Employee Benefits After the Affordable Care Act
|
|
- Arline McKenzie
- 5 years ago
- Views:
Transcription
1
2 Employee Benefits After the Affordable Care Act ~ NHRMA 2015 Conference & Tradeshow October 6, 2015 With Iris Tilley, Barran Liebman LLP
3 MEASUREMENT AND STABILITY PERIODS
4 Shared Responsibility Payment No OFFER of minimum essential coverage for 95% fulltime employees (and dependents) (70% for 2015) and at least one employee obtains subsidized exchange coverage (No offer) $2,000 annually ($ per month) per total number of full-time employees Exclude first 30 FT Employees (2015+) Excludes first 80 employees (2015) Applicable large employer $3,000 annually Employer offers minimum essential coverage but employee still obtains subsidized exchange coverage because contribution deemed unaffordable (Bad Offer) ($250 per month) per each full-time employee That receives premium tax credit/ cost-sharing reduction from an exchange
5 Variable Hour & Seasonal Employees Two Options: Continue to look at them on a month-by-month basis to determine coverage May measure hours over a longer period of time to determine if average hours are sufficient to require coverage Measurement & Stability Periods Definition of seasonal is still up in the air
6 Variable Hour & Seasonal Employees: Determining Full-Time Status Employers may use measurement period of 3-12 months to determine full-time status Employers also may have administrative period of up to 90 days to enroll variable-hour employees who are full-time Initial measurement and administrative periods combined can t require more than one full month wait after one-year anniversary
7 Variable Hour & Seasonal Employees: The Stability Period If variable-hour employee is full-time, coverage must be provided for stability period of greater of: 6 months, or Length of measurement period If employee terminates and is rehired, the employee may be treated as a new employee if the break was less than 26 consecutive weeks
8 Example New Hire Administrative Period (2 mos.) April 1, 2016 May 31, 2016 Initial Measurement Period (11 mos.) May 1, 2015 March 31, 2016 Initial Stability Period (11 mos.) June 1, 2016 April 30, Standard Measurement Period (12 mos.) Nov. 1, 2015 Oct. 31, 2016 Standard Stability Period (12 mos.) Jan. 1, 2017 Dec. 31, 2017 Ongoing Employee Administrative Period (2 mos.) Nov. 1, 2016 Dec. 31, 2016 Barran Liebman LLP
9 Using Measurement & Stability Periods Cannot be used to delay coverage to otherwise full-time employees Used where employer does not know if employee will be full time Most strategically useful for seasonal employees
10 Measurement and Stability Periods Tricky Little Rules Employees in a single category must be treated consistently: Hourly Salaried Collectively Bargained Noncollectively Bargained Employees covered by different collective bargaining agreements Special rules apply where an employee s status changes
11 ACA REPORTING
12 ACA Reporting: Who Cares? Employers with 50+ full-time equivalent employees Employers with self-insured health plans Health insurers Individuals The IRS
13 A Diversion: Counting Employees Calculation of Hours Number of full time employees + All hours worked by part-time employees that month /120 hours = Number of full-time equivalents (FTEs) Is this number greater than or equal to 100? 50? Members of a controlled group are aggregated
14 Two Types of Reports Insurer-Provided Health Coverage Report (the B Forms ) Employer-Provided Health Insurance Offer and Coverage Report (the C Forms )
15 The B Forms HEALTH COVERAGE REPORT
16 Health Coverage Report Purpose: Enforce the individual mandate Provided by: Health insurer Deadline: 1/31/16 for 2015
17 Health Coverage Report Filing Requirements: Two Forms: 1095-B 1094-B Transmittal Form Reports months an individual had health insurance coverage under a particular plan IRS will use this information to see who didn t have coverage for the full year
18 The C Forms EMPLOYER PROVIDED HEALTH INSURANCE AND OFFER OF COVERAGE REPORT
19 Employer Pay or Play Reporting This information is used: To determine if employers are liable for penalties To determine if individuals are eligible for subsidies Who files? All employers with 50 or more full-time equivalent employees (ALEs) No report is generally due if an ALE has no employees for any months in a reporting year
20 But I Participate in a Multiemployer Plan! Multiemployer plan participation does not eliminate reporting obligations Interim relief for shared-responsibility penalties Can agree with multiemployer plan for plan to do C-Form reporting IRS has stated that penalty for failure to report remains with the employer
21 REPORTING: THE DETAILS
22 What Employers Need to Do Now Determine reporting obligations Keep track of hours worked: Definitively full-time employees are easy Hourly employees should be pretty easy Part-time salaried employees can pose a challenge Keep track of offers of coverage: Best practice is to have employees who waive coverage sign a waiver form An offer of COBRA coverage to an employee losing coverage due to a reduction in hours would be reported
23 What Employers Need to Do Now (cont.) Determine who will be completing your forms: Payroll provider? Other third-party vendor? Determine if or how you plan to comply
24 Reporting Obligations 50+ Employers Sponsoring Self-Insured Plans: Form 1094-C & Form 1095-C 50+ Employers Sponsoring Insured Plans: Form 1094-C & Part of Form 1095-C Smaller Employers Sponsoring Self-Insured Plans: Form 1094-B & 1095-B Smaller Employers Sponsoring Insured Plans: None. The insurer will complete all reporting
25 1094-C Transmittal Form Each member of a controlled group needs to complete its own form
26 1094-C Transmittal form
27 1094-C (Cont.)
28
29
30 If or How You Plan to Comply Qualifying Offer: Offer a minimum value plan to all 30+ hour per week employees & their spouses and dependents Qualifying Offer (transitional): Permissible dependents are excluded 4980 Transitional Relief Employers with Employees 98% Offer Method This is the simplified reporting I mentioned earlier
31 Form 1095-C This is the form employers use to report an actual offer of coverage One form for each employee Draft 2015 forms have been released
32 Non-Calendar Year Plans
33 Alternative Methods of Reporting Simplified methods of reporting available to certain employers: Certification of qualifying offers Report not identifying full-time employees
34 Certification of Qualifying Offers Employer must certify that for all months in the calendar year that the employee was full-time, the following was true: The employer offered the employee a minimum value plan The annual cost to the employee for employee-only coverage did not exceed 9.5% of the federal poverty level for a single individual Employer offered minimum essential coverage to the employee s spouse and children, if any For 2015, if employer made a qualifying offer to 95% of full-time employees, spouses and children Report for employees receiving a qualifying offer for all 12 months will include Employee Name, SSN and Address along with code that qualifying offer was made
35 No Individualized Reporting Employer offers minimum value coverage: 60% actuarial value + affordable To 98%+ of its full-time employees Employer is not required to identify each fulltime employee
36 Distributing Reports to Employees Follows W-2 deadlines regardless of plan year Mail to employee s last-known address Electronic distribution permitted if employee consents
37 Filing with the IRS File with IRS by Feb. 28 for paper returns; March 31 for electronic returns Limited filing extensions of 30 days permitted Employer must show good cause Electronic reporting is required for employers filing 250 or more returns, but any employer can file electronically
38 Penalties for Noncompliance Up to $100 per return with a cap of $1,500,000 per calendar year (2015) Up to $250 per return with a cap of $3,000,000 per calendar year (2016+) We anticipate negotiation room in the first years of compliance DOL has staffed up, so expect audits
39 Questions? ~Thank You~ Iris Tilley
Pay or Play Penalty Transition Relief Provisions
Brought to you by Stellar Benefits Group Pay or Play Penalty Transition Relief Provisions Effective Jan. 1, 2015, the Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that
More informationHealth Care Reform Simplifying Reform - Issue date Feb. 14, 2014
Simplifying Insurance Benefit Services Health Care Reform Simplifying Reform - Issue date Feb. 14, 2014 Employer Shared Responsibility Final Regulations- Transitions Rules and Other Important New Guidance
More informationBy Larry Grudzien Attorney at Law
By Larry Grudzien Attorney at Law 1 Beginning in 2015, certain large employers may be subject to penalty taxes for failing to offer health care coverage for all full-time employees (and their dependents),
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 Employer Reporting Guide. A practical guide to understanding the ACA 1094 and 1095 employer reporting requirements
ACA Employer Reporting Guide A practical guide to understanding the ACA 1094 and 1095 employer reporting requirements Version 7 Updated October 2016 Table of Contents INTRODUCTION TO ACA EMPLOYER REPORTING...
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 informationDocumenting Method for Identifying Full-Time Employees
Provided by BB&T Insurance Services, Inc., McGriff, Seibels & Williams, Inc., BB&T Insurance Services of California, Inc., and Precept Insurance Solutions, LLC Documenting Method for Identifying Full-Time
More informationQ&A from Assurex Global Webinar "Final ACA Regulations on How to Define Full-Time Employees" May 22, 2014
Q: 4980H(a) penalty - $166.67 per mo per employee not counting A: Yes, that's correct for 2015 on a monthly basis; it would be necessary to multiply that amount first 80 in 2015. We have over 100 FTE's
More informationReady or Not: ACA Reporting Starts March 31 st!
Ready or Not: ACA Reporting Starts March 31 st! Presented February 2016 by Mary Powell, Tiffany Santos, Elizabeth Loh, Callan Carter & Eric Schillinger Agenda Introduction The Big Picture Open Questions
More informationIRS Issues Final Rules on Large Employer Reporting Requirements
IRS Issues Final Rules on Large Employer Reporting Requirements Provided by Cornerstone Group On March 5, 2014, the IRS issued a final rule on the section 6056 reporting requirements. Reporting is required
More informationAffordable Care Act Key Questions for Employers
Affordable Care Act Key Questions for Employers May 16, 2013 Key questions an employer must ask Am I potentially subject to the penalty? When are the rules effective? Who do I have to cover? When do I
More informationThe Employer Shared Responsibility Under the Affordable Care Act
The Employer Shared Responsibility Under the Affordable Care Act For more information contact: Robert A. Fisher Partner, Deputy Chair, Labor and Employment Law Department Foley Hoag LLP 617.832.1235 rfisher@foleyhoag.com
More informationPay or Play Penalties Look-back Measurement Method Examples
Brought to you by Sullivan Benefits Pay or Play Penalties Look-back Measurement Method Examples The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health
More informationSHRM Meeting Health Care Reform: Considerations for 2014 / 2015
SHRM Meeting Health Care Reform: Considerations for 2014 / 2015 Bobbie Honesty / Director, Strategic Benefit Services bobbie.honesty@manpowergroup.com May 1, 2014 Disclaimer This presentation is being
More informationHealth Care Reform EMPLOYER BASICS 11/11/13. Health Care Reform Update. Ross Manson, Principal Tonya M. Rule, Tax Manager
Health Care Reform Ross Manson, Principal Tonya M. Rule, Tax Manager 1 Health Care Reform Update ACA employer penalties delayed until 2015 1/1/2014 Establishment of Public Exchanges Payment of Individual
More informationHealth Care Reform Employer Mandate Compliance Roadmap
Health Care Reform Employer Mandate Compliance Roadmap Ben Conley (312) 460-5228 bconley@seyfarth.com Seyfarth Shaw LLP April 7, 2015 Today s Roadmap Is my company subject to the mandate? When does the
More informationMastering Forms 1095-C and 1094-C. Brought to you by Preferred Insurance and The DeChristopher Group May 20, 2015
Mastering Forms 1095-C and 1094-C Brought to you by Preferred Insurance and The DeChristopher Group May 20, 2015 Disclaimer The information contained in this presentation is based on IRS guidance issued
More informationAffordable Care Act Reporting Requirements
Affordable Care Act Reporting Requirements Holly Murphy Senior Attorney, TASB Legal Services April 27, 2015 Goals How reporting applies to your service center Form 1095 C Form 1094 C Materials Materials
More informationHealth Care Reform Update
Health Care Reform Update Issue 8-2013 March 13, 2013 Pay or Play Penalty Examples for Determining Full-time Status Under section 4980H of the Affordable Care Act (ACA), large employers may be subject
More informationHealth Care Reform. Preparing for the Coming Storm. Health Care Reform Fox Rothschild
Preparing for the Coming Storm 1 The Frustration Sets In We Should All Look the Same Brand New Terms Employer Shared Responsibility Applicable Large Employer Full Time Equivalent Measurement Period Stability
More informationAffordable Care Act: Large Employer Shared Responsibility Final Rules and Transition Relief
2013 CliftonLarsonAllen LLP Affordable Care Act: Large Employer Shared Responsibility Final Rules and Transition Relief CLAconnect.com National Parking Association May 14, 2015 Agenda Refresher on the
More informationAffordable Care Act Reporting Requirements
Affordable Care Act Reporting Requirements Amy Magee Senior Attorney for Community Colleges Texas Association of School Boards. Texas Association of School Boards, Inc. All rights reserved. Goals How reporting
More informationDocumenting 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 offer health insurance coverage to substantially all full-time employees and dependents.
More informationReporting Presented by: Greg Stancil, RHU, ChHC Director of Health Care Reform Scott Benefit Services
6055 6056 Reporting Presented by: Greg Stancil, RHU, ChHC Director of Health Care Reform Scott Benefit Services This Scott Benefit Services presentation is not intended to be exhaustive nor should any
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 informationACA Reporting Checklist for Self-Insured Employer Plan Sponsors
ACA Reporting Checklist for Self-Insured Employer Plan Sponsors IRC Section 6055 EMPLOYER TASK CHECKLIST WHAT NEEDS TO BE DONE Define employer s status as a controlled group or member of a controlled group
More informationThe Affordable Care Act Part II Collection/Record Keeping and Government Filings
25029170v3 The Affordable Care Act Part II Collection/Record Keeping and Government Filings Mark Boxer Partner, DLA Piper LLP (US) and Anne Pachiarek Partner, DLA Piper LLP (US) Content Slides Purpose
More informationREVIEW OF THE REPORTING REQUIREMENTS UNDER CODE SECTIONS 6055 AND 6056
REVIEW OF THE REPORTING REQUIREMENTS UNDER CODE SECTIONS 6055 AND 6056 By Larry Grudzien Attorney at Law (708) 717-9638 larry@larrygrudzien.com September 2014 Introduction The Affordable Care Act ( ACA
More information2016 Compliance Checklist
Brought to you by Risk Management Advisors, Inc. 2016 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
More informationHealth Care Reform Pay or Play Rules Applicable to Colleges and Universities. May 17, Patrick M. Allen
Health Care Reform Pay or Play Rules Applicable to Colleges and Universities May 17, 2013 Patrick M. Allen Health Care Reform: An Overview Phase I: 2010 2013 New patient protections Administrative changes
More informationNew Employer Shared Responsibility Penalty Guidance: Timely Employer Action Needed
Employee Benefits & Executive Compensation Alert March 2013 New Employer Shared Responsibility Penalty Guidance: Timely Employer Action Needed The Affordable Care Act, the federal health care reform law
More informationPrelude Section 6055 MEC Reporting Section 6056 ALE Reporting Information Applicable to Both 6055 and 6056 The IRS Forms Takeaways Questions
Presented by: Frances Horn, JD,PHR Employee Benefits Compliance Officer Prelude Section 6055 MEC Reporting Section 6056 ALE Reporting Information Applicable to Both 6055 and 6056 The IRS Forms Takeaways
More informationDecoding the Codes. Understanding the IRS Form 1095-C ACA Reporting Codes. hubemployeebenefits.com
Decoding the Codes Understanding the IRS Form 1095-C ACA Reporting Codes hubemployeebenefits.com Decoding the Codes Form 1095 - C Part II Common Coding Combinations IMPORTANT NOTE The code combinations
More information2015 Heath Care Reform Compliance Overview
2015 Heath Care Reform Compliance Overview 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. Many of these key
More informationHealth Care Reform: Laying the Groundwork January 23, 2013
A Better Partnership Health Care Reform: Laying the Groundwork January 23, 2013 Norbert F. Kugele nkugele@wnj.com (616) 752-2186 2013 Warner Norcross & Judd LLP. All rights reserved. April A. Goff agoff@wnj.com
More informationEmployer Reporting Guide for Large Employers and 6056 Reporting for Large Employers
Employer Reporting Guide for Large Employers 6055 and 6056 Reporting for Large Employers Provided courtesy of Table of Contents Overview of Employer Responsibilities 3 Background 5 What Information To
More informationOverview of Health Care Reform and its Impact on Agricultural Employers 1 (as of October 2012)
Overview of Health Care Reform and its Impact on Agricultural Employers 1 (as of October 2012) This is an overview of the employer mandate contained in the Patient Protection and Affordable Care Act (PPACA),
More informationT R U S T E D A D V I S O R S. Providing Outstanding Client Service Boston /Cambridge/Newport / Providence / Waltham
T R U S T E D A D V I S O R S Providing Outstanding Client Service Boston /Cambridge/Newport / Providence / Waltham www.kahnlitwin.com Health Care Reform Overview Applicable Large Employer Determination
More informationKey Considerations in Avoiding and Calculating Penalties Pursuant to the Employer Shared Responsibility Mandate. Benefits & Human Resources Consulting
in Avoiding and Employer Shared Benefits & Human Resources Consulting Since 2010, most employers have implemented changes to their group health plans as required under the Patient Protection and Affordable
More informationHealth Care Reform. Ross Manson, Principal Tonya M. Rule, Tax Manager. Health Care Reform Update. ACA employer penalties delayed until /1/2014
Health Care Reform Ross Manson, Principal Tonya M. Rule, Tax Manager 1 Health Care Reform Update ACA employer penalties delayed until 2015 1/1/2014 Establishment of Public Exchanges Payment of Individual
More informationAffordable Care Act (ACA) Information Reporting Return Requirements. Presented by Christopher B. Clark, CEBS
Affordable Care Act (ACA) Information Reporting Return Requirements Presented by Christopher B. Clark, CEBS Learning Objectives Upon successful completion of this session, you should be able to: Recall
More informationACA Compliance Briefing for Self-Insured Employers. Part 2 ( Deep Dive on Pay or Play) John Hickman, Esq. 4980H In a Nutshell
1 ACA Compliance Briefing for Self-Insured Employers Part 2 ( Deep Dive on Pay or Play) Atlanta Office One Atlantic Center 1201 West Peachtree Street Atlanta, Georgia 30309-3424 (404) 881-7885 John Hickman,
More informationReform School Consolidated Sales
Reform School 2 Reform School Consolidated Sales Remedial Math (or How to Count to 50): Size priorityhealth.com 3 Remedial Math (or How to Count to 50): Size 4 Reform School Consolidated Sales Remedial
More informationHealth care reform update
Baker Tilly refers to Baker Tilly Virchow Krause, LLP, an independently owned and managed member of Baker Tilly International. Health care reform update Agenda > Recent updates for 2014 and beyond > Individual
More informationAffordable Care Act Update
Affordable Care Act Update CLAconnect.com May 19, 2015 Presented by: Anita Baker Session Objectives Identify key definitions impacting employer implementation of the Affordable Care Act Understand the
More informationIssue Fifty-Seven February 2013
Issue Fifty-Seven February 2013 February 13, 2013 The IRS recently released a Notice of Proposed Rule Making clarifying employers shared health care reform responsibilities. The notice covers many of the
More informationShared Responsibility for Employers Regarding Health Care Coverage
January 14, 2013 Shared Responsibility for Employers Regarding Health Care Coverage On December 28, 2012, the Internal Revenue Service ( IRS ) issued a Notice of Proposed Rulemaking for regulations providing
More information2018 Compliance Checklist
Provided by Hodge, Hart & Schleifer 2018 Compliance Checklist The Affordable Care Act (ACA) has made a number of significant changes to group health plans since the law was enacted in 2010. Many of these
More informationAffordable Care Act (ACA) Employer Health Coverage Reporting Requirements. Malcolm C. Slee, Esq. Groom Law Group December 9, 2015
Affordable Care Act (ACA) Employer Health Coverage Reporting Requirements Malcolm C. Slee, Esq. Groom Law Group December 9, 2015 Overview Focus on new IRS reporting requirements effective for 2015 (first
More informationChild coverage. Employers must offer coverage to full-time employees and their children under age 26, but not their spouses or domestic partners.
GRIST Report: IRS proposes rules for employers shared responsibility under health care reform By Kelly Traw, Barbara McGeoch and Kaye Pestaina of Mercer s WRG Jan. 9, 2013 In This Article Summary IRS proposes
More informationFinal Employer Play or Pay Mandate Guidance: Employer Action Needed
Employee Benefits & Executive Compensation Alert March 2014 Final Employer Play or Pay Mandate Guidance: Employer Action Needed The federal health care reform law enacted in 2010, known as the Affordable
More informationLegislative Update. Suzanne Spradley, SVP, Sr. Counsel, Legal & Compliance
Legislative Update Suzanne Spradley, SVP, Sr. Counsel, Legal & Compliance Agenda Employer Mandate Reporting Reporting obligations Review of reporting forms Reinsurance Contributions Plans and counting
More informationHealth Care Reform Beyond the Basics. Ross Manson, Principal Fargo, ND
Health Care Reform Beyond the Basics Ross Manson, Principal rmanson@eidebailly.com Fargo, ND 1 Health Care Reform EMPLOYER BASICS Employers key number is > 50 = Large Employer and subject to penalties
More informationAffordable Care Act Reporting Forms 1094 & February 2, 2016 Kathy D. Petrucci & Zachary Davis
Affordable Care Act Reporting Forms 1094 & 1095 February 2, 2016 Kathy D. Petrucci & Zachary Davis 614-586-7214 614-586-7235 Firm Overview Since 1956, & Co., Inc. provides accounting, tax, and business
More informationSolutions for ACA Implementation. berrydunn.com GAIN CONTROL
Solutions for ACA Implementation berrydunn.com GAIN CONTROL EMPLOYER PENALTIES: HOW DO YOU KNOW? When Right to Section 1411 Certification 2015 appeal From the Marketplace Certifies that EE has qualified
More informationIRS Reporting in 2018 What Employers Need to Know
IRS Reporting in 2018 What Employers Need to Know Presented by: Lorie Maring Phone: (404) 240-4225 Email: lmaring@ Fasten Your Seat Belts, It s Going to be a Bumpy (Ride)! Letter 226J IRS Begins Tax Assessments!
More informationACA - Healthcare Reform Update
ACA - Healthcare Reform Update What's new for 2014 and what you need to do in order to comply. Presented by: Renee Bosley VP Employee Benefits Leavitt Group Agenda Review of IRS Final Regs for Large Employer
More informationHEALTH INSURANCE INFORMATION REPORTING: Forms 1094 and 1095
HEALTH INSURANCE INFORMATION REPORTING: Forms 1094 and 1095 Information is reported to employees and the IRS information is used to determine if EMPLOYEE is subject to penalties Employer plan information
More informationDetermining Full-Time Employee Status for 2017
Affordable Care Act Employer Mandate Determining Full-Time Employee Status for 2017 Will Your Business Be Assessed An Employer Mandate Penalty? bcbsks.com MC18 05/17 An independent licensee of the Blue
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 informationEmployer Reporting of Health Coverage Code Sections 6055 & 6056
Brought to you by Raffa Financial Services Employer Reporting of Health Coverage Code Sections 6055 & 6056 The Affordable Care Act (ACA) created new reporting requirements under Internal Revenue Code (Code)
More informationGlossary of Terminology
Glossary of Terminology Form 1095C Form 1094C Individual Statement furnished by the ALE to both the IRS and Employee Company Statement furnished by the ALE to the IRS Administrative Period: It is a period
More informationHealth Care Reform s Pay or Play Rule: Action Items for Employers
Health Care Reform s Pay or Play Rule: Action Items for Employers John Barlament Quarles & Brady LLP john.barlament@quarles.com 414.277.5727 Topics for Today Political / regulatory forecast Seven Steps
More informationACA Update and Tackling the ACA s Reporting Requirements February 19, Presented by: Stacy H. Barrow Proskauer Rose LLP
ACA Update and Tackling the ACA s Reporting Requirements February 19, 2014 Presented by: Stacy H. Barrow Proskauer Rose LLP sbarrow@proskauer.com Agenda Recent Developments ACA Reporting Requirements 1
More informationShared Responsibility for Employers Regarding Health Coverage The Pay or Play Rules. Mary Powell & Brian Gilmore March 4, 2014
Shared Responsibility for Employers Regarding Health Coverage The Pay or Play Rules Mary Powell & Brian Gilmore March 4, 2014 Introduction On December 28, 2012, the Department of Treasury/IRS issued proposed
More informationPrompt action required by employers on health care reform: IRS issues play or pay regulations
JANUARY 16, 2013 Prompt action required by employers on health care reform: IRS issues play or pay regulations By Kate Ulrich Saracene, Tonie Bitseff and Thomas J. McCord The deadline for compliance with
More informationVSEBT Recommendations on Tracking Variable Hour Employees. May 17, 2013
VSEBT Recommendations on Tracking Variable Hour Employees May 17, 2013 Definitions and Discussion Points Who is an employee? IRS will define employee based on IRS s common law test who controls work performed
More informationGRIST InDepth: ACA guidance defines full-time employees and waiting periods for health coverage
GRIST InDepth: ACA guidance defines full-time employees and waiting periods for health coverage By Barbara McGeoch and Amy Bergner of Mercer s WRG Oct. 11, 2012 In This Article Summary Agencies offer guidance
More informationNEW YORK STATE AUTOMOBILE DEALERS ASSOCIATION & SYRACUSE AUTO DEALERS ASSOCIATION September 16, 2014 Meeting Syracuse, New York
NEW YORK STATE AUTOMOBILE DEALERS ASSOCIATION & SYRACUSE AUTO DEALERS ASSOCIATION September 16, 2014 Meeting Syracuse, New York Affordable Care Act Update Are We There Yet? Topics to be Covered Review
More informationReceived Letter 226J Now What?
Received Letter 226J Now What? Issued date: 12/15/17 The IRS issued Letter 226J to certain Applicable Large Employers ( ALEs ). This letter describes the proposed Employer Shared Responsibility Payment
More informationIRS Enforcement of Employer Mandate
Agenda How to Avoid an ACA Reporting Penalty And What to Do if You Get One IRS Enforcement of Employer Mandate Steps to Challenge Proposed Assessment Common Reporting Mistakes Tips Copyright 2018 American
More informationSimplifying Insurance. ACA Update. Insurance Employee Benefits Risk Management Financial Strategies
Simplifying Insurance ACA Update Insurance Employee Benefits Risk Management Financial Strategies simplifying Insurance simplifying Insurance simplifying Insurance BACKGROUND simplifying Insurance Affordable
More informationLarry Grudzien Attorney at Law
By Larry Grudzien Attorney at Law 1 The Affordable Care Act ( ACA ) created new reporting requirements under Internal Revenue Code ( Code ) 6055 and 6056. Under these new reporting rules, certain employers
More informationEmployer Shared Responsibility and Healthcare Reporting Requirements
Employer Shared Responsibility and Healthcare Reporting Requirements Presented by: Heather Stone Fletcher August 2015 Employer Shared Responsibility In general, requires applicable large employers to offer
More informationNeeded Information for Reporting under Code Section 6056 for Applicable Large Employers ( ALE ) with Self-Insured Health Plans
Needed Information for Reporting under Code Section 6056 for Applicable Large Employers ( ALE ) with Self-Insured Health Plans Information Needed Form/Lines Comments Answer General Applicable Large Employer
More informationAffordable Care Act Implementation for Employers
Affordable Care Act Implementation for Employers 2014 League of California Cities City Attorneys' Spring Conference May 9, 2014 Click icon to add picture Anne Hydorn, Partner ahydorn@hansonbridgett.com
More informationDarcy L. Hitesman. MACA/MCHRMA Conference September 10, 2015 MACA/MCHRMA 9/10/15
Darcy L. Hitesman MACA/MCHRMA Conference September 10, 2015 MACA/MCHRMA 9/10/15 1 Two new reporting requirements beginning in 2016 Caution: Based on 2015 calendar year data. Reporting requirement not tied
More informationHEALTH CARE REFORM: EMPLOYER ACTION OVERVIEW
CORPORATE BENEFITS COMPLIANCE WHITE PAPER HEALTH CARE REFORM: EMPLOYER ACTION OVERVIEW MARCH 23, 2010 EMPLOYER ACTION REQUIRED NOTES Nursing Mothers Employers must provide a reasonable break time for non-exempt
More informationWashington Council. Legislative Alert. Treasury, IRS Release Notice of Proposed Rulemaking on Health Care Law s Employer Requirements !
Washington Council Legislative Alert Treasury, IRS Release Notice of Proposed Rulemaking on Health Care Law s Employer Requirements!@# The Department of the Treasury and the IRS on Friday, December 28,
More informationNDUS ACA Eligibility Criteria, Draft 10/28/14
NDUS ACA Eligibility Criteria, Draft 10/28/14 1. Applicable Large Employer a. State of ND has determined that it is an applicable large employer b. Notified by OMB and PERS on 7/2/14 that the State of
More informationDetermining Applicable Large Employer Status & Full-Time Equivalent Employees
Determining Applicable Large Employer Status & Full-Time Equivalent Employees Q Who is considered an employee? A For these purposes, an individual who is an employee under the common law standard is considered
More informationThis presentation provides general information regarding its subject and explicitly may not be construed as providing any individualized advice
2 This presentation provides general information regarding its subject and explicitly may not be construed as providing any individualized advice concerning particular circumstances. Persons needing advice
More informationAffordable Care Act: 2015 Transition Rules
Affordable Care Act: 2015 Transition Rules J. Clark Pendergrass Lanier Ford Shaver & Payne P.C. 2101 West Clinton Avenue, Suite 102 Huntsville, AL 35805 256-535-1100 JCP@LanierFord.com www.lanierford.com
More informationHealth Reform Update: Reporting Provisions
April 24, 2014 Action Required Prior to 2015 Health Reform Update: Reporting Provisions In March, the Internal Revenue Service (IRS) issued final rules on the informational reporting requirements for health
More information06/29/2015_830 AM. Healthcare Reform How Will Your Business be Affected in 2015 and Beyond? Introduction
Healthcare Reform How Will Your Business be Affected in 2015 and Beyond? Introduction Overview of ACA Healthcare Reform in 2015 What s on the Horizon Potential Legislative Actions Patient Protection and
More informationAFFORDABLE CARE ACT (ACA) INFORMATION REPORTING AND COMPLIANCE
AFFORDABLE CARE ACT (ACA) INFORMATION REPORTING AND COMPLIANCE APRIL 17, 2014 Speakers Catherine Creech, Ernst & Young LLP Principal, National Tax Department catherine.creech@ey.com Helen Morrison, Ernst
More informationAffordable Care Act: What Employers Need to Know to be in Compliance in 2014
Affordable Care Act: What Employers Need to Know to be in Compliance in 2014 October 2013 Stacy H. Barrow sbarrow@proskauer.com 1 Agenda Initial Observations Compliance Calendar Checklist: Important dates,
More informationOperating Engineers Local 101 Health and Welfare Fund 6601 Winchester, Suite 250, Kansas City, Missouri
Operating Engineers Local 101 Health and Welfare Fund 6601 Winchester, Suite 250, Kansas City, Missouri 64133 816-737-5959 November 2015 To: Re: Contributing Employers, Operating Engineers Local 101 Health
More information(ii) in the event there is a change in benefits, the coverage provides minimum value after the change; and
1 Q: Are seasonal employees exempt from determining the overall FTE count for determining if an employer is an Applicable Large Employer. A: Whether an employer is an applicable large employer (50 or more
More informationEmployer s Forum. ACA Update Presented by: Chad Morris, Vice President - Employee Benefits Consultant Gregory & Appel
Employer s Forum ACA Update 5-12-15 Presented by: Chad Morris, Vice President - Employee Benefits Consultant Gregory & Appel Presenter Chad Morris Vice President Employee Benefits Consultant PPACA Certified
More informationVEHI FAQ. General Questions & Answers about the Affordable Care Act
VEHI FAQ General Questions & Answers about the Affordable Care Act Updated August, 2014 This VEHI FAQ has been updated to reflect recently released guidance on affordability provisions of the ACA. These
More informationCabrillo College ACA Overview. May 2015
Cabrillo College ACA Overview May 2015 PURPOSE OF HEALTH CARE REFORM Improve access to healthcare Require health insurance Larger employers must offer comprehensive, affordable coverage Create healthcare
More informationSummary of 6055 and 6056 Reporting Obligations
Summary of 6055 and 6056 Reporting Obligations On March 10, 2014, the IRS released final regulations detailing the reporting requirements for information returns and individual statements under Code 6055
More informationGCG FINANCIAL Health Care Reform Webinar Series Part II: Deep Dive Into Employer Mandate. March 12, 2013
GCG FINANCIAL Health Care Reform Webinar Series Part II: Deep Dive Into Employer Mandate March 12, 2013 David Levitz GCG Financial, Inc. 3000 Lakeside Drive Bannockburn, IL 60015 (847) 457-3003 David.Levitz@gcgfinancial.com
More information90-day Waiting Period Limit
Brought to you by R&R Insurance Services 90-day Waiting Period Limit For plan years beginning on or after Jan. 1, 2014, the Affordable Care Act (ACA) prohibits group health plans and group health insurance
More informationTHE FINAL STEPS TO PAY OR PLAY WHAT EMPLOYERS NEED TO KNOW TO ENSURE 2014
THE FINAL STEPS TO PAY OR PLAY WHAT EMPLOYERS NEED TO KNOW TO ENSURE 2014 COMPLIANCE Presented by Kathleen Wampold, Director of Compliance, Alliant March 12, 2013 AGENDA Introduction Pay or Play Updates
More information19 th ANNUAL MAINE TAX FORUM Solutions for ACA Implementation
19 th ANNUAL MAINE TAX FORUM Solutions for ACA Implementation BerryDunn Employee Benefits Group November 4, 2015 berrydunn.com GAIN CONTROL EMPLOYER MANDATE: WHO SHOULD WORRY? SIZE MATTERS! Small Employer
More informationExpanded Evolution ACA User Guide. Evolution. payrollexperts.com
Expanded Evolution ACA User Guide Evolution 2017 payrollexperts.com 877.536.1907 Payroll Experts - Evolution 2017 ACA User s Guide Table of Contents Affordable Care Act - Employer Responsibilities Overview...
More informationLooking for a Life Vest?
Looking for a Life Vest? November 20 th, 2014 @thomasharte Agenda: Looking for a Life Vest? Health Care Reform: What s new with ACA?? Provisions Already in Effect Preparing for Health Care Reform Primary
More informationHealth Care Reform What Are the Changes for Employers. Greenberg Traurig
Health Care Reform What Are the Changes for Employers Nancy Taylor Greenberg Traurig July 20, 2012 GREENBERG TRAURIG, LLP ATTORNEYS AT LAW WWW.GTLAW.COM 0 Information on Presentation Background on ACA
More information