9/19/2017. Nobody knew healthcare could be so complicated. H E A LT H P O L I C Y U P D AT E F R O M W A S H I N G T O N D C
|
|
- Miles Fox
- 5 years ago
- Views:
Transcription
1 H E A L T H W E A L T H C A R E E R H E A LT H P O L I C Y U P D AT E F R O M W A S H I N G T O N D C October 2017 Tracy Watts Sr. Partner Washington, DC MERCER A C A R E P E A L A N D R E P L A C E P R E S I D E N T T R U M P S A G E N D A Repeal and replace ACA Allow purchase of health insurance across state lines Let individuals deduct health insurance premiums Encourage HSAs Require provider price transparency Block-grant Medicaid to the states Allow re-importation of prescription drugs MERCER Nobody knew healthcare could be so complicated. PRESIDENT TRUMP, FEBRUARY 27,
2 T H E A C A R E P E A L A N D R E P L A C E J O U R N E Y I T S N O T O V E R Y E T EARLY 2017 MARCH MAY JUNE JULY SEPTEMBER House introduces House cancels House Senate unveils Senate defeats Bipartisan efforts American Health AHCA vote passes AHCA Better Care revised version of to stabilize the Care Act Reconciliation Act BCRA and two individual market more repeal bills 4 C O N G R E S S S T I L L F O C U S E D O N H E A LT H R E F O R M U N I F I E D A G E N D A R E M A I N S I L L U S I V E MARKET STABILITY BLOCK GRANTS SINGLE PAYER Bipartisan effort to fund the costsharing reduction subsidies, give states new flexibility Conservative Republican s attempt to revive the ACA repeal effort by giving states block grants to implement their own reforms Medicare for all proposal introduced by Bernie Sanders (I-VT) OTHER TOPICS CONGRESS MAY CONSIDER There is still a strong lobby to repeal the excise tax Higher contribution limits, more flexibility for HSAs Apply employer mandate only to firms with >500 employees Allow use of HRA contributions to purchase coverage in the individual market Permit use of premium tax subsidies to purchase off-exchange coverage Allow anyone not just those under 30 to buy less expensive catastrophic coverage Encourage association health plans Shelter stop-loss coverage from health plan regulation 5 A D M I N I S T R AT I V E A C T I O N S T O W AT C H CADILLAC TAX ER & EE MANDATES STATE WAIVERS Watch for possible IRS guidance on implementation Watch for assessment and appeal guidance Unclear whether reporting requirements will be eased generally 2017 drafts unchanged Expect Administration to support certain statebased reforms 6 2
3 P R E S I D E N T T R U M P M AY TA C K L E O T H E R R E F O R M S V I A E X E C U T I V E O R D E R EXPANSION OF HDHPs Leaked draft allows payment for treatment of chronic conditions before meeting the plan deductible Would include prescription medications DRUG PRICING Leaked draft directs administrative agencies to explore new models to lower drug prices and encourage innovation Later reports said this was a FAKE DRAFT 7 CAP P I NG THE E M P L O YE E TAX E X CLUSION 8 I M P A C T O F C A P P I N G T H E E M P L O Y E E T A X E X C L U S I O N F O R E M P L O Y E R H E A L T H C O V E R A G E Generally, premiums paid for employer-sponsored health coverage and contributions to accountbased plans are excluded from employee income and payroll taxes We evaluated the potential impact to employer plans and employees/families of three proposals to cap the employee exclusion and compared their effects to the 40% Cadillac excise tax. Various scenarios are included in this deck. P R O P O S AL S & C U R R E N T L AW I N D I V I D U AL FAM I LY THE EMPOWERING PATIENTS FIRST ACT $8,000 $20,000 40% CADILLAC EXCISE TAX ON HIGH COST PLANS As projected by the Congressional Research Service $10,800 $29,100 MERCER
4 F A C T O R S T H A T A F F E C T P L A N C O S T N O T J U S T P L A N D E S I G N D E M O G R A P H I C S M A T T E R Characteristics of employers with plans that w will reach versus won t reach the Cadillac tax threshold in 2020: Older employees More female employees Higher rate of dependent coverage election More likely to offer coverage to parttime employees Plan values only slightly richer Average age: 42 Average age: 39 54% female 44% female 48% avg rate 40% avg rate 38% offer 27% offer AV: 87% AV: 84% Like the Cadillac tax, capping the exclusion is more likely to penalize older workers, women, people with families, and employers who provide health benefits to part-time employees And there is relatively little difference between the plan designs of those employers that will reach the threshold and those who won t. Estimates based on data from Mercer National Survey of Employer-Sponsored Health Plans 2016; premium trended at 6%, tax threshold ($10,750 individual/$28,950 family) trended at 3% in 2021 and 2% in future years MERCER C A P O N T H E H E A L T H C O V E R A G E T A X E X C L U S I O N L O W I N C O M E F A M I L I E S H I T H A R D E S T Cap will result in increased income tax liability for middle-income Americans 25% 20% 23% Percentage increase in effective rate Effective tax rate for married filing jointly 15% 10% 5% 5% 0% $20-30k $60-70k $ k $ k $ k $ k Income bracket: Single Head of household Married, filing jointly Effective tax rate with cap Effective tax rate without cap The bars represent the percentage increase in income tax liability in Payroll taxes not included Proposed caps ($8,000 individual/$20,000 family) indexed at CPI% (CPI assumed to be 2%); medical plan trend assumed to be 5.5% Projects the impact of including account contributions FSAs, HRAs and HSAs in value of coverage Based on a Mercer proprietary database of 600,000 members salary and benefits. Salary information used as proxy for household income. MERCER E M P L O YE R F O C U S ARE AS 12 4
5 F O U R K E Y F O C U S A R E A S F O R E M P L O Y E R S A C A C O M P L I A N C E 40% E X C I S E TA X H E A LT H S AV I N G S A C C O U N T S C O S T M A N A G E M E N T ESR reporting Revised SBC template New preventive services 2020 effective date Update your projection Consider adding an HSA option, if you don t have one Many current initiatives aimed at expanding HSAs Possible cost shifting - Individual market - Medicaid Employer use of best practices experience lower cost increases Time to move to a bundled approach? MERCER Within three years, 1 in 3 Americans will be buying a different insurance product than they do today, through a channel that didn t exist three years ago, receiving 30% of their care outside of a traditional health system. SAM GLICK, OLIVER WYMAN, DECEMBER 2016 MERCER T H E F U T U R E O F H E A L T H C A R E D E L I V E R Y W H A T D O E S I T M E A N F O R Y O U? M A R K E T P A Y E R P R O V I D E R Retail care changes loyalties and will open up new options. The journey to a true consumer model is difficult but possible with technology and new channels. Providers are beginning to bear more financial risk, supporting the move from fee-for-service to pay-for-value. MERCER
6 AP P E N D I X 16 A B O U T O U R D A T A EMPLOYERS Mercer s National Survey of Employer Sponsored Health Plans is the largest, most comprehensive annual survey in the country. It uses scientific sampling and weighting methodology that recreates the actual mix of employers in the US in terms of their size and geographic location, which means that the results provide an accurate picture of what all US employers are doing and thinking. Most surveys in our industry use what s called a convenience sample meaning, you survey whoever is convenient to survey. EMPLOYEES Mercer s proprietary database of over 600,000 members enrolled in employer sponsored medical coverage, includes membership from over 200 employers of all sizes and various industries. These employers, both local and national in scope, are actively involved in providing efficient coverage for their employees by offering a choice of plans (PPOs, HMO, CDHPs). MERCER D A T A, A S S U M P T I O N S A N D M E T H O D O L O G Y A S S U M P T I O N S These simulated results are based on a Mercer proprietary database of over 600,000 members enrolled in employer sponsored medical coverage. The database includes membership from over 200 employers of all sizes and various industries. These employers, both local and national in scope, are actively involved in providing efficient coverage for their employees by offering a choice of plans (PPOs, HMO, CDHPs).Taxable income developed assuming: Base salary of the employee assumed to be the only source of income for their household Only employees pre-tax contributions associated with medical plan enrollment were assumed to reduce their gross income to taxable income. Other potential adjustments to taxable income, such as 401(k) contributions, were ignored for purposes of this analysis 2016 standard Federal Income Tax Brackets and standard deductions assumed Tax filing status is assumed to align with their dependents covered under the medical plan: Dependents Tax Filing Status No Dependents Children Only Spouse with or without Children Single Head of Household Married Filing Jointly Medical plan trend: 5.5% Consumer price index (CPI) trend: 2.0% Salary increase: 2.0% Standard deduction and Federal income tax bracket trend: 1.5% Social Security Threshold Trend: 1.5%; Other indexes used to calculate FICA taxes were unchanged The proposed caps are assumed to be effective in 2020; see table on slide 1 for cap assumptions State and local taxes were excluded from these simulated results MERCER
7 19 7
C A P P I N G T H E E M P L O Y E E TA X E X C L U S I O N F O R E M P L O Y E R H E A LT H C O V E R A G E
C A P P I N G T H E E M P L O Y E E TA X E X C L U S I O N F O R E M P L O Y E R H E A LT H C O V E R A G E P R O J E C T I O N O F T H E L O N G - T E R M I M PA C T February 23, 2017 T O D A Y S D I
More informationThe American Health Care Act. updated 07/13/2017
The American Health Care Act updated 07/13/2017 Republicans in the U.S. House of Representatives passed the American Health Care Act (AHCA), legislation that begins the process of repealing and replacing
More informationSENATE RELEASES DRAFT ACA REPLACEMENT BILL
HIGHLIGHTS Senate Republicans released their ACA replacement legislation, called the Better Care Reconciliation Act. The Senate bill closely mirrors the House proposal the American Health Care Act including
More informationHealthcare Reform Better Care Reconciliation Act Repeal & Replace
BCRA AHCA American Health Care Act Healthcare Reform Better Care Reconciliation Act Repeal & Replace ACA HCR Affordable Care Act BCRA, AHCA and ACA On June 22, 2017, Senate Republicans released the Better
More informationHEALTH CARE REFORM UPDATE WHAT YOU NEED TO KNOW
HEALTH CARE REFORM UPDATE WHAT YOU NEED TO KNOW Marybeth Gray 610-207-8985 MBGray@Trion.com Recent ACA Developments Health Care Proposals of Presidential Nominees CLINTON TRUMP Defend ACA, build on it
More informationSenate Health Bill Unveiled
Senate Health Bill Unveiled Thursday, June 22, 2017 Senate Republican leaders today unveiled a draft of legislation the Better Care Reconciliation Act to repeal and replace parts of the Affordable Care
More informationThe Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC ESB
The Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC Agenda Historical U.S. health care law Recent legislative developments Future possibilities Steps
More informationThe Future of American Health Care Reform
The Future of American Health Care Reform Copyright 2017 American Fidelity Administrative Services, LLC Agenda Recent legislative developments Future possibilities Steps you can take The Latest News ESB-5560-0717
More informationHere are some highlights of the revised Senate language released July 13:
The Better Care Reconciliation Act of 2017, Version 2.0 July 17, 2017 On July 13, Senate Republican leaders released a second working draft of the Senate version of H.R. 1628, the American Health Care
More informationKey Elements of Health Care Reform for Employers
Key Elements of Health Care Reform for Employers Change in tax treatment for over-age 2010 dependent coverage Early retiree medical reinsurance Accounting impact of change in Medicare retiree drug subsidy
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 informationVIEWpoint TAX ALERT. ACA Repeal and Replacement. House GOP Proposes To Eliminate Most ACA Taxes; Some Coverage/Credit Benefits Remain
VIEWpoint TAX ALERT Insight, Oversight and Foresight for Your Business ACA Repeal and Replacement House GOP Proposes To Eliminate Most ACA Taxes; Some Coverage/Credit Benefits Remain House Republicans
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 informationAffordable Care Act Repeal and Replacement Legislation
Affordable Care Act Repeal and Replacement Legislation Timeline/ Actions to Date In February 2017, draft legislation aimed at repealing and replacing the Affordable Care Act (ACA), or Obamacare, was informally
More informationEmployee Benefits Compliance Update
Compliance AUGUST 2017 Employee Benefits Compliance Update USI Insurance Services Employee Benefits Compliance Practice In this issue Senate efforts to repeal and replace (or just repeal) the ACA fall
More informationACA AHCA BCRA ORRA GCHJ Medicaid. rate 5% each year over a threeyear. period (CYs ), grandfathered federal match for CY 2024 and
Senate Republican leaders are considering a proposal to repeal and replace parts of the Affordable Care Act (ACA) sponsored by Sens. Graham (R-SC), Cassidy (R-LA), Heller (R-NV) and Johnson (R-WI). Below
More informationAffordable Care Act: Likely Changes Which Will Impact Employers. Mary Bauman
Affordable Care Act: Likely Changes Which Will Impact Employers Mary Bauman 2 The materials and information have been prepared for informational purposes only. This is not legal advice, nor intended to
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 informationAffordable Care Act: Repeal and Replace and Other Recent Developments
Affordable Care Act: Repeal and Replace and Other Recent Developments American Association of Port Authorities Port Administration and Legal Issues March 7, 2017 Ed Bernard Hanson Bridgett LLP Telephone:
More informationHealth Care Reform 2010 Key Employer Issues
Health Care Reform 2010 Key Employer Issues Lisa M. defilippis in Cleveland, OH 216 750-0409 defilipl@jacksonlewis.com Joe Lazzarotti in White Plains, NY 914 514-6107 lazzaroj@jacksonlewis.com Monique
More informationSummary of House Discussion Draft, February 10, 2017
Summary of House Discussion Draft, February 10, 2017 This summary describes key provisions of House Discussion Draft, dated February 10, 2017, reported in the media as a plan to repeal and replace the
More informationUpdate from Washington: ACA Repeal and Replace Understanding the Impact of the BCRA
June 27, 2017 Update from Washington: ACA Repeal and Replace Understanding the Impact of the BCRA Presented by: James Slotnick, JD Sun Life Financial AVP, Government Relations Today s Agenda The Political
More informationHEALTH CARE REFORM A FINANCIAL PERSPECTIVE SEPTEMBER 21, 2011
HEALTH CARE REFORM A FINANCIAL PERSPECTIVE SEPTEMBER 21, 2011 Elsa Hsu Ching, Mike Sinkeldam, Bill Scott Los Angeles, CA Agenda Health care reform overview and update Health care reform: high employer
More informationSUBTITLE _ REPEAL AND REPLACE OF HEALTH-RELATED TAX POLICY SECTION _01: RECAPTURE EXCESS ADVANCE PAYMENTS OF PREMIUM TAX CREDITS
SUBTITLE _ REPEAL AND REPLACE OF HEALTH-RELATED TAX POLICY SECTION _01: RECAPTURE EXCESS ADVANCE PAYMENTS OF PREMIUM TAX CREDITS The amount a household is required to pay towards their premiums is based
More informationACA Repeal and Replacement
March 2017 taxalerts.plantemoran.com ACA Repeal and Replacement House GOP Proposes To Eliminate Most ACA Taxes; Some Coverage/Credit Benefits Remain House Republicans have unveiled a repeal and replacement
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 informationACA UPDATES AND 1095C REPORTING FOR 2016
ACA UPDATES AND 1095C REPORTING FOR 2016 Presented By: Bill Heinz Suzie Kaiser Benefit Consultants 10/6/2016 TODAY S FOCUS 1094C/1095C REPORTING OVERVIEW 2016 CHANGES COBRA NON-CALENDAR YEAR PLANS IRS
More informationAffordable Care Act Implications for Employers May 30, Beth Essey, Senior Vice President Employee Benefits Practice Leader
Affordable Care Act Implications for Employers May 30, 2014 Beth Essey, Senior Vice President Employee Benefits Practice Leader 0 Good Afternoon! 1 Discussion Topics Where We ve Been Where We Are Now Where
More informationHealth Reform Update. Board of County Commissioners Study Session June 30, 2015
Health Reform Update Board of County Commissioners Study Session June 30, 2015 Agenda Health Reform Impact Timeline Health Reform Compliance Status Play or Pay Compliance for 2016 2018 Cadillac Tax Update
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 informationPresented by: Timothy A. George, CPA, MST, CCIFP
Tax Implications of Obamacare Presented by: Timothy A. George, CPA, MST, CCIFP 2 Players Club Drive, Suite 100, Charleston, West Virginia 25311 Office: (304) 343-4188 Fax: (304) 344-5035 20 Plus New Taxes
More informationHealth Reform Summary March 23, 2010
Health Reform Summary March 23, 2010 On Sunday March 21, 2010 the U.S. House of Representatives passed H.R. 3590, The Patient Protection and Affordable Care Act, by a vote of 219 to 212. The Senate passed
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 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 informationACA Repeal And Replacement
May 2017 taxalerts.plantemoran.com ACA Repeal And Replacement House Approves ACA Repeal And Replacement Bill; Benefits Remain The House voted along party lines on May 4 to approve a repeal and replacement
More informationHow Compliant is Your Organization? PPACA Updates and Our New Normal.
Broader Perspective. Business Solutions. How Compliant is Your Organization? PPACA Updates and Our New Normal. Presented by: Jacqueline Roth Assistant Vice President March 20, 2013 1 A Brief History The
More informationAn Employer s Guide to Health Care Reform
An Employer s Guide to Health Care Reform Background On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA). Less than a week later, Congress passed the
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 informationHEALTH CARE REFORM OVERVIEW
HEALTH CARE REFORM OVERVIEW 1 Health Care Reform General Status On June 28, 2012, the U.S. Supreme Court announced its ruling to uphold the Patient Protection and Affordable Care Act (PPACA) passed by
More informationACA Update: Recent Events, the Current Landscape and Preparing for 2018
ACA Update: Recent Events, the Current Landscape and Preparing for 2018 November 2017 2017 Employee Benefits Corporation 2 1 Abigail Darwin, Esq. Compliance Consultant Employee Benefits Corporation The
More informationTransitioning to a Health Savings Account and High Deductible Health Plan Offering
Transitioning to a Health Savings Account and High Deductible Health Plan Offering Overview Health Savings Accounts (HSAs) are tax-favored individual trust or custodial accounts that can be contributed
More informationAmerican Health Care Act Information
American Health Care Act Information 8 NEED-TO-KNOW FACTS ABOUT THE AHCA 1. Dismantles the Obamacare taxes that have hurt job creators, increased premium costs, and limited options for patients and health
More informationThe Affordable Care Act What s Ahead for Employer s in 2015?
The Affordable Care Act What s Ahead for Employer s in 2015? Health Care Reform Refresher The Impact of Health Care Reform on Employers and Individuals The Role of the Insurance Exchanges Health Care Reform
More informationHealtH Care reform 2012 and beyond
HealtH Care reform 2012 and beyond A guide to the major provisions of health care reform legislation affecting employers in 2012 and 2013 and a timeline of the reforms to be introduced through 2018. Employers
More informationToday s Presenter 2/21/2018
Presents 2018 Legislative Update on ACA, Taxes & More February 23, 2018 Today s Presenter Natalie Withers Natalie is the Compliance Consultant at Paradigm Group. She advises clients on their internal policies
More information- It s Time for a Legislative Update -
- It s Time for a Legislative Update - AGENDA FEDERAL LEGISLATION UPDATE CALIFORNIA LEGISLATION UPDATE B&P NEWS CARRIER NEWS CONSTANT CHANGES Both federal and state legislation efforts are constantly changing.
More informationAbout Health Savings Accounts (HSAs) 2019 Conduent Business Services, LLC. All rights reserved.
About Health Savings Accounts (HSAs) 2019 Conduent Business Services, LLC. All rights reserved. What is a Health Savings Account? An HSA is a special bank account for health care expenses that gives account
More informationHealth Reform 101 What You Need to Know
Health Reform 101 What You Need to Know Neil Trautwein Vice President and Employee Benefits Policy Counsel National Retail Federation Health Reform is Here But Not the Reform We Asked For The debate did
More informationThe Affordable Care Act What Now?
The Affordable Care Act What Now? October 5, 2017 1 Repeal and Replace House of Representatives Passed American Health Care Act (AHCA) on May 4, 2017 217-213 vote Senate Introduced Better Care Reconciliation
More informationLegislative Update. Steven Larrabee, Senior Government Affairs Specialist
Legislative Update Steven Larrabee, Senior Government Affairs Specialist June 1, 2017 Agenda Federal Health Care Reform ACA Reset GOP Reconciliation Plan Regulation Maine 2 What s worked - Access 3 What
More informationUpdate on the Affordable Care Act. Kevin Shah, MD MBA. Review major elements of the affordable care act
Update on the Affordable Care Act Kevin Shah, MD MBA 1 Goals Review major elements of the affordable care act Review implementation of the Individual Exchange Review the Medicaid expansion Discuss current
More informationUnderstanding & Addressing Your 2019 Health and Welfare Benefits Compliance Obligations
Understanding & Addressing Your 2019 Health and Welfare Benefits Compliance Obligations NOVEMBER 15, 2018 PRESENTERS Carl Pilger, Esq. Director, National Employee Benefit Compliance Services EPIC Insurance
More informationRepublican Senators Unveil New ACA Repeal and Replace Legislation
September 14, 2017 Republican Senators Unveil New ACA Repeal and Replace Legislation Sens. Lindsey Graham (R-SC), Bill Cassidy (R-LA), Dean Heller (R-NV) and Ron Johnson (R-WI) Sept. 13 unveiled a health
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 WEALTH CAREER HEALTH REFORM FIVE YEARS IN
HEALTH WEALTH CAREER HEALTH REFORM FIVE YEARS IN ABOUT THE SURVEY March 23, 2015, marked the five-year anniversary of the signing of the Affordable Care Act (ACA). In 2015, the public exchanges began
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 informationImportant Effective Dates for Employers and Health Plans
Brought to you by Hipskind Seyfarth Risk Solutions Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act
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 informationAFFORDABLE CARE ACT: STATUS CHART Health Plans
AFFORDABLE CARE ACT: STATUS CHART Health Plans July 2017 TODD MARTIN, PARTNER 612.335.1409 todd.martin@stinson.com Table of Contents Page ACA Coverage Mandates... 1 ACA Insurance Market Rules... 5 ACA
More informationPatient Protection and Affordable Care Act of 2010 (P.L )
Premium Subsidy Established income-based, sliding scale premium subsidies for individuals/families making 133 400% federal poverty level (FPL) to purchase qualified health plans on exchanges; subsidies
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 information2010 Mercer National Survey of Employer-Sponsored Health Plans
Mercer National Survey of Employer-Sponsored Health Plans A special report A special report from the Mercer National Survey of Employer- Sponsored Health Plans Growth in the average total health benefit
More informationHealth Care Reform. Employer Action Overview
Health Care Reform Page 2 of 10 Health Care Reform Immediatemmediate Employer Action Required Notes Nursing Mothers Employers must provide a reasonable break time for employees who are nursing mothers
More informationHealth Care Reform after the Supreme Court Decision. Sharon Cohen, Mary Harrison, Tami Simon, and Rich Stover July 11, 2012
Health Care Reform after the Supreme Court Decision Sharon Cohen, Mary Harrison, Tami Simon, and Rich Stover July 11, 2012 Introductions Sharon Cohen is a principal in our Knowledge Resources group and
More informationIntroduction Notice and Disclosure Requirements Plan Design and Coverage Issues: Prior to
8/22/13 Table of Contents Introduction... 3 Notice and Disclosure Requirements... 4 Plan Design and Coverage Issues: Prior to 2014... 10 Plan Design and Coverage Issues: 2014 and Beyond... 12 Wellness
More informationYou are not required to do anything with this notice but it is recommended that you keep it with your other important legal documents.
October 1, 2013 Dear Associate: We are providing you with the attached notice about the Health Insurance Marketplace (Marketplace) and state exchanges established under the Affordable Care Act (ACA). The
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 informationHealth Care Reform Information for Employees. Your options under health care reform
Health Care Reform Information for Employees Your options under health care reform Patient Protection and Affordable Care Act (PPACA) September 2013 Contents 1 Your options under health care reform 2 Health
More informationELECTION UPDATE AFFORDABLE CARE ACT 11/18/2014 WS+B CLIENT CPE
AFFORDABLE CARE ACT Anthony Panico, CPA Partner, Healthcare Services Group Team Leader, Healthcare Reform Advisory Team ELECTION UPDATE 1 AFFORDABLE CARE ACT Timeline 2010 Early retiree reinsurance program
More informationHOUSE REPUBLICANS RELEASE ACA REPLACEMENT PLAN
HIGHLIGHTS House Republicans released a policy brief describing their approach for replacing the ACA. The proposals include providing monthly tax credits and enhancing health savings accounts. The proposed
More informationWhat Employers Need to Know About Account-Based Plans: Health FSAs, HSAs, HRAs, and QSEHRAs
What Employers Need to Know About Account-Based Plans: Health FSAs, HSAs, HRAs, and QSEHRAs Presented by: Lorie Maring Phone: (404) 240-4225 Email: lmaring@ AGENDA Provide an overview of account-based
More information1/31/2017 AGENDA TRUMP WEBSITE POSITIONS
Life After the ACA: What s Next for Employer-Sponsored Health Coverage? Presented by Howard Bye-Torre Employee Benefits Planning Association February 2, 2017 AGENDA Trump s position on repeal/replacement
More informationHEALTH CARE REFORM PROVISIONS BY TYPE AND SIZE OF PLAN Last Rev. July 14, 2014
2010: First Plan Year on or after September 23, 2010 Extension of dependent coverage up to age 26 No pre-existing condition exclusions for enrollees under age 19 No lifetime dollar limits on "essential
More informationHealth Care Reform Reference Guide
Health Care Reform Reference Guide The Patient Protection and Affordable Care Act (ACA) vs. American Health Care Act (AHCA) May 11, 2017 On May 4, 2017, the House of Representatives voted 217-213 to pass
More informationPresenters. Todd Berkley. Kathy Mertes. The Convergence of Health and Wealth Using HSAs 3/29/2018
The Convergence of Health and Wealth Using HSAs Todd Berkley Global Leader BenefitWallet Conduent Human Resource Services Kathy Mertes Director BNY Mellon Treasury Services May 2018 Presenters Todd Berkley
More information! Imposes a 40% excise tax on any excess health benefit provided to an employee
Cadillac Tax ! Added to the Internal Review Code (IRC) by the Affordable Care Act (ACA)! Imposes a 40% excise tax on any excess health benefit provided to an employee! As originally enacted, the Tax is
More informationJoint Labor-Management Benefits Committee COMMITTEE REPORT 16-03
Joint Labor-Management Benefits Committee COMMITTEE REPORT 16-03 Date: January 14, 2016 To: From: Subject: Joint Labor-Management Benefits Committee Staff Affordable Care Act 2016 Tax Reporting, Annual
More informationMarch 8,2016 House GOP Unveils ACA Replacement Bill. The 31 Medicaid expansion states (plus D.C.)... The 19 states that have not expanded Medicaid...
March 8,2016 House GOP Unveils ACA Replacement Bill After months of negotiations and on the heels of prior leaked drafts, House Republican leadership unveiled the American Health Care Act, their legislation
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 information9/18/13. The Affordable Care Act and Challenges for Colleges and Universities Legal Issues in Higher Education October 16, 2013.
The Affordable Care Act and Challenges for Colleges and Universities Legal Issues in Higher Education October 16, 2013 Overview The ACA: Here to Stay and Why It Matters 2014: The Known and the Unknown
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 informationObamacare and Nonprofits
Obamacare and Nonprofits Valerie J. Clark BSN, RHU, LUTCF President, Clark Insurance Solutions Agenda Audience Demographics What is the legal status of the law? Which plans must comply? Grandfathered plans
More informationMonitoring the ACA s. Vital Signs. The Affordable Care Act A Progress Report
Monitoring the ACA s Vital Signs The Affordable Care Act A Progress Report Today s Discussion Affordable Care Act Some Foundational Knowledge Affordable Care Act Compliance Requirements Plan Design Reporting
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 informationSaint Mary s College
Saint Mary s College Employee Benefits Advisory Committee (EBAC) March 2017 Meeting # 1 March 1, 2017 Agenda 1. Introductions and Welcome 2. Legislative/Political Report 3. Review Decisions/Carrier Feedback/Enrollment
More informationHRAs, HSAs, and Health FSAs What s the Difference?
HRAs, HSAs, and Health FSAs What s the Difference? Updated March 2017 Health reimbursement arrangements (HRAs), health savings accounts (HSAs) and health care flexible spending accounts (HFSAs) are generally
More informationClient Update How Tax Reform and Other Recent Developments Could Impact the Healthcare Industry
1 Client Update How Tax Reform and Other Recent Developments Could Impact the Healthcare Industry Recent developments in Washington are likely to have a significant impact on the healthcare industry. A
More informationShining A Light On GOP Plan For Health Care Reform
Portfolio Media. Inc. 111 West 19 th Street, 5th Floor New York, NY 10011 www.law360.com Phone: +1 646 783 7100 Fax: +1 646 783 7161 customerservice@law360.com Shining A Light On GOP Plan For Health Care
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 Overview
Health Care Reform Overview HealthFlex Summit August 23-24, 2012 Agenda Affordable Care Act Quick Refresher Near-Term Deadlines Long-Term Outlook Rules for 2014 Illustrative Examples How It All Works 2
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 informationHardee s Q4 Franchise System Call. Health Care Reform Update November 5, 2013
Hardee s Q4 Franchise System Call Health Care Reform Update November 5, 2013 Key Elements of Health Care Reform for Employers Change in tax treatment for over-age 2010 dependent coverage Early retiree
More informationIssues for Employers as Health Care Legislation Moves to the Senate
WHITE PAPER May 2017 Issues for Employers as Health Care Legislation Moves to the Senate Although the American Health Care Act, as passed by the U.S. House of Representatives, mainly affects the individual
More informationIntroduction to Health Savings Accounts (HSA)
Introduction to Health Savings Accounts (HSA) 2018 Employee Benefits Corporation 1 Sue Sieger, ACFCI, CAS Senior Compliance Consultant Employee Benefits Corporation sue.sieger@ebcflex.com The material
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 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 informationHSA Frequently Asked Questions
HSA Frequently Asked Questions Overview Q1. WHAT IS A HEALTH SAVINGS ACCOUNT (HSA)? An HSA is a tax-exempt trust or custodial account established exclusively for the purpose of paying qualified medical
More informationAffordable Care Act: A Guide for Self-Funded Plans
Affordable Care Act: A Guide for Self-Funded Plans Table of Contents Affordable Care Act Updates 3 Grandfathered Plans 4 Benefit and Plan Summary Updates 5 Notifications and Communications 6 COBRA notification
More informationHealthcare Reform. July 17, 2013
Healthcare Reform July 17, 2013 Agenda Current and Future Requirements for Employers Healthcare Reform Taxes and Fees Individual Mandate and Subsidies Employer Pay or Play Mandate Other Requirements Expanded
More informationREPORT OF THE COUNCIL ON MEDICAL SERVICE. Trends in Employer-Sponsored Health Insurance
REPORT OF THE COUNCIL ON MEDICAL SERVICE CMS Report - I-0 Subject: Presented by: Referred to: Trends in Employer-Sponsored Health Insurance Georgia A. Tuttle, MD, Chair Reference Committee K (M. Leroy
More information