Agenda. Play or Pay: Whether & When Decision Tree. HEALTH CARE REFORM (HCR) Latest Changes, New Requirements, Play or Pay Quick Review Special Delays
|
|
- Ashley Tyler
- 5 years ago
- Views:
Transcription
1 HEALTH CARE REFORM (HCR) Latest Changes, New Requirements, and Twists in the Road GPRS Fall Conference, October 30, 2014 Presented By Darcy L. Hitesman, Esq IRS Circular 230 Disclosure: To insure compliance with Treasury Regulations, we are required to inform you that any tax advice contained in this communication (including any attachments) was not intended or 1 written by us to be used, and may not be used by you or anyone else, for the purpose of: (i) avoiding penalties imposed by the Internal Revenue Code; or (ii) promoting, marketing, or recommending to another party any tax related matter addressed in this communication. Agenda Play or Pay Quick Review Special Delays Small Applicable Large Employer Non Calendar Year Plans Risk Management through Plan Design Other Items to Consider Reporting & Disclosure Cadillac Tax 2 Play or Pay: Whether & When Decision Tree 3 1
2 Play or Pay What is It? Important: Employer not mandated to provide coverage. In general, beginning January 1, 2015, applicable large employers (ALEs) may be required to pay a penalty if the ALE does not offer coverage of a certain level and cost to enough full time employees. 4 Play or Pay What is It? Two categories of penalties Offer penalty Adequacy penalty Both triggered by full time employee purchasing subsidized public exchange coverage 5 Who are you? As of January 1, 2015 If applicable large employer (ALE), subject to penalty formulas beginning January 1, 2015 unless Special delay applies 6 2
3 Special Delays Two types of special delays Based on size of employer Based on plan year of medical coverage Have to qualify for the delay; not automatic Have to determine whether delay makes sense Takes effort DEFAULT: January 1, Play or Pay: Whether & When Decision Tree 8 Whether Employer is an ALE Large employer Averages at least 50 full time (FT) plus full time equivalents (FTEs) during preceding calendar year Full time defined as 30 or more hours per week; 130 hours per month Special seasonal worker rule Special 2015 rule 9 3
4 Play or Pay: Whether & When Decision Tree 10 Small Applicable Large Employer Delay Play or Pay to January 1, 2016 if: Small at least 50 FTEs but less than 100 FTEs on business days in 2014 Not automatic Must qualify for it Same special 2015 rule applies Must certify as part of 6056 reporting 11 Small Applicable Large Employer In addition to size requirement, from February 9, 2014 December 31, 2014 Maintains size of workforce and overall hours unless bona fide business reason Does not eliminate or materially reduce health coverage from that offered on February 9, 2014 Your responsibility to know whether you qualify If do not qualify, then Play or Pay applies beginning January 1,
5 Play or Pay: Whether & When Decision Tree 13 Play or Pay: Whether & When Decision Tree 14 Non Calendar Year Plans Special transition rule may be available allowing compliance to begin with the first day of the 2015 plan year. Not automatic Must qualify for it Separate and distinct from small ALE delay described above 15 5
6 Non Calendar Year Plans Requirements The employer maintained a non calendar plan year after December 27, 2012 The plan year was not changed to a later non calendar plan year after December 27, 2012 Exists no other plan operated on a calendar year for which they would be eligible Satisfy any one of four percentage tests Commitment regarding 2015 coverage 16 Non Calendar Year Plans All EmployeesPercentage Tests Two possibilities The non calendar plan year covered as least one quarter of all employees (full time, part time) as of any date in the 12 month period ending on February 9, 2014 The non calendar plan year was offered to at least one third of all employees (full time, part time) using the most recent open enrollment period ending prior to February 9, Non Calendar Year Plans Full Time Employees Percentage Tests Two possibilities The non calendar plan year covered at least onethird of all full time employees (just full time) as of any date in the 12 month period ending on February 9, 2014 The non calendar plan year was offered to at least one half of the full time employees (just full time) during the most recent open enrollment period ending prior to February 9,
7 Non Calendar Year Plans Commitment regarding 2015 coverage Coverage offered as of the first day of the noncalendar plan year beginning 2015 must be affordable and of minimum value In effect, this requires the employer to commit to offering coverage that satisfies both Play or Pay Penalty A and Penalty B calculations 19 If you qualify, do you want it? Treat availability of delay as tool available in overall strategy Delay may not fit overall strategy Key: Figure that out now DEFAULT: January 1, Observations & Clean Up Cost/benefit decision Focus on Penalty A avoidance Focus on Penalty B minimization MV or not Preventive care only MEC Affordability Employee cost for lowest cost option, single coverage Add lower tier of coverage 21 7
8 Observations & Clean Up Intentionally not affordable Different designs require consideration, number crunching, etc. Decision making and implementation prior to default Time is of the essence 22 Time is of the Essence Time to consider options and make decision regarding overall strategy Lead time to implement Insurance contracts (fully insured, stop loss) Plan documents CBAs Employment contracts Cafeteria plan enrollment Etc. 23 Not Done Yet Numerous reporting and disclosure obligations Independent from Play or Pay Most not tied to employer size 24 8
9 Reporting & Disclosure 25 Focus on 6056 Reporting Applicable Large Employer (ALE) No special delay for small ALE Based on 2015 information To be filed no later than February 29, 2016, or March 31, 2016, if filed electronically. Alternative Reporting Methods (a/k/a simplified reporting ) Simplified Reporting Alternative reporting methods (Treas. Reg (j)) Certification of qualifying offer Certification made as part of reporting One or more full time employees for all months during the year for which the employee was a full time employee and which are not within a limited non assessment period. MEC at MV and cost not exceeding 9.5% FPL Offer to employee and dependent children AND spouse 27 9
10 6056 Simplified Reporting 98% Offer Rule Offers MEC with MV that is affordable to at least 98% of employees No differentiation between part time and full time No individualized employee reporting 28 Focus on November 2014 Transitional Reinsurance Fees Recap Pay.gov Health Plan Identifiers ( HPIDs ) 29 Transitional Reinsurance Recap Creates pool of money to assist insurance companies through transition HHS determines annual fee per covered life $63 dollars for 2014 $44 dollars for 2015 First nine calendar months Permissible plan expense and tax deductible Who pays depends on plan type Insured insurance carrier pays Not insured plan pays 30 10
11 Transitional Reinsurance Recap Types of coverage subject to fee Major medical plans defined as health coverage for a broad range of services and treatments, including diagnostic and preventive services and medical and surgical conditions. Broad 31 Transitional Reinsurance Recap Prop. Regs. specifically exempt the following plans and coverages: Plans consisting solely of HIPAA excepted benefits (e.g., stand alone dental or vision plans) Health reimbursement arrangements (HRAs) that are integrated with a major medical plan Health flexible spending arrangements within the meaning of Section 125 Health savings accounts EAPs, disease management programs, and wellness programs that do not include major medical coverage 32 Transitional Reinsurance New Final regulations exempt certain additional self insured plans Self insured, self administered Retains responsibility for claims processing, claims adjudication, enrollment Self insured, limited TPA (pharmacy/dental/vision, di minimis, network rental, repricing) 33 11
12 Transitional Reinsurance Fees Pay.gov required ACA Transitional Reinsurance Program Annual Enrollment and Contributions Submission Form Auto calculates Schedules payment(s) 34 Health Plan Identifier (HPID) *HIPAA Electronic Data Interchange 35 HPID A unique 10 digit number that identifies the health plan. Remember: For HIPAA Privacy and Security purposes, a health plan is a covered entity. Furthers objective of standardization. HPID is to be used when the health plan conducts HIPAA standard transactions. Note: Includes where a TPA or other third party conducts the transaction on the health plan s behalf. Important: Not relieved of responsibility just because health plan does not conduct any HIPAA standard transactions. Still have to get the HPID. Just may never be required to use it
13 Plans that must obtain an HPID Health plan defined very broadly Remember: Way back to the HIPAA Privacy and Security analyses you did. Includes self insured health plans sponsored by employers for the benefit of their employees and families. Self insured means not insured; not provided through an insurance policy May include EAPs, wellness, on site medical facilities 37 HSAs, Health FSAs, and HRAs Recent FAQs issued by CMS Confirm HSAs and Health FSAs are individual accounts directed by the individual and, therefore, do not need HPIDs. In general, HRAs require HPIDs if the HRA is a health plan. HRAs that cover only deductibles or out of pocket maximum costs do not need an HPID; viewed as additional benefits of major medical Stand alone HRAs require HPIDs. Remember: Whether a particular health plan actually conducts transactions electronically does not matter. Action Item: Identify HSAs, Health FSAs, and HRAs that do not need HPIDs. 38 Must apply online Obtaining the HPID HPID User Manual. Describes step by step process of obtaining the HPID through the CMS website. and Guidance/HIPAA Administrative Simplification/Affordable Care Act/Downloads/HPIDQuickGuideOctober Accessible.pdf. Special Note: Where asked to provide an NAIC number or Payer ID, most employer sponsored self insured health plans should answer not applicable because they do not have these numbers
14 40 Cadillac Tax Effective January 1, 2018 The purpose is revenue generation Originally $80 billion With cost overages, now even more Why worry now? What you do/do not do between now and then matters 41 Cadillac Tax No Small Employer Exception! 40% excise tax on amount by which aggregate cost of applicable employersponsored health coverage exceeds the applicable threshold. New cost of making benefits available Excise tax itself Administrative costs 42 14
15 What is it? Applicable employer sponsored health coverage Coverage under group health plan Different list than other reporting requirements More than just major medical Made available to employee by employer Either actually excluded under 106 or would be if employer paid it Note: Who pays (employer or employee) is irrelevant. 43 What Coverage Counts? Major medical Dental (self insured)* Vision (self insured)* HRA Health FSA On site medical HSA!! *May get guidance similar to W 2 reporting. 44 Aggregate cost Cadillac Tax Not the part of the premium the employee pays! In general, look to the COBRA rate Special rules for account based benefits Add the cost of what the employee actually takes Employee by employee Month by month Administratively intense 45 15
16 Cadillac Tax Thresholds $10,200 self $27,500 other than self only Higher threshold for qualified retiree and high risk profession Based on status at beginning of each month Not without issues Keep in mind if do nothing Keep in mind if make changes 46 Cadillac Tax Compare to threshold Calculate excise tax Allocate among responsible parties Report to IRS Note: If employer miscalculates, penalty of 100% of additional excise tax due to miscalculation. 47 Suggestions Start thinking about this now As the cost of coverages increase, possibility and amount increase Not like affordability; not keyed off of what the employee pays Can t satisfy by shifting more to the employee Can t satisfy by having benefit be taxable 48 16
17 Suggestions Start thinking about the communication aspects Nature of the tax Excise or Penalty Both suggest something was done wrong Really just a cost of providing the benefit package 49 Action Item Summary List all self insured health plans. Break down bundled plans into components Err on the side of over including Identify HSAs, Health FSAs, and HRAs that do not need HPIDs. Identify the size of each self insured health plan. Identify the plan administrator of each self insured health plan. Identify the TPA, if any, of each self insured health plan. Determine if and when to apply for HPID(s). Determine who is going to obtain HPID(s). 50 Questions 51 17
18 Play or Pay: Whether & When Decision Tree 52 18
Affordable Care Act Update: Employer Reporting Requirements
Affordable Care Act Update: Employer Reporting Requirements Presented By: Ryan Wright Account Executive rwright@bbdaytona.com Matthew McGarvey Account Executive mmcgarvey@bbdaytona.com December 12, 2014
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 informationFall Health Care Symposium
2014 Fall Health Care Symposium Agenda ACA What s Happening Now Group vs. Individual Coverage Alternative Funding Options Why Wellness Matters Transforming HR Through Technology Understanding Obamacare
More informationHealth Plan Identifier ( HPID ) Requirements. By Larry Grudzien Attorney at Law
Health Plan Identifier ( HPID ) Requirements By Larry Grudzien Attorney at Law 1 Agenda Introduction HIPAA Standard Transactions Rules Health Plan Identifier (HPID) Certification of Compliance with Standard
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 Under the ACA Its Effect on Municipalities and Their Employees
Health Care Reform Under the ACA Its Effect on Municipalities and Their Employees Maine Municipal Employees Health Trust 1-800-852-8300 www.mmeht.org The Difference Is Trust August 2014 1 Today s Agenda
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 informationAffordable Care Act: Evolving Requirements & Compliance Implications
Affordable Care Act: Evolving Requirements & Compliance Implications Peggy Baron Bricker & Eckler LLP 100 South Third Street Columbus, OH 43215 Employer Shared Responsibility Assessable Payments Beginning
More informationSUMMARY OF QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT ARRANGEMENTS (QSEHRAS) Background
SUMMARY OF QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT ARRANGEMENTS (QSEHRAS) The 21st Century Cures Act ("Cures Act"), enacted on December 13, 2016, amended Section 9831 of the Internal Revenue Code
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 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 information1/5/16. Provided by: The Lank Group Winterthur Close Kennesaw, GA Tel: Design 2015 Zywave, Inc. All rights reserved.
1/5/16 Provided by: The Lank Group 2971 Winterthur Close Kennesaw, GA 30144 Tel: 770-683-6423 Design 2015 Zywave, Inc. All rights reserved. Table of Contents Introduction... 3 Plan Design and Coverage
More informationPPACA A Year End Review
PPACA A Year End Review November 20, 2014 Jim Hermann, Senior Vice President CEBT, Human Capital Practice Willis of Colorado 2000 South Colorado Boulevard, Tower II, Suite 900 Denver, CO 80222 (303) 773-1373
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 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 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 information2018 Employee Benefits Webinar Series. Introduction to Consumer Directed Healthcare and Account-Based Plans (HSAs, FSAs, and HRAs) November 15, 2018
2018 Employee Benefits Webinar Series Introduction to Consumer Directed Healthcare and Account-Based Plans (HSAs, FSAs, and HRAs) November 15, 2018 Stacy H. Barrow Marathas Barrow Weatherhead Lent LLP
More informationThe Affordable Care Act: Issues for Employers
The Affordable Care Act: Issues for Employers Paul W. Madden Whiteford, Taylor & Preston L.L.P. (401) 347-8742 Direct Fax: (410) 223-4162 pmadden@wtplaw.com Topics Covered Employer Shared Responsibility
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 informationPlay or Pay Under Health Care Reform: Size Matters. Important Things to Remember
Play or Pay Under Health Care Reform: Size Matters April 3, 2014 Presented By Darcy L. Hitesman, Esq. 763 503 6620 www.hitesmanlaw.com IRS Circular 230 Disclosure: To insure compliance with Treasury Regulations,
More informationCompliance for Health & Welfare Plans
Compliance for Health & Welfare Plans Presented by Lauren Johnson, APA, CFC McGregor & Associates, Inc. 997 Governors Lane, Suite 175 Lexington, KY 40513 (859) 233-4377 laurenj@mai-ky.com AGENDA Overview
More informationHealthcare Reform Update Considerations & Market Update November March 2013
Healthcare Reform Update 2013-2015 Considerations & Market Update November 2013 March 2013 Agenda Recent Events Update Exchanges Administrative & Legislative Actions Status of the Individual Mandate 2014
More informationAffordable Care Act (ACA) Violations Penalties and Excise Taxes
Brought to you by Clark & Associates of Nevada, Inc. www.clarkandassoc.com Affordable Care Act (ACA) Violations Penalties and Excise Taxes The Affordable Care Act (ACA) includes numerous reforms for group
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 information4/13/16. Provided by: Zywave W. Innovation Drive, Suite 300 Milwaukee, WI
4/13/16 Provided by: Zywave 10100 W. Innovation Drive, Suite 300 Milwaukee, WI 53226 Email: marketing@zywave.com Design 2015 Zywave, Inc. All rights reserved. Table of Contents Introduction... 3 Plan Design
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 information4/13/16. Provided by: KRA Agency Partners, Inc. 99 Cherry Hill Road, Suite 200 Parsippany, NJ Tel:
4/13/16 Provided by: KRA Agency Partners, Inc 99 Cherry Hill Road, Suite 200 Parsippany, NJ 07054 Tel: 973-588-1800 Design 2015 Zywave, Inc. All rights reserved. Table of Contents Introduction...3 Plan
More informationACA REPORTING WEBINAR QUESTIONS AND ANSWERS
ACA REPORTING WEBINAR QUESTIONS AND ANSWERS The following questions on ACA reporting requirements to the IRS make up parts one and two of an ebook series. Contact us for part three, in which we cover questions
More informationACA Violations Penalties and Excise Taxes
Provided by Propel Insurance ACA Violations Penalties and Excise Taxes The Affordable Care Act (ACA) includes numerous reforms for group health plans and creates new compliance obligations for employers
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 informationAre We ACA Compliant: How to Perform a Self-Audit
Are We ACA Compliant: How to Perform a Self-Audit Jennifer L. Berman, JD, SPHR CEO/Chief Employee Optimizer OAU Consulting www.oauconsulting.com jberman@oauconsulting.com 773.230.2505 Agenda for today
More informationEVENT How to TITLE Prepare for 2015 Health Care Reform Challenges
EVENT How to TITLE Prepare for 2015 Health Care Reform Challenges NEO RIMS Meeting -February 17, 2015 Kate Hubben, CSFS, MPA Client Advocate Willis Human Capital Practice Kate.hubben@willis.com Harvard
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 informationHealth Care Reform Exchanges, Penalties and Employer Responsibility
Health Care Reform Exchanges, Penalties and Employer Responsibility as of January 21, 2013 Exchanges Individuals Initial open enrollment will run October 1, 2013 through March 31, 2014 Coverage effective
More informationACA Tax Reporting and Cadillac Tax Update for the Blissfully Ignorant Employer
ACA Tax Reporting and Cadillac Tax Update for the Blissfully Ignorant Employer Key Compliance Issues for Governmental Employers Tuesday, November 10, 2015 Presented by: Mark Holloway, JD, LLM, CEBS Senior
More information2015 Employer Compliance Checklist
2015 Employer Compliance Checklist Groups 100+ Many provisions of the ACA have already been implemented and others will become effective for calendar year 2015. The following checklists are to assist employers
More informationCompliance Alert. ACA Mandates Different Measures of Affordability
Compliance Alert ACA Mandates Different Measures of Affordability August 29, 2014 Quick Facts: Several Affordable Care Act (ACA) provisions measure the affordability of employersponsored health coverage.
More informationStay up-to-date with our compliance news!
Employer Shared Responsibility Health Care Reform Under the ACA Under new Code Section 4980H, the Affordable Care Act s the Employer Mandate, applicable large employers are now required to: Manage employee
More informationUpdated February 2017
Health Care Reform Compliance Timeline Quick Reference Guide Updated February 2017 Health Care Reform Compliance Timeline Quick Reference Guide I. II. III. Effective Immediately Following Enactment Effective
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 information2014 Hill, Chesson & Woody
Topics for Today Healthcare Reform s Mandates Regulations, Taxes and Fees. Oh my!!! Key Trends What s next? Healthcare Reform s Employer Mandate Background The Employer Mandate portion (4980H) of the Patient
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 informationIt is the sweet, simple things in life which are the real ones after all.. CPAHU October CE Meeting
It is the sweet, simple things in life which are the real ones after all.. CPAHU October CE Meeting Heidi M. Bianco, CEBS, CHRS Director of Compliance and HR Consulting AIA/Benefits Resource Group October
More informationEmployer Shared Responsibility
Health Care Reform under the ACA: Employer Shared Responsibility Under new Code Section 4980H, the Affordable Care Act s the Employer Mandate, applicable large employers are now required to: 1) Manage
More informationReinsurance Fees Examples of Counting Methods
Brought to you by Sullivan Benefits Reinsurance Fees Examples of Counting Methods The Affordable Care Act (ACA) created a transitional reinsurance program to help stabilize premiums in the individual market
More informationHealth Care Reform Toolkit Large Employers
Health Care Reform Toolkit Large Employers Table of Contents Introduction... 3 Plan Design and Coverage Issues: 2014 and Beyond... 4 Employer Obligations... 11 Notice and Disclosure Requirements... 19
More informationAdvanced HSA Concepts
Advanced HSA Concepts 1 Sue Sieger, ACFCI, CAS Senior Compliance Consultant Employee Benefits Corporation sue.sieger@ebcflex.com The material provided in this webinar is by Employee Benefits Corporation
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 informationEmployer Responsibility Under the Affordable Care Act: Where Are We Now?
Employer Responsibility Under the Affordable Care Act: Where Are We Now? March 28, 2014 All materials have been prepared for general information purposes only. The information presented is not legal advice,
More informationHealth Care Reform Update Compliance Challenges for 2014 and 2015
Health Care Reform Update Compliance Challenges for 2014 and 2015 Brought to you by Winston & Strawn s Employee Benefits and Executive Compensation Department Today s elunch Presenters Erin Kartheiser
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 informationMarch 2019 The Good News Compliance Webinar
March 2019 The Good News Compliance Webinar Benefit Comply, LLC The Good News Compliance Webinar Welcome! We will begin at 3 p.m. Eastern There will be no sound until we begin the webinar. When we begin,
More informationPart II: Deep Dive: Pay or Play and Employer Reporting
1 ACA Compliance Briefing for Self-Insured Employers Part 1 (The Impact of ACA on Employer Self-Funding) Atlanta Office One Atlantic Center 1201 West Peachtree Street Atlanta, Georgia 30309-3424 (404)
More informationCompliance Department March 2017
Excepted Benefits By Employee Benefits Corporation s Compliance Department compliance@ebcflex.com Date March 2017 2017 Employee Benefits Corporation 2017 Employee Benefits Corporation 2 Overview Excepted
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 informationHHS Proposes $63 Transitional Reinsurance Fee for Group Health Plans in 2014
HHS Proposes $63 Transitional Reinsurance Fee for Group Health Plans in 2014 December 2012 The Department of Health and Human Services (HHS) issued a proposed rule on November 30, 2012 that will impose
More informationAdministrative Obligations Workshop. February 5, 2015
Virginia ASBO Administrative Obligations Workshop February 5, 2015 This is only a brief summary that reflects our current understanding of select provisions of the law, often in the absence of regulations.
More informationAffordable Care Act Employer Reporting and Compliance Update
Affordable Care Act Employer Reporting and Compliance Update Presented by Patrick C. Haynes, Jr., Esq., LL.M. Consulting Brokerage Compliance Communication Administration 2 Patrick C. Haynes, Jr. Today
More informationHEALTH CARE REFORM PROVISIONS BY SIZE OF PLAN OR EMPLOYER March 28, 2014
2018 Cadillac Tax: 40% excise tax on the amount by which the total cost of employersponsored health plan exceeds specified thresholds 2010 thresholds are: $10,200 for self-only coverage; $27,500 for other
More informationTexas Association of County Auditors On the Road Area Training January 16, 2014
Texas Association of County Auditors On the Road Area Training January 16, 2014 Health Care Reform: What Counties Need to Know Presented by: Texas Association of Counties Lisa McCaig, Employee Benefits
More informationACA for Employers Employee Benefits Conference May 15, 2015
ACA for Employers Employee Benefits Conference May 15, 2015 Presented by: Norma Shirk 1 Agenda Generally Applicable Information Employers & Employees Employer Penalty & 2015 Relief Miscellaneous 2 GENERALLY
More information2016 HEALTH REFORM What you need to know
2016 HEALTH REFORM What you need to know Content Transitional reinsurance fee Out-of-pocket limits SBC changes Instructions for submitting questions: 6055/6056 reporting Health plan identifier FAQs regarding
More informationHealth Savings Accounts
2013 Health Savings Accounts Frequently Asked Questions Gallagher Benefit Services, Inc. HSA FREQUENTLY ASKED QUESTIONS for Employers Basics Q-1: What is an HSA? A-1: A Health Savings Account ( HSA ) is
More informationTHE AFFORDABLE CARE ACT: PAST, PRESENT & FUTURE October 20, 2015
HEALTH WEALTH CAREER THE AFFORDABLE CARE ACT: PAST, PRESENT & FUTURE October 20, 2015 CHERYL RISLEY HUGHES WASHINGTON, DC Key Elements of Health Care Reform for Employers 2010 Accounting impact of change
More informationHEALTH CARE REFORM PROVISIONS BY SIZE OF PLAN OR EMPLOYER July 14, 2014
unless 2018 Cadillac Tax: 40% excise tax on the amount by which the total cost of employersponsored health plan exceeds specified thresholds 2010 thresholds are: $10,200 for self-only coverage; $27,500
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 informationDate(s) Requirement Details Prepare Your Company Date Completed
Health Care Reform Checklist for Businesses with 50+ Employees Most requirements of the health care reform law are already effective, but other aspects will still be phased in over the next few years.
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 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 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 informationThe ACA: Health Plans Overview
The ACA: Health Plans Overview Agenda What is the legal status of the ACA? Which plans must comply? Reforms currently in place 2013 compliance deadlines 2014 compliance deadlines 2015 compliance deadlines
More informationACA REPORTING REQUIREMENTS QUESTIONS AND ANSWERS
ACA REPORTING REQUIREMENTS QUESTIONS AND ANSWERS Introduction The Affordable Care Act (ACA) added two employer reporting requirements to the Internal Revenue Code (Code) taking effect for 2015: Code 6056
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: Where are we now? An employers guide to
Health care reform: Where are we now? An employers guide to 2014-2016 Presented by: Baker Tilly refers to Baker Tilly Virchow Krause, LLP, an independently owned and managed member of Baker Tilly International.
More informationHealth Care Reform Updates and Strategies for 2015 and Beyond. Presented by: Ryan McArton, JD Sr. Advisor of Regulatory Affairs
Health Care Reform Updates and Strategies for 2015 and Beyond Presented by: Ryan McArton, JD Sr. Advisor of Regulatory Affairs Health Care Reform Overview 2 PPACA Objectives 1. Improved access to health
More informationTimeline. ASCIP ACA Reporting Diagnostics. ASCIP ACA Reporting Diagnostics May Debra Davis Area Vice President, Compliance Counsel
ASCIP ACA Reporting Diagnostics Sally Wineman Area Senior Vice President, Compliance Counsel Debra Davis Area Vice President, Compliance Counsel 2015 GALLAGHER BENEFIT SERVICES, INC. 05 15 Timeline Revenue
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 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 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 informationTHE PATIENT PROTECTION AND AFFORDABLE CARE ACT UPDATE
THE PATIENT PROTECTION AND AFFORDABLE CARE ACT UPDATE February 21, 2013 Jonathan Alexander, Esq. Compliance Counsel Pinnacle Claims Management, Inc. Copyright 2013 Pinnacle Claims Management, Inc. Reproduction
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 informationForm W-2 Reporting Requirements
Brought to you by The Ward Agency Form W-2 Reporting Requirements The Affordable Care Act (ACA) requires employers to report the aggregate cost of employer-sponsored group health plan coverage on their
More informationHEALTH CARE REFORM: CONSIDERATIONS FOR THE BUSINESS MANAGER
HEALTH CARE REFORM: CONSIDERATIONS FOR THE BUSINESS MANAGER This is only a brief summary that reflects our current understanding of select provisions of the law, often in the absence of regulations. All
More informationAffordable Care Act Toolkit
Affordable Care Act Toolkit for Businesses with 50 or more employees Choose coverage that fits. Form No. 3-1019 (07-14) The Affordable Care Act Blue Cross of Idaho prepared this toolkit to help you define
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 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 informationDecember 12, 2012 OVERVIEW OF THE TRANSITIONAL REINSURANCE PROGRAM
December 12, 2012 On November 30, 2012, the Department of Health and Human Services ( HHS ) released for public inspection proposed regulations ( New Proposed Regulations ) setting forth guidance with
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 informationHealth Care Reform/ Plan Sponsor Impact
Health Care Reform/ Plan Sponsor Impact Conference Forum March 2013 Health Care Reform Update Agenda Review of ACA* s Major Reforms 2014 Key Recent Guidance from Regulators Pay or Play Rule Key Concerns
More informationParticipant Handout Presented by
Healthcare Reform PPACA Continues... What Do You Do Now? Participant Handout Presented by HCR ICCCFO October 2012 Healthcare Reform PPACA Continues... What Do You Do Now? 2012 Gallagher Benefits Services,
More informationSelf Insured Plans: Instructions for Reinsurance Contributions and Obtaining a HPID
Self Insured Plans: Instructions for Reinsurance Contributions and Obtaining a HPID 9/30/2014 Agenda Reinsurance Contribution o Reinsurance Overview o Registering on Pay.gov o Completing the Form o Preparing
More informationRegarding non-student dependents over age 19; can funds from an HSA be used for their qualifying expenses?
Are employee elections required every plan year like an FSA? Elections to pay for benefits on a pre-tax basis through a cafeteria plan are generally required for each Or are they continuous until the employee
More informationFinal Benefit and Payment Parameters Regulations Have Wide Ranging Implications Cost-Sharing Limits
» 3/19/15 2015-03 Regulatory Roundup: Flex Credit/Cash-in-Lieu Potential Impact on Plan Affordability and New Guidance on Cost- Sharing Limits, Reinsurance, Essential Health Benefits, and More Flex Credits
More informationThe MC Academy The Employee Benefits and Executive Compensation Series HEALTH CARE REFORM ACT
The MC Academy The Employee Benefits and Executive Compensation Series HEALTH CARE REFORM ACT April 16, 2013 Topics Health Care Reform under the Patient Protection and Affordable Care Act Overview Exchanges
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 Care Reform: The Future is Now. Brydon M. DeWitt
Health Care Reform: The Future is Now Brydon M. DeWitt Williams Mullen 2013 Heath Care Costs >Health Insurance Premium Rate Increases 2010: 6.2% 2011: 8.5% 2012: 4.9% 2013: Expected to be 6.3%* *Aon Hewitt
More informationAn Employer's Update on Employee Benefits
An Employer's Update on Employee Benefits August 14, 2015 Presented by: Andrea Bailey Powers 205.244.3809 apowers@bakerdonelson.com SAME GENDER SPOUSES Tax-Qualified Retirement Plans Survivor/Beneficiary
More informationHealth reform: Guiding you through health reform compliance
May 20, 2010 Health reform: Guiding you through health reform compliance Linda Havlin, Chicago Amy Bergner, Washington, DC Kelly Traw, Washington, DC Beth Umland, New York Tracy Watts, Washington, DC www.mercer.com
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 informationHealth Care Reform Exchanges, Penalties and Employer Responsibility
Health Care Reform Exchanges, Penalties and Employer Responsibility As of April 15, 2013 Table of Contents Exchanges Pages 3-4 Determining Large Employer Status Pages 5-6 Employer Penalty Pages 7-9 Coverage
More information