Health Care Reform IMPACT ON INDIVIDUALS & BUSINESSES
|
|
- Emerald Mason
- 6 years ago
- Views:
Transcription
1 Health Care Reform IMPACT ON INDIVIDUALS & BUSINESSES How do Most Consumers Feel? What You Will Learn Today: Am I eligible for a premium subsidy? Is my business eligible for a tax credit? Do I have to offer my employees group health insurance? How will the new laws affect my employees without insurance? What are the penalties to individuals and businesses without health insurance? 1
2 A Timeline of Change: 2010 Health Care Reform bill signed into law March 23, 2010 Elimination of Lifetime Maximums Dependants coverage to age 26 Coverage for children with pre-existing conditions Small Business Tax Credit Temporary coverage for consumers with pre-existing conditions (PCIP - ran out of funding 2013). Right to appeal health plan decisions A Timeline of Change: 2011 & /20 Rule Medical Loss Ratio (MLR): rebate offered if your insurance carrier didn t spend 80 cents out of every premium dollar to pay for medical claims and activities that improve the quality of care. Rebate should be distributed proportionately to what the employer/employee pay New preventive services for women Summary of Benefits Coverage (SBC) and Uniform Glossary A Timeline of Change: 2013 Department of Labor letters distributed to employees by October 1 st, 2013 October 1, 2013 Open enrollment in the Federally Facilitated Marketplace ( Exchange ) begins. SHOP delayed until November 1, 2013 What is an Exchange? An organized marketplace for the purchase of state or federally regulated and standardized health care plans. Virginia has a federally funded exchange. 2
3 A Timeline of Change: 2013 Enrollment ends March 15, 2014 all individuals must enroll in a healthcare plan (on/off) by this date or they will have to wait until the next open enrollment beginning October 15, 2014 (will pay a penalty for months uninsured) Only exception to the rule: qualifying event Death Divorce Birth Loss of coverage What is Coming in 2014? Individual Market Individual Mandate a requirement by law that certain persons purchase health insurance or pay a penalty $95 per person ($285 max for a family) or 1% over household income $325 per person or 2% over household income $695 per person or 2.5% over household income 3
4 Individual Mandate Exemptions Religious objection Incarcerated individuals Taxpayers with income under 100 percent of poverty (Medicaid) Those who have a hardship waiver People with no income tax liability Members of Indian tribes Those who were not covered for a period of less than three months during the year in 2014 Those that are not lawfully present in the US Premium Subsides Advanceable premium subsidy available to those that are under 400% of the poverty level. Federal Poverty Level Chart shows the income thresholds based on family size (how many claimed on tax return) 1 person - $45,960 2 person - $62,040 Family of 4 - $94,200 4
5 Premium Subsidies: Must purchase insurance through the exchange to receive the subsidy If employer provides affordable coverage, consumer is not eligible for subsidy Certified brokers are able to shop on the exchange and calculate subsidies for consumers Applicants need to provide projected 2014 household gross income so brokers can calculate the subsidy How are Rates Determined? Adjusted Community Rating (ACR) Age Tobacco use (up to 50% more) Geographic Location (VA has 12 metropolitan rating areas) Tier of Coverage Rates are no longer based on medical history or claims. Medical underwriting no longer determines rates. How are Rates Determined? Going from 10 age bands to 48 age bands Ratio now is 7:1, going to 3:
6 10 Essential Health Benefits Outpatient care Emergency Room Inpatient care Maternity / Well baby visits Mental Health and Substance Abuse visits Prescription Drug coverage Physical/Occupational/Speech Therapy Lab Testing Preventive care visits including care to manage chronic disease Pediatric dental and vision How are Benefits Affected? All plans currently in place will no longer be available after December 2013 unless it is a grandfathered plan New Plans Platinum (90%), Gold (80%), Silver (70%), and Bronze (60%) Annual Deductible Limits: Individuals $2,000 and Family $4,000 New OOP Maximum Increases: Individuals $6,350 and Family $12,700 HMO products dominate the market with limited provider networks on and off exchange Coverage for clinical trials Mary, age 23, salary of $30,000 What are her choices? Stay on parents plan until she is age 26 Purchase insurance through her employer and pay a portion of the insurance premium Purchase insurance through a private carrier off the exchange and pay full price Purchase insurance through the FFM (exchange) and receive a premium subsidy limiting her monthly premium to 9.5% of her income ($237.50) Choose to buy no coverage and pay a penalty of $300 in 2014 and will be able to pick up coverage after illness or injury occur, but only during annual open enrollment period. 6
7 Frances, age 60, salary $46,000, tobacco What are her choices? Purchase insurance off of the exchange through a private carrier and be rated up 50% more because of her tobacco use Choose to purchase no insurance and pay a penalty at the end of 2014 ($460) Frances is above 400% of the poverty level, so she is not eligible to shop on the exchange and receive a subsidy What is Coming in 2014? Group Market ACR substantial increases for small business with young employees and low risk ratings Detailed monthly reporting required by IRS/HHS FTE must auto enroll New hire waiting period max 90 days Spouse coverage no longer required of employers Employer Shared Responsibility Provision requires employers with 50+ FTE and 30 or more FT employees to pay a penalty What is Coming in 2014? Group Market Small group in VA 2-49 employees (elimination of medical underwriting and risk rating) Large group in VA 50+ (medical underwriting still exists) Additional Medicare withholding on wages increase by.9% (from 1.45% to 2.35%) for employees with income over $200,000 for single filers and $250,000 for married filing jointly. Employer portion of the tax (1.45%) will remain unchanged. 7
8 Full Time Employee Full Time Employee = 30+ hours per week or salary FTE = Full Time Equivalent: How to calculate FTE: 1. Exclude owners, family, and seasonal employees 2. Add number of FT + salary employees 3. Add remaining payroll hours / 2080 hrs per year The IRS states that the definition of a season employee is one that works 120 days or less. Employer Shared Responsibility Requires employers of 50+ FTEs AND 30 or more FT employees to pay a penalty. -Employer does not offer coverage and at least one employee receives a subsidy - $2000 per full time employee, excluding the first 30 employees. OR -Employer offers coverage, but it s not affordable and at least one employee receives a subsidy - $3000 penalty for each employee receiving subsidy OR up to a maximum of $2000 for each full time employee (excluding the first 30). Employer Shared Responsibility Payment Delayed until
9 Example 1: Wiget Company has 60 FTE s and 40 of those work 30 or more hours. Business is exempt for the first 30 employees; penalty is imposed for 10 employees. 10 X $2,000 = $20,000 Annual penalty is $20,000 over the course of 12 months Example 2: ABC Company has 50 FTE s and 30 of those employees work 30 + hours a week. No penalty imposed because ABC Company is exempt for first 30 employees. Affordable Coverage Coverage is affordable if: - The employees required premium/contribution for self-only coverage does not exceed 9.5% of the employee s W-2. - Employers must offer minimum standard coverage of at least 60% of medical expenses (Bronze plan). 9
10 Tax Credits for Small Business Small Business Tax Credit offered to employers with 25 or fewer FTE and $50,000 or lower average annual salary = up to 35% credit (25% non-profit) = up to 50% credit (35% non profit) Phased out between FTE and $25,000 to $50,000 average annual salary. Employers must shop through the exchange (SHOP) to receive tax credit Joe s Barber, 10 FTE, average salary $35,000 What are their choices? Do not offer employer group coverage. They will not face a penalty because they are under 50 FTE, however any uninsured employee will face the penalty Purchase insurance outside the exchange through a private carrier and receive no tax credit Purchase insurance through the SHOP and receive a tax credit of up to 50% (35% for nonprofits) towards premiums employer has paid out. Credit is limited to 2 years Wigets R Us, 75 FTE (50 FT) avg salary $70K What are their choices? Choose not to offer coverage and pay the penalty, the lesser of $2,000 x (50-30) or $3,000 if employee goes to exchange and receives a subsidy Offer coverage and pay 50% toward employers premiums, whereas employees are paying 12% of their salary in insurance premiums. Must pay penalty as stated above because coverage is not affordable by definition Offer coverage and pay 80% towards employee premiums, whereas employees are paying 9.4% of their income in premiums. No penalty because coverage is affordable No tax credit available due to average salary and number of employees 10
11 23 Days into Open Enrollment: Daily system glitches and unsuccessful application submissions Carriers with limited plans don t have approval for all plans in 2014, therefore rates are delayed Higher rates for individuals and groups that don t early renew or that don t qualify for the tax credit Groups experiencing premium increases so high that tax credit does not offset the increase enough Carriers are reporting 40-50% increase for small groups in 2014 What Our Clients Are Seeing: Example 1: Local Non-Profit 5 Employees Currently June 1, 2014 renewal Early Renewal Option - $4,200 June renewal - $7,078 Example 2: Manufacturing facility in Alexandria 23 Employees Currently January 1, 2014 renewal Early Renewal Option - $5,600 January 1, 2014 renewal - $13,600 Our Advice: Take Early Renewal Options to keep current coverage for another year while the systems and actuarial tables level themselves out Let the dust settle on health care reform guidelines, etc Talk to a certified broker to review options for your business and your employees in the open marketplace. 11
12 Q & A Thank you 12
Frequently Asked Questions about Health Care Reform and the Affordable Care Act
Frequently Asked Questions about Health Care Reform and the Affordable Care Act HEALTH CARE REFORM OVERVIEW Q 1: What ACA changes are already in place? There are no lifetime dollar limits on essential
More informationOVERVIEW OF THE AFFORDABLE CARE ACT. September 23, 2013
OVERVIEW OF THE AFFORDABLE CARE ACT September 23, 2013 Outline The New Continuum of Coverage Medicaid and CHIP Are Changing The New Marketplaces Insurance Affordability Programs Shared Responsibility Requirement
More information6/20/13 Presented By: Mike Marchini, Beckie Lewis, & Liz Logsdon or
CBIZ PRESENTS Affordable Care Act: The Impact on Your Business & Your Employees 6/20/13 Presented By: Mike Marchini, Beckie Lewis, & Liz Logsdon 301-777-1500 or 800-624-0954 Determine Which PPACA Provisions
More informationTHE AFFORDABLE CARE ACT...2
Table of Contents THE AFFORDABLE CARE ACT...2 Health Insurance Marketplace (Exchange)...3 Metallic Levels...4 Catastrophic Plans...4 Individual Mandate...5 Subsidies...5 Open Enrollment Period...6 Special
More informationHealth Care Reform. The Affordable Care Act
1 Health Care Reform The Affordable Care Act House Keeping items.. 1. All phone lines are muted so please send any questions you may have via the chat session during the webinar. 2. All slides will be
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. Navigating The Maze Of. What s Inside
Navigating The Maze Of Health Care Reform What s Inside Questions and Answers on Health Care Reform Health Care Reform Timeline Health Care Reform Glossary Questions and Answers on Health Care Reform I
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 information2014 AFFORDABLE CARE ACT (OBAMA CARE)
2014 AFFORDABLE CARE ACT (OBAMA CARE) Planning for 2014 Tax Return Filings O Beginning 2014, the ACA requires all persons be covered by health insurance O Individuals not covered by Medicare, their employers,
More informationHealth Care Reform: Be Prepared for 2014
Health Care Reform: Be Prepared for 2014 Your Health Care Reform Team: Moderator Eboni Britt POMCO Group Marketing Manager Co-presenter Jessica Marabella POMCO Group Account Manager Co-presenter Amy Zell
More informationGLOSSARY OF KEY AFFORDABLE CARE ACT AND COMMON HEALTH PLAN TERMS
GLOSSARY OF KEY AFFORDABLE CARE ACT AND COMMON HEALTH PLAN TERMS Note: in the event of any conflict between this glossary and your plan document/summary plan description (SPD) or policy/certificate, the
More informationHealth Policy Essentials: Private Health Insurance. Bernadette Fernandez, Annie Mach, Janemarie Mulvey March 1, 2013
Health Policy Essentials: Private Health Insurance Bernadette Fernandez, Annie Mach, Janemarie Mulvey March 1, 2013 Private Health Insurance Insurance provides protection from economic loss Risk likelihood
More informationTHE AFFORDABLE CARE ACT: 2014 AND BEYOND
THE AFFORDABLE CARE ACT: 2014 AND BEYOND October 28, 2013 Howard Van Mersbergen, Vice President of Employee Benefits, Christian Schools International Julie Sessions, Principal, Mercer Patient Protection
More informationAffordable Care Act. Small Businesses with 1-49 Employees. Simplified for. Questions?
Affordable Care Act Simplified for Small Businesses with 1-49 Employees Questions? Email smallbizhealth@intuit.com @2013 Intuit, Inc. All Rights Reserved. Summary Starting on January 1, 2014, the Affordable
More information4/22/2014. Health Care Reform. Disclosure. Health Care Reform. How Will it Change Your Business Strategy?
Health Care Reform How Will it Change Your Business Strategy? OHCA Educational Session April 29 th, 2014 Presented by: Roderick S. Wood, CHRS Huntington Insurance, Inc. Disclosure This presentation contains
More informationAn Employer s Guide to Health Care Reform. Important details to navigate employer-provided benefits amidst a changing health care landscape.
An Employer s Guide to Health Care Reform Important details to navigate employer-provided benefits amidst a changing health care landscape. Navigating a new health care landscape Health care reform, also
More informationNavajo County Schools EBT
Navajo County Schools EBT Affordable Care Act (ACA) Update Aaron Polkoski Segal Consulting January 31st, 2014 Copyright 2013 by The Segal Group, Inc., parent of The Segal Company. All rights reserved.
More informationWilliam A. Dombi, Esq. National Association for Home Care & Hospice November 2, 2013
William A. Dombi, Esq. National Association for Home Care & Hospice November 2, 2013 Health Care Reform Framework Health insurance reforms Expanded Medicaid eligibility Care delivery reforms/experiments
More informationAldridge Financial Consultants January 12, 2013
Aldridge Financial Consultants Mark D. Aldridge, CFP, CFA, ChFC 3021 Bethel Road Suite 100 Columbus, OH 43220 614-824-3080 Fax 614 824-3082 mark.aldridge@raymondjames.com www.markaldridge.com Health-Care
More informationACA: Implementation Rules & Strategies. Joan Canning, MBA, HIA HR Advocate, LLC
ACA: Implementation Rules & Strategies Joan Canning, MBA, HIA HR Advocate, LLC THE Affordable Care Act (ACA) When it comes to spending we re #1: Of the Top 30 industrial countries the U.S.A. spends more
More informationHealth Care Reform Update:
Health Care Reform Update: The Employer Mandate and Other Considerations for 2013 February 13, 2013 Today s Agenda Health Care Reform three new concepts Strategic Decisions for Employers in 2013 - Will
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 informationHealth Care Reform at-a-glance
Health Care Reform at-a-glance August 2015 Table of Contents Employer mandate...3 Individual mandate...3 Health plan provisions applying to both grandfathered and non-grandfathered employer plans...4 Health
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 informationThe Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act 2015 marks the beginning of the fifth full year of the Patient Protection and Affordable Care Act (ACA). We want to take the opportunity to look ahead and
More informationEnrolling in the Health Insurance Marketplace MAINE LOBSTERMEN S ASSOCIATION APRIL GILMORE, NAVIGATOR
Enrolling in the Health Insurance Marketplace MAINE LOBSTERMEN S ASSOCIATION APRIL GILMORE, NAVIGATOR Overview Provide information to help you understand the Health Insurance Marketplace MLA s focus is
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 information10/24/13. True or False
1 True or False The Affordable Care Act is causing healthcare premiums to sky rocket. The Affordable Care Act offers insurance options to people who could not access health insurance before. The Affordable
More informationHealth Insurance Webinar Series: The Affordable Care Act Updates for 2017
Health Insurance Webinar Series: The Affordable Care Act Updates for 2017 What is the Affordable Care Act (ACA)? The Patient Protection and Affordable Care Act (PPACA) of 2010 or Affordable Care Act (ACA),
More informationCrosses the Finish Line. A presentation for the Manufacturer & Business Association
Health Care Reform Crosses the Finish Line A presentation for the Manufacturer & Business Association Background Statement of the problem 50,000,000 uninsured Healthcare costs rising at 2x 4x annual rate
More informationAFFORDABLE CARE ACT SMALL 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 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 informationRehmann Live! ACA Impact: Addressing the
Rehmann Live! ACA Impact: Addressing the Affordable Insert Care Presentation Act s effect on the Title public Here sector Presented by: Don McAnelly, CPA, ABV, CGMA Michael P. James, JD, MBA, CSSGB Don
More informationAffordable Care Act Planning for CPAs. Ben Conley Seyfarth Shaw LLP
Affordable Care Act Planning for CPAs Ben Conley Seyfarth Shaw LLP Overview Background ACA & Taxes Taxes on Employers (and Tax Credits for Employers) Taxes on Individuals (and Tax Credits for Individuals)
More informationPRIVATE HEALTH INSURANCE MARKET REFORMS. Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010
PRIVATE HEALTH INSURANCE MARKET REFORMS Presented to AICP, Western Chapter By Kenneth Schnoll May 6, 2010 1 OVERVIEW On March 25, 2010 both chambers of Congress passed H.R. 4872, the Health Care Education
More information8/7/2013 INSURANCE MADE SIMPLE. 1
Presented by: Mark E. Baker Vice President Employee Benefits INSURANCE MADE SIMPLE. 1 Health Care Reform provisions in effect 2010-2012 Large Employer Defined Pay or Play Mandate and Penalties Small Employer
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 informationPatient 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 informationAFFORDABLE CARE ACT: SMALL EMPLOYER HEALTH REFORM CHECKLIST
White Paper AFFORDABLE CARE ACT: SMALL EMPLOYER HEALTH REFORM CHECKLIST White Paper AFFORDABLE CARE ACT: SMALL EMPLOYER HEALTH REFORM CHECKLIST Employers that offer health care coverage to employees are
More informationSimple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.
Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide
More informationHealth Care Reform Health Plans Overview
Health Care Reform Health Plans Overview Topics Status of health care reform Grandfathered plans Timeline for compliance Health Care Reform What is It? Patient Protection and Affordable Care Act (PPACA)
More informationSelected Tax Issues Under Patient Protection and Affordable Care Act (PPACA)
Selected Tax Issues Under Patient Protection and Affordable Care Act (PPACA) J. Clark Pendergrass Lanier Ford Shaver & Payne P.C. 2101 West Clinton Ave., Suite 102 Huntsville, AL 35805 256-535-1100 jcp@lanierford.com
More informationEffects of the Affordable Health Care Act
Effects of the Affordable Health Care Act A Focus on Financial, Administrative and Plan Impacts February 27, 2013 Presented By J.W. Terrill Consulting Services Agenda Introduction: Patient Protection &
More informationOverview of New Reform Law. Federal Healthcare Reform: Impacts on Employer-Sponsored Plans. Agenda
: Impacts on Employer-Sponsored Plans June 3, 2010 Employee Benefits Planning Association Jack McRae SVP, Congressional and Legislative Affairs Premera Blue Cross Jim Grazko VP and General Manager, Underwriting
More informationAffordable Care Act. August 20 th, 2013 Stan W. Reynolds Vice President
Affordable Care Act August 20 th, 2013 Stan W. Reynolds Vice President Key Positions in the Affordable Care Act 1. Public Marketplace and available federal subsidies 2. Health insurance availability to
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 informationAFFORDABLE CARE ACT FAQ
AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want
More informationHealth Care Reform Frequently Asked Questions
Health Care Reform Frequently Asked Questions What are health exchanges, or marketplaces, and when are they going to be available? Health insurance exchanges, now called health insurance marketplaces,
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 informationPresented by: Jim Gilbert Registered Health Underwriter & Registered Employee Benefits Consultant
Healthcare Reform Update 18 th Annual Update for Accountants Presented by: Jim Gilbert Registered Health Underwriter & Registered Employee Benefits Consultant Thursday, December 5 th, 2013 What is Health
More informationH E A L T H C A R E R E F O R M T I M E L I N E
H E A L T H C A R E R E F O R M T I M E L I N E On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into law. The ACA makes sweeping changes to the U.S.
More informationTO UNDERSTANDING THE AFFORDABLE CARE ACT
3 STEPS TO UNDERSTANDING THE AFFORDABLE CARE ACT What s Inside Step 1: What Understand what you re buying 4 Step 2: How How can you buy health insurance? 20 STEPS TO UNDERSTANDING THE AFFORDABLE CARE ACT
More informationThe Affordable Care Act: Time to Prepare for 2014 and Beyond
The Affordable Care Act: Time to Prepare for 2014 and Beyond Howard Van Mersbergen Vice President of Employee Benefits, Christian Schools International Brian C. Meekhof Benefits Administrator, Christian
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 informationChapter 1: What is the Affordable Care Act?
Chapter 1: What is the Affordable Care Act? The Affordable Care Act (ACA), also known as Obamacare, is a law that aims to help millions of Americans secure health insurance. Many individuals still are
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 informationHealth Care Reform in the United States
Health Care Reform in the United States Richard L. Menson June 22, 2010 www.mcguirewoods.com Quebec, Canada 1 I. INTRODUCTION 2 A Complex and Confusing New Law Patient Protection and Affordable Care Act,
More informationHealth Care Reform. PPACA Compliance Overview
Health Care Reform PPACA Compliance Overview Agenda 1 2 What Healthcare Reform Is How the ACA is Affecting Employers 3 4 5 What the Employer Delay Means For Your Business Factors Affecting Your Premiums
More informationAffordable Care Act Resource Guide
Affordable Care Act Resource Guide for Businesses with fewer than 50 employees Effective January 22, 2016 Form No. 3-1018 (02-16) The information in this document is a general overview of the rules, regulations
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 informationPPACA Implementation and the Marketplaces aka Exchanges. Presented by: Cathy Cooper November 15, 2013
PPACA Implementation and the Marketplaces aka Exchanges Presented by: Cathy Cooper November 15, 2013 Today s Agenda 2014 Provisions Groups over 50 in 2014 Groups under 50 in 2014 Marketplaces aka Exchanges
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 informationHealth Care Reform: What s In Store for Employer Health Plans?
Health Care Reform: What s In Store for Employer Health Plans? April 21, 2010 Presented by: Sue O. Conway sconway@wnj.com (616) 752-2153 Norbert F. Kugele nkugele@wnj.com (616) 752-2186 Copyright 2010
More informationHealth Insurance Marketplace
Health Insurance Marketplace Briefing on the Affordable Care Act 2014 Ben J. Altheimer Oral Symposium UALR Bowen School of Law February 28, 2014 David Nilasena, MD Centers for Medicare & Medicaid Services
More informationAFFORDABLE CARE ACT (ACA) UPDATE JUNE 26, 2013
AFFORDABLE CARE ACT (ACA) UPDATE JUNE 26, 2013 FREDDY WARNER SYSTEM EXECUTIVE, PUBLIC POLICY & GOVERNMENT RELATIONS MEMORIAL HERMANN HEALTH SYSTEM ACA - REVISITED OBAMA SIGNED INTO LAW 2010 GOALS PROVIDE
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 informationHealth Care Reform Path to Compliance
Internal Claims Review and External Review of Appeals processes must be in place (only applies to non-grandfathered plans) One thing s certain, change is constant as employers and employees navigate ate
More informationThe New Healthcare Law and Its Impact on Small Business
U. S. Small Business Administration Washington Metropolitan Area District Office The New Healthcare Law and Its Impact on Small Business Julie C. Verratti Advisor U.S. Small Business Administration Julie.Verratti@sba.gov
More 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 informationThe New Responsibility to Secure Coverage: Frequently Asked Questions
The New Responsibility to Secure Coverage: Frequently Asked Questions Introduction The Patient Protection and Affordable Care Act (PPACA) includes a much-discussed requirement that people secure health
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 informationNational Association of Health Underwriters 2000 N. 14 th Street, Suite 450 Arlington, VA (703)
National Association of Health Underwriters Timeline of Health Insurance Reforms that Will Impact Private Health Insurance Coverage under H.R. 3590, the Patient Protection and Affordable Care Act and the
More informationInsurance (Coverage) Reform
Arkansas Health Law Check Up Insurance (Coverage) Reform Create Insurance Marketplaces For individuals & small businesses Expand Medicaid to 138% FPL Arkansas alternative = Private Option, not Arkansas
More informationYOUR BUSINESS, YOUR FUTURE: WHAT YOU NEED TO KNOW ABOUT HEALTHCARE REFORM
YOUR BUSINESS, YOUR FUTURE: WHAT YOU NEED TO KNOW ABOUT HEALTHCARE REFORM Featuring: Gene Marks, The Marks Group, P.C. Decide On Healthcare Is Your Business Affected, And If So What Do You Do? NPCA 1 Still
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 informationUnderstanding the Health Insurance Marketplace. August 2013
Understanding the Health Insurance Marketplace August 2013 Objectives This session will help you Explain the Health Insurance Marketplace Identify who will benefit Define who is eligible Explain the enrollment
More informationHealth Care Reform Timeline Last Updated: March 12, 2014
Health Care Reform Timeline Last Updated: March 12, 2014 On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act ( PPACA or ACA or Health Care Reform ). Health
More informationHealth Care Reform: General Q&A for Employees
Health Care Reform: General Q&A for Employees I ve heard a lot about the health care reform law. When do the reforms become effective? The health care reform bill was signed into law in March 2010. The
More informationHealth Care Law & You
Health Care Law & You How to get the most out of your health care dollars Table of Contents Introduction 1 Part I: The ABCs of Health Insurance 2 How Health Insurance Works Paying for Care Types of Health
More informationHealthcare Reform Timeline
Healthcare Reform Timeline Provisions That Will Impact Individuals & Employers August 2012 No one sees the direct results of the Patient Protection and Affordable Care Act (PPACA) like the health insurance
More informationPATIENT PROTECTION AND AFFORDABLE CARE ACT, AS RECONCILED
PATIENT PROTECTION AND AFFORDABLE CARE ACT, AS RECONCILED A SURVEY OF THE INSURANCE SLICE BRUNINI, GRANTHAM, GROWER & HEWES, PLLC WWW.BRUNINI.COM 00980638 PATIENT PROTECTION AND AFFORDABLE CARE ACT, RECONCILED
More informationHCR FAQ. Covered California Individual and Family Coverage. What is Covered California? What is Obamacare? Are they the same?
HCR FAQ Covered California Individual and Family Coverage What is Covered California? What is Obamacare? Are they the same? Covered California is a new, easy-to-use marketplace established for California
More informationHere Are Things SEMA Members Need to Know
SEMA FROM THE HILL By Stuart Gosswein Confused About the New Health-Care Law? Here Are Things SEMA Members Need to Know Although it was enacted into law in 2010, the Affordable Care Act may continue to
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 informationHealth care reform and you. Timelines and implications of the law for individuals
Health care reform and you Timelines and implications of the law for individuals Updated as of February 2018 This overview highlights provisions of the law that are in effect to help you understand the
More informationAffordable Care Act Survival Kit
Affordable Care Act Survival Kit The Affordable Care Act (ACA) stands poised to usher in sweeping changes for many businesses. Multiple regulations and shifting timetables, however, make it difficult to
More informationWhat s on the Horizon for Health Care and Public Benefits. May 8, 2013
What s on the Horizon for Health Care and Public Benefits. May 8, 2013 1 Overview Individual Mandate Federal Exchange Changes to Badgercare Changes to MAPP Future of HIRSP Changes to employer group health
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 informationStrategies for Compliance with "Obamacare" for Kathryn B. Solley September 18, 2013
Strategies for Compliance with "Obamacare" for 2014 Kathryn B. Solley September 18, 2013 Mission of Pro Bono Partnership of Atlanta: To maximize the impact of pro bono engagement by connecting a network
More informationHealth Care Reform: Fact vs. Fiction for Small Business. What employers should be thinking about now to prepare for 2015
Health Care Reform: Fact vs. Fiction for Small Business What employers should be thinking about now to prepare for 2015 Fact vs. Fiction Healthcare is less expensive overall: Fact or fiction? Employers
More informationWhat s Inside STEPS TO UNDERSTANDING THE AFFORDABLE CARE ACT (ACA)
What s Inside Step 1: What Understand what you re buying 4 Step 2: How How can you buy health insurance? 20 STEPS TO UNDERSTANDING THE AFFORDABLE CARE ACT (ACA) Want to know more about the health reform
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 informationNational Association of Health Underwriters Comparison of the Democratic Comprehensive Health Reform Measures March 19, 2010
National Association of Health Underwriters Comparison of the Democratic Measures March 19, Senate Democratic Legislation, of Market Reforms Would require all individual health insurance policies and all
More informationRhode Island League of Cities and Towns. Health Care Reform and the State Exchanges: What Cities and Towns Should Be Doing Now
Rhode Island League of Cities and Towns Health Care Reform and the State Exchanges: What Cities and Towns Should Be Doing Now Rick Johnson Senior Vice President, National Public Sector Health Practice
More informationHow it helps individuals and families who live with mental illness
Health Care Reform: How it helps individuals and families who live with mental illness Health Care and Mental Illness Today, recovery is the expectation for people who experience mental illness. We know
More informationWashington Health Benefit Exchange
Washington Health Benefit Exchange HEALTHCARE REFORM SEMINAR November 25th, 2013 ACA INFORMATIONAL SESSION FOR SMALL BUSINESS OWNERS The Affordable Care Act Exchange Basics Today s Agenda Exchange Functions
More informationThe Affordable Care Act
The Affordable Care Act Employers Guide to 2015 and Beyond For Small Groups Summary Jan. 1, 2014, ushered in new Affordable Care Act (ACA) health insurance market reforms. These changes are impacting the
More informationACA in Brief 2/18/2014. It Takes Three Branches... Overview of the Affordable Care Act. Health Insurance Coverage, USA, % 16% 55% 15% 10%
Health Insurance Coverage, USA, 2011 16% Uninsured Overview of the Affordable Care Act 55% 16% Medicaid Medicare Private Non-Group Philip R. Lee Institute for Health Policy Studies Janet Coffman, MPP,
More informationHealth Care Reform: What Hospitality and Lodging Businesses Need to Know. June 22, 2010
Health Care Reform: What Hospitality and Lodging Businesses Need to Know June 22, 2010 Unique Challenges to Hospitality How will health care reform impact the hospitality/lodging industry? Unique aspects
More informationACA and The Marketplace. Also known as the (Federal) Exchange
ACA and The Marketplace Also known as the (Federal) Exchange 1 Qualified Health Plan and Minimum Essential Coverage (Indiv., Small Group & Large Group Coverage) Needs to Meet the Following (At a Minimum):
More information