies available through the Health Connector Massachusetts Health Care Training Forum (MTF) Conference
More informationHealth Care Reform Overview
Published on : December 06, 2010 Health Care Reform Overview President Obama signed the Patient Protection and Affordable Care Act into law on March 23, 2010. The law was almost immediately amended by
More informationPatient Protection and Affordable Care Act
September 27, 2010 Patient Protection and Affordable Care Act 1 9020 Stony Point Parkway Suite 200 Richmond, VA 23235 804-267-3100 Agenda Overview Employer Feedback Terms Components of Health Care Reform
More informationComplying with Health Care Reform
Complying with Health Care Reform April 17, 2013 1 1 What Happened? In March 2010, Congress passed and the President signed health reform in: The Patient Protection and Affordable Care Act The Health Care
More informationA Vision of Medicaid for the Future
A Vision of Medicaid for the Future James R. Tallon, Jr. President United Hospital Fund June 9, 2010 Which Medicaid roles are essential to national health reform? 1. Health insurance for low-income families
More informationHealth Care Reform Update. April 2013
Health Care Reform Update April 2013 2013 Compliance Issues Summary of Benefits and Coverage Simple explanation of benefits and costs 4 double sided pages, 12 point or larger font Can provide in paper
More information100 Questions, 100 Answers Private Exchanges & Defined Contribution
100 Questions, 100 Answers Private Exchanges & Defined Contribution What is an Exchange? What is an Exchange? What is an Exchange? What is a Health Insurance Exchange? What is a private exchange and how
More informationState Innovation Waivers:
State Innovation Waivers: An Overview of Section 1332 Activity and Opportunities to Advance People-Centered Health December 2017 Table of Contents Section 1332 Waiver Landscape - Overview of ACA s Section
More informationGENERAL INFORMATION BULLETIN
AFL-CIO California School Employees Association GENERAL INFORMATION BULLETIN March 15, 2013 General Information Bulletin No. 17 13 AFFORDABLE CARE ACT (ACA) QUESTION & ANSWER RESOURCE DOCUMENT Action for
More informationTennessee Public Health Association. Overview of the Affordable Care Act
Tennessee Public Health Association Overview of the Affordable Care Act Susie Baird Director of Policy Health Care Finance and Administration September 12, 2013 1 Origins of ACA Signed into law on March
More informationIt s a new world! Health Care Changes and the ACA
It s a new world! Health Care Changes and the ACA Today s Agenda 2 MHC Who we are Understanding the Problem Understanding the Affordable Care Act Understanding Insurance Exchanges Moving Forward Montana
More informationHEALTH CARE REFORM IMPLICATIONS FOR THE INSURANCE INDUSTRY
Attorney Advertising Prior results do not guarantee a similar outcome Models used are not clients but may be representative of clients 321 N. Clark Street, Suite 2800, Chicago, IL 60654 312.832.4500 HEALTH
More informationHealth Care Reform under the Patient Protection and Affordable Care Act ( PPACA ) provisions effective January 1, 2014
The New Health Care Landscape Today s Agenda Health Care Reform under the Patient Protection and Affordable Care Act ( PPACA ) provisions effective January 1, 2014 Exchanges and Qualified Health Plans
More informationHealth Care Reform Update 6/12/2014
Health Care Reform Update 6/12/2014 Disclaimer The information contained herein is for general information only. It is not intended as and does not constitute legal or tax advice. The information should
More informationU.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009
U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009 This document outlines the 61-page report, Expanding Health Care Coverage: Proposals to Provide Affordable
More informationState Decisions: Federally Facilitated Exchange (FFE) States
State Decisions: Federally Facilitated Exchange (FFE) States Data coordination Will state confirm insurer licensure, solvency, and good standing? In order to certify a plan as a QHP, an FFE must verify
More informationCompliance Alert. ACA Mandates Different Measures of Affordability
Compliance Alert ACA Mandates Different Measures of Affordability August 29, 2014 Quick Facts: Several Affordable Care Act (ACA) provisions measure the affordability of employersponsored health coverage.
More informationSummary On March 23, 2010, the President signed into law health reform legislation (the Patient Protection and Affordable Care Act, PPACA, P.L
Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (PPACA) Chris L. Peterson Specialist in Health Care Financing Thomas Gabe Specialist in Social Policy April 28, 2010 Congressional
More informationHCR Support Specialist Training Module II
HCR Support Specialist Training Module II The ACA and the Individual Market Your Trainer Today: Constance Starkey Individual Mandate What is the mandate? What are the exceptions? What is the penalty for
More informationEXPERT UPDATE. Compliance Headlines from Henderson Brothers:.
EXPERT UPDATE Compliance Headlines from Henderson Brothers:. Health Care Reform Timeline Health Care Reform Timeline This Henderson Brothers Summary provides a timeline of the of key reform provisions
More informationHealth Care Reform: The Financial Impact on the Employer
Health Care Reform: The Financial Impact on the Employer WP&BC August 15, 2012 1 1 Supreme Court Examines Constitutionality U.S. Supreme Court Ruling: June 28, 2012 Individual Mandate - Constitutional
More informationOverview of Health Insurance Exchanges
Namrata K. Uberoi, Coordinator Analyst in Health Care Financing Annie L. Mach Analyst in Health Care Financing Bernadette Fernandez Specialist in Health Care Financing July 1, 2016 Congressional Research
More informationIMPACT ON MEMBERS AND PREMIUMS OF COVERING THE COST OF THE UNFUNDED COST SHARING REDUCTION PROGRAM
IMPACT ON MEMBERS AND PREMIUMS OF COVERING THE COST OF THE UNFUNDED COST SHARING REDUCTION PROGRAM FEBRUARY 14, 2019 Kurt Giesa, FSA, MAAA Peter Kaczmarek, FSA, MAAA Contents Contents 1. Executive Summary...
More informationPay or Play Employer Shared Responsibility Penalties
Brought to you by Olson Insurance Pay or Play Employer Shared Responsibility Penalties The Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer affordable, minimum value health
More informationEmployer Obligations and Coverage Options under the Affordable Care Act in 2014/2015
Employer Obligations and Coverage Options under the Affordable Care Act in 2014/2015 C H I C A G O S O U T H L A N D C H A M B E R O F C O M M E R C E J U L Y 1 5, 2 0 1 3 L A U R A M I N Z E R E X E C
More informationHealth Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA)
Health Insurance Premium Credits in the Patient Protection and Affordable Care Act (ACA) Bernadette Fernandez Specialist in Health Care Financing Thomas Gabe Specialist in Social Policy July 31, 2013 CRS
More informationHealth Care Reform Summary Patient Protection and Affordable Care Act (PPACA)
Health Care Reform Summary Patient Protection and Affordable Care Act (PPACA) Contents The following information summarizes the PPACA s impact on employers, individuals, the health industry and plan design,
More informationAmerican Health Care Act (House-Passed Bill)
This chart compares the to provisions of both the House-passed and the Senate Discussion Draft, called the. This chart is current as of June 26, 2017. Individual shared responsibility penalty for not having
More informationHealth Reform Update. April 1, Presented by: Chip Kerby Liberté Group LLC (202)
Health Reform Update April 1, 2010 Presented by: Chip Kerby Liberté Group LLC chip@libertegroup.com (202) 756-2459 Agenda Background Key elements Impact on stakeholders 1 Background Sources of Coverage
More informationAFFORDABLE CARE ACT (ACA) QUESTIONS as of 4/6/15
AFFORDABLE CARE ACT (ACA) QUESTIONS as of 4/6/15 The PA Association of Health Underwriters (PAHU) whose members are insurance producers specializing in health insurance and employee benefits have prepared
More informationABD s Office Hours The Employer Mandate What are the penalties & when do they take effect?
ABD s Office Hours The Employer Mandate What are the penalties & when do they take effect? Ruben D. Reyes, Esq. Asst. Vice President, Lead Benefits Counsel Employee Benefits Division April 9, 2013 The
More informationHEALTH CARE REFORM: EMPLOYER SHARED RESPONSIBILITY RULES
HEALTH CARE REFORM: EMPLOYER SHARED RESPONSIBILITY RULES The Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer affordable, minimum value health coverage to their full-time employees
More informationOverview of the Federal Affordable Care Act (ACA)
Overview of the Federal Affordable Care Act (ACA) Catherine Teare, MPP Senior Program Officer Health Reform and Public Programs February 15, 2013 The Status Quo Health spending represents a growing share
More informationDEFICIT REDUCTION ACT OF 2005: IMPLICATIONS FOR MEDICAID PREMIUMS AND COST SHARING CHANGES
February 2006 DEFICIT REDUCTION ACT OF 2005: IMPLICATIONS FOR MEDICAID On February 8, 2006 the President signed the Deficit Reduction Act of 2005 (DRA). The Act is expected to generate $39 billion in federal
More informationHealth Care Reform Primer-Timelines-Compliance
Health Care Reform Primer-Timelines-Compliance Ventura County Community College District March 28, 2013 Today s Goals ACA Primer The Basics Cadillac Tax Strategic Timeline for VCCCD Questions Covered California
More informationFOCUS. Health Reform SUMMARY OF THE AFFORDABLE CARE ACT
FOCUS on Health Reform SUMMARY OF THE AFFORDABLE CARE ACT On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act, into law. The following
More informationConnecting People to Coverage
Connecting People to Coverage Amy Rix Piedmont Health Services Special Projects Manager The Patient Protection and Affordable Care Act was signed March 2010 Open enrollment period runs from October 1,
More informationWhat is the Employer s responsibility? Basically, eligible employers must offer affordable coverage to all eligible employees Or pay a penalty.
Guide to the PPACA What is the Employer s responsibility? Basically, eligible employers must offer affordable coverage to all eligible employees Or pay a penalty. Eligible Employers Companies with more
More informationEmployer-Sponsored Insurance Premium Assistance
Report to Health Access Oversight Committee and Joint Fiscal Committee Employer-Sponsored Insurance Premium Assistance The Office of Vermont Health Access Agency of Human Services November 22, 2006 Table
More informationWhat you need to know about Insurance Exchanges?
What you need to know about Insurance Exchanges? Patrick C. Haynes, Jr. Today s presenter As counsel for Crawford Advisors Employee Benefits and Executive Compensation Group, Mr. Haynes advises employers
More informationAFFORDABLE CARE ACT (ACA) AMBASSADOR TRAINING PROGRAM. Presented in conjunction with
AFFORDABLE CARE ACT (ACA) AMBASSADOR TRAINING PROGRAM Presented in conjunction with Who We Are State s largest progressive advocacy coalition Convener of NJ for Health Care Coalition NJ For Health Care/NJ
More informationPay or Play Employer Shared Responsibility Penalties
Brought to you by Biggs Insurance Services Pay or Play Employer Shared Responsibility Penalties The Affordable Care Act (ACA) requires certain large employers to offer affordable, minimum value health
More informationACA and AHCA Part 1: The Big Picture in the Individual Market, 50,000 Arizonans 50+ Face Huge Cost Increase by 2020 under GOP Proposal
Policy Blog March 22, 2017 ACA and AHCA Part 1: The Big Picture in the Individual Market, 50,000 Arizonans 50+ Face Huge Cost Increase by 2020 under GOP Proposal Prohibiting discrimination against pre-existing
More informationHealth Insurance Premium Tax Credits and Cost-Sharing Subsidies
Health Insurance Premium Tax Credits and Cost-Sharing Subsidies Bernadette Fernandez Specialist in Health Care Financing April 24, 2018 Congressional Research Service 7-5700 www.crs.gov R44425 Summary
More informationImplementation Considerations for Businesses Under the Patient Protection and Affordable Care Act
Implementation Considerations for Businesses Under the Patient Protection and Affordable Care Act Thomas R. Barker Partner 2013 Foley Hoag LLP. All Rights Reserved. 1 Agenda The basic coverage requirement
More informationNavigating the New Health Care Law
Navigating the New Health Care Law For Sole Proprietors and Small Businesses (50 employees or less) This presentation is intended for educational purposes only and not intended as a legal, tax, or insurance
More informationFlorida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act
Florida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act Mary Beth Senkewicz Deputy Commissioner Life & Health May 4, 2010 1 Health Care Reform Enacted On March 23, 2010,
More informationOverview of Health Care Reform
Overview of Health Care Reform Groom Law Group Dial-In January 13, 2010 Overview Landscape Today The Exchange, Multi-State Plans, & CO-OPs Insurance Market Reforms & "Essential" Benefits Employer & Individual
More informationThe Affordable Care Act: Information for Wyoming Consumers
The Affordable Care Act: Information for Wyoming Consumers The Wyoming Department of Insurance The Affordable Care Act is a federally-mandated health care and health insurance law. Wyoming citizens and
More informationTable of Contents. Legend. Coverage Option Overview 6
Modified Adjusted Gross Income (MAGI): Exchange and Medicaid Eligibility Flow Charts Updated per March 2012 Final Rules and June 2012 Supreme Court Decision October 3, 2012 These charts illustrate MAGI
More informationDennis G. Shea, Ph.D. Associate Dean for Undergraduate Programs and Outreach Professor of Health Policy and Administration College of Health and
Dennis G. Shea, Ph.D. Associate Dean for Undergraduate Programs and Outreach Professor of Health Policy and Administration College of Health and Human Development Summary of before 2010 Overview What is
More informationThe ACA: Health Plans Overview
The ACA: Health Plans Overview Agenda What is the legal status of the ACA? Which plans must comply? Reforms currently in place 2013 compliance deadlines 2014 compliance deadlines 2015 compliance deadlines
More informationPredicted Effects of the Patient Protection and Affordable Care Act (ACA) on States. Peter Hussey, Ph.D.
Predicted Effects of the Patient Protection and Affordable Care Act (ACA) on States Peter Hussey, Ph.D. What effect will the ACA have on: Insurance coverage in my state? The state budget? Hussey SLC -2-8/2/10
More informationMYTHS & REALITIES OF HEALTH CARE REFORM
MYTHS & REALITIES OF HEALTH CARE REFORM The Florida Bar Solo & Small Firm Annual Conference January 25, 2014 Presented By: Kirsten Vignec Shareholder Introduction On March 23, 2010, the Patient Protection
More information