Affordable Care Act Key Questions for Employers
|
|
- Milton Gregory
- 6 years ago
- Views:
Transcription
1 Affordable Care Act Key Questions for Employers May 16, 2013
2 Key questions an employer must ask Am I potentially subject to the penalty? When are the rules effective? Who do I have to cover? When do I have to cover them? What coverage must I provide? Do I need to subsidize coverage? What are the penalties? What do I need to tell my employees? 1
3 Am I potentially subject to the penalty? Your organization is potentially subject to the penalty if you are an applicable large employer The term "applicable large employer" means, with respect to a calendar year, an employer who employed an average of at least 50 full-time employees and FTEs (combined) during the preceding calendar year - In this case, the employer is determined on a controlled group or an affiliated service group basis Note: You can not simply break up a company into two or more related companies to avoid the requirements 2
4 Controlled groups For employee plan purposes, brother-sister controlled group requires 80% common ownership by five or fewer persons (it is 50% for income tax rules) - For example, if Mary and Jim each own 45% of both ABC Corp and XYZ Corp, the ABC and XYZ are in a brother-sister controlled group relationship For brother-sister, there is also a 50% identical ownership standard to meet. For parent-subsidiary controlled groups it is an 80% standard for both income tax and employee plans - For example, ABC Corp owns 90% of XYZ Corp 3
5 Full-time employees and FTEs Full-time employees - Work on average 30 hours or more each week Full-time equivalent employees (FTEs) - The hours of part-time employees for the month are aggregated and divided by 120 Example - A company has 47 full-time employees, and - 10 employees who work a combined 600 hours in the month ( = 5 FTEs) = 52 full-time employees - The company is an applicable large employer 4
6 Employee determination process In any year, an employer must look to the prior year to determine its full-time and FTE employee counts You have to determine full-time employees and FTEs each month - However, for 2013, an employer can use a period of less than 12 consecutive months but at least six consecutive months in determining its average employment number 5
7 Applicable large employers include For-profit (public or privately held) Not-for-profits Churches Federal, state, and local governments 6
8 New employer rule Example: - New company created May 1, If NEWCO can reasonably be expected to employ on average at least 50 full-time employees during 2014, and actually employs an average of at least 50 full-time employees during 2014, NEWCO is an applicable large employer 7
9 Pay or Play effective January 1, 2014 First year transition rules for some non-calendar year plans - Delay until start of the plan year for those employees who were eligible on December 27, Delayed until start of non-calendar year plan for all employees if the employer offered the plan to: At least 1/3 of all employees at the most recent open enrollment The plan covered at least 25% of all employees on any day between October 31, 2012 and December 27,
10 Employees eligible for coverage Fulltime employees - 30 hours a week hours a month can be used Special rules for: - Variable hour employees - Seasonal employees For non-hourly employees use: - 8 hours a day - 40 hours a week Note: The FTE concept for applicable large employers does not apply here. 9
11 Union plans No special exceptions for union plans or union employees - Some limited transition rules apply in IRS is seeking comments on this issue 10
12 Union transition rule For 2014, no penalty assessments apply if: - The employer is required to make a contribution to a multiemployer plan under a collective bargaining agreement, - Coverage under the multiemployer plan is offered to the full-time employee (and the employee s dependents), and - The coverage offered to the full-time employee is affordable and provides minimum value. 11
13 When does coverage apply? If a new employees is a clearly a fulltime employee, the employer must offer coverage within 90 days of hire. - Temporary employee issue - Many employers use a temp-to-hire practice of hiring new employees - The issue is: If you hire the temp-to-hire person as an employee, what is their date of hire? 12
14 Determining fulltime status Determined monthly - IRS provides safe harbor approaches for: On going employees Seasonal or variable hour employees - The safe-harbor approaches require an understanding of several concepts, including the standard measurement period, the stability period, and an administrative period. 13
15 Safe harbor for ongoing employees An example of the interplay between the three periods is as follows: Administrative period (optional) Oct. 16 through Dec. 31 Standard measurement period Stability period 12 months ending each Oct. 15 Next Jan 1 to Dec 31 14
16 Minimum essential coverage Not a defined term. Essentially it is a group health insurance policy. The policy must meet the 2014 insurance policy mandates regarding - No annual limit - No lifetime limit - No cost-preventive services 15
17 Minimum value A plan must cover at least 60% of total allowed costs in the following benefit categories: - Physician and midlevel practitioners (e.g. an APN s charges) - Prescription drugs - Hospital and emergency room services - Imaging and laboratory services A plan can satisfy this by design-based safe harbors, the HHS calculator, or an actuarial certification 16
18 Affordable coverage Coverage is affordable if the price for the lowest cost self-only policy does not exceed: percent of W-2, Box 1 wages percent of Federal Poverty Line - Rate of pay safe-harbor 9.5 percent of base monthly salary or hourly rate of pay (no more than 130 hours per month) No requirement to subsidize spouse or dependent coverage. 17
19 The employer penalties Applicable large employers must: - Offer minimum essential health coverage to substantially all fulltime employees (and their dependents) or pay a penalty tax - Offer affordable coverage that provides minimum value or pay a penalty tax Note: An employer does not have to: - Offer coverage to spouses - Subsidize dependent coverage 18
20 First potential penalty no offer of coverage If the employer fails to offer minimum essential health coverage to substantially all (95 percent of) employees and any one employee receives tax-subsidized coverage through an exchange, the employer must pay a $2,000 nondeductible penalty for every full-time employee - The first 30 employees are not counted in calculating the penalty - With a 40 percent combined tax rate, this is the equivalent of $3,300 per employee 19
21 Second possible penalty Part A If the employer fails to offer a fulltime employee coverage (and the first penalty does not apply) and that employee obtains tax-subsidized coverage through the exchange, the nondeductible penalty is $3,000 for that employee (or $2,000 per employee, if less) - This penalty potentially applies if the employer offers coverage to 95% or more of all fulltime employees but less than 100% 20
22 Second possible penalty Part B If the employer offers employee and dependent coverage but the coverage does not meet minimum value and an employee obtains tax-subsidized coverage through the exchange, the nondeductible penalty is $3,000 for that employee (or $2,000 per employee, if less) 21
23 Second possible penalty Part C If the employer offers employee and dependent coverage but charges more than 9.5 percent of the employee s household income (an offer of unaffordable coverage) for the employee self-only option and the employee declines the employer s plan and obtains tax-subsidized coverage through the exchange, the nondeductible penalty is $3,000 for that employee (or $2,000 per employee, if less) 22
24 Tax subsidies Not available if employee is: - Eligible for Medicaid (100% to 133% of the federal poverty line) - Has household income greater than 400% of federal poverty line - Offered or accepts coverage under an employer-sponsored plan 23
25 Monthly computations The penalty is actually assessed on a monthly basis, but all examples are annualized 24
26 Example No. 1 Employer has 180 full-time employees and does not offer health care coverage to substantially all employees One employee receives tax-subsidized coverage from a health benefit exchange The tax computation is: employees - Less 30 employee threshold $2,000 = $300,000 25
27 Example No. 2 Employer has 180 full-time employees and does not offer affordable health care coverage 20 employees receive tax-subsidized coverage from a state health benefit exchange The tax computation is: - 20 $3,000 = $60,000 26
28 Penalty on individual employer The penalty is not determined on a controlled group basis This is a planning opportunity - But watch out for traps 27
29 Potential trap Nondiscrimination testing Employers providing health care coverage through an insurance policy will need to comply with the same nondiscrimination standards that currently apply to employersponsored self-insured plans - If a plan is discriminatory, then the employer sponsoring the plan is subject to a $100 per day per individual excise tax - The IRS has delayed the effective date of this provision until it issues regulations - Remember that there are current nondiscrimination rules that apply to self-insured health benefit and cafeteria benefit plans 28
30 Discussion What are employers doing? 29
31 Employer Decision Tree Large employer? Yes Minimum coverage of FTEs? Yes Minimum value? Yes Affordable? Yes No Penalty No No No No No penalty; explore small business health care tax credit; consider insurance exchange $2,000 non-deductible penalty on all full-time employees (less first 30 FTEs) $3,000 non-deductible penalty for each employee receiving subsidy (max of $2,000 per FTE after 30) $3,000 non-deductible penalty for each employee receiving subsidy (max of $2,000 per FTE after 30) 30
32 Information that employers must provide U.S. Department of Labor has issued model forms for: - Summary of Benefits and Coverage - Notice of Marketplace Coverage 31
33 Summary of Benefits and Coverage (SBC) The SBC is a description of a health plan s provisions regarding eligibility, covered services, excluded services, cost sharing percentages, etc. - Employers must issue the SBC in connection with the first open enrollment period that starts after Sept. 23, Employers must also distribute the SBC: To newly enrolled employees In any special enrollment situation Updated version when changes are made to the plan (60 days in advance) 32
34 Employee Notice of Marketplace Coverage Employers must provide the Notice to current full-time and part-time employees (regardless of their enrollment status under existing group plans) - The Notice is due no later than October 1, 2013, - New employees must receive the Notice within 14 days of their employment start date 33
35 McGladrey LLP is the U.S. member of the RSM International ( RSMI ) network of independent accounting, tax and consulting firms. The member firms of RSMI collaborate to provide services to global clients, but are separate and distinct legal entities which cannot obligate each other. Each member firm is responsible only for its own acts and omissions, and not those of any other party. McGladrey, the McGladrey signature, The McGladrey Classic logo, The power of being understood, Power comes from being understood and Experience the power of being understood are trademarks of McGladrey LLP. McGladrey LLP Address City Phone
Health care reform: A guide for large employers
Health care reform: A guide for large employers 1231 East Beltline Ave. NE Grand Rapids, MI 49525 616.942.0954 800.942.0954 Dear business owner: In the complex world of health care reform, we understand
More informationHealth Care Reform. Preparing for the Coming Storm. Health Care Reform Fox Rothschild
Preparing for the Coming Storm 1 The Frustration Sets In We Should All Look the Same Brand New Terms Employer Shared Responsibility Applicable Large Employer Full Time Equivalent Measurement Period Stability
More informationEmployee Benefits After the Affordable Care Act
Employee Benefits After the Affordable Care Act ~ NHRMA 2015 Conference & Tradeshow October 6, 2015 With Iris Tilley, Barran Liebman LLP MEASUREMENT AND STABILITY PERIODS Shared Responsibility Payment
More informationPay or Play Employer Shared Responsibility Penalties
Brought to you by Biggs Insurance Services Pay or Play Employer Shared Responsibility Penalties The Affordable Care Act (ACA) requires certain large employers to offer affordable, minimum value health
More 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 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 informationPay or Play Employer Shared Responsibility Penalties
Brought to you by Olson Insurance Pay or Play Employer Shared Responsibility Penalties The Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer affordable, minimum value health
More informationTAXES AND FEES UNDER THE AFFORDABLE CARE ACT
TAXES AND FEES UNDER THE AFFORDABLE CARE ACT The health care reform law, known as the Affordable Care Act (ACA), makes significant changes to the U.S. health care system, including new coverage requirements,
More informationFREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE ACA:
FREQUENTLY ASKED QUESTIONS (FAQ) ABOUT THE ACA: Full implementation of the Patient Protection and Affordable Care Act (ACA) is less than a year away. Regulations impacting school districts have been issued
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 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 informationPay or Play Penalties Look-back Measurement Method Examples
Brought to you by Sullivan Benefits Pay or Play Penalties Look-back Measurement Method Examples The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer health
More informationIMPORTANT HEALTH REFORM INFORMATION FROM THE NEW YORK STATE TEAMSTERS COUNCIL HEALTH AND HOSPITAL FUND. September 16, 2013
IMPORTANT HEALTH REFORM INFORMATION FROM THE NEW YORK STATE TEAMSTERS COUNCIL HEALTH AND HOSPITAL FUND September 16, 2013 Dear Contributing Employer: The New York State Teamsters Council Health and Hospital
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 informationThe Affordable Care Act Part II Collection/Record Keeping and Government Filings
25029170v3 The Affordable Care Act Part II Collection/Record Keeping and Government Filings Mark Boxer Partner, DLA Piper LLP (US) and Anne Pachiarek Partner, DLA Piper LLP (US) Content Slides Purpose
More informationGCG FINANCIAL Health Care Reform Webinar Series Part II: Deep Dive Into Employer Mandate. March 12, 2013
GCG FINANCIAL Health Care Reform Webinar Series Part II: Deep Dive Into Employer Mandate March 12, 2013 David Levitz GCG Financial, Inc. 3000 Lakeside Drive Bannockburn, IL 60015 (847) 457-3003 David.Levitz@gcgfinancial.com
More 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 informationEmployer Mandate: Employer Action Overview
HEALTH CARE REFORM Employer Mandate: Page 2 of 11 Immediatemmediate Employer Action Required Notes Nursing Mothers Employers must provide a reasonable break time for non-exempt employees who are nursing
More informationNew Employer Shared Responsibility Penalty Guidance: Timely Employer Action Needed
Employee Benefits & Executive Compensation Alert March 2013 New Employer Shared Responsibility Penalty Guidance: Timely Employer Action Needed The Affordable Care Act, the federal health care reform law
More 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 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 informationEMPLOYER MANDATE FACT SHEET
EMPLOYER MNDTE FCT SHEET INFORMED ON REFORM Overview Employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to age
More informationHealth Care Reform Employer Mandate Compliance Roadmap
Health Care Reform Employer Mandate Compliance Roadmap Ben Conley (312) 460-5228 bconley@seyfarth.com Seyfarth Shaw LLP April 7, 2015 Today s Roadmap Is my company subject to the mandate? When does the
More informationHEALTH CARE REFORM: EMPLOYER SHARED RESPONSIBILITY RULES
HEALTH CARE REFORM: EMPLOYER SHARED RESPONSIBILITY RULES The Affordable Care Act (ACA) requires applicable large employers (ALEs) to offer affordable, minimum value health coverage to their full-time employees
More 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 informationAFFORDABLE CARE ACT EMPLOYER SHARED RESPONSIBILITY PROVISION PLAY OR PAY
AFFORDABLE CARE ACT EMPLOYER SHARED RESPONSIBILITY PROVISION PLAY OR PAY The Affordable Care Act s Employer Shared Responsibility (ESR) provision often called the Employer Mandate or Play or Pay requires
More informationEmployer Shared Responsibility Glossary of Key Terms
Employer Shared Responsibility Glossary of Key Terms Administrative Period An administrative period is an optional period of up to 90 days following the initial or standard measurement period and ending
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 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 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 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 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 informationThe Employer Shared Responsibility Under the Affordable Care Act
The Employer Shared Responsibility Under the Affordable Care Act For more information contact: Robert A. Fisher Partner, Deputy Chair, Labor and Employment Law Department Foley Hoag LLP 617.832.1235 rfisher@foleyhoag.com
More informationWashington Council. Legislative Alert. Treasury, IRS Release Notice of Proposed Rulemaking on Health Care Law s Employer Requirements !
Washington Council Legislative Alert Treasury, IRS Release Notice of Proposed Rulemaking on Health Care Law s Employer Requirements!@# The Department of the Treasury and the IRS on Friday, December 28,
More 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 informationAffordable Care Act Planning for CPAs
Affordable Care Act Planning for CPAs Ben Conley Seyfarth Shaw LLP Seyfarth Shaw refers to Seyfarth Shaw LLP (an Illinois limited liability partnership). 2014 Seyfarth Shaw LLP. All rights reserved. Overview
More informationHealth Care Reform. Handling Changes in Employment Status
Designated Full-Time Position Change to a measured variable hour position not reasonably expected to work 30 hours, NEW EMPLOYEE If a designated full-time new employee experiences a reduction in hours
More informationT R U S T E D A D V I S O R S. Providing Outstanding Client Service Boston /Cambridge/Newport / Providence / Waltham
T R U S T E D A D V I S O R S Providing Outstanding Client Service Boston /Cambridge/Newport / Providence / Waltham www.kahnlitwin.com Health Care Reform Overview Applicable Large Employer Determination
More 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 informationHealth Care Reform Pay or Play Rules Applicable to Colleges and Universities. May 17, Patrick M. Allen
Health Care Reform Pay or Play Rules Applicable to Colleges and Universities May 17, 2013 Patrick M. Allen Health Care Reform: An Overview Phase I: 2010 2013 New patient protections Administrative changes
More informationAffordable Care Act: Key Issues for Employers in 2014 and Beyond
Affordable Care Act: Key Issues for Employers in 2014 and Beyond Daniel R. Salemi, Franczek Radelet P.C. It has been almost four years since the Affordable Care Act ( ACA ) was signed into law in March
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 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 informationHealth Care Reform. Ross Manson, Principal Tonya M. Rule, Tax Manager. Health Care Reform Update. ACA employer penalties delayed until /1/2014
Health Care Reform Ross Manson, Principal Tonya M. Rule, Tax Manager 1 Health Care Reform Update ACA employer penalties delayed until 2015 1/1/2014 Establishment of Public Exchanges Payment of Individual
More informationAffordable Care Act 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 informationSimplifying Insurance. ACA Update. Insurance Employee Benefits Risk Management Financial Strategies
Simplifying Insurance ACA Update Insurance Employee Benefits Risk Management Financial Strategies simplifying Insurance simplifying Insurance simplifying Insurance BACKGROUND simplifying Insurance Affordable
More informationReform School Consolidated Sales
Reform School 2 Reform School Consolidated Sales Remedial Math (or How to Count to 50): Size priorityhealth.com 3 Remedial Math (or How to Count to 50): Size 4 Reform School Consolidated Sales Remedial
More informationACA penalties are coming: Are you at risk? RSM US LLP. All Rights Reserved.
ACA penalties are coming: Are you at risk? Presenters Jill Harris Senior Director Washington National Tax Rochester, MN Bill O Malley Senior Director Washington National Tax Peoria, IL IRS assessments
More informationHealth Care Reform What Are the Changes for Employers. Greenberg Traurig
Health Care Reform What Are the Changes for Employers Nancy Taylor Greenberg Traurig July 20, 2012 GREENBERG TRAURIG, LLP ATTORNEYS AT LAW WWW.GTLAW.COM 0 Information on Presentation Background on ACA
More 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 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 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 informationReady or Not: ACA Reporting Starts March 31 st!
Ready or Not: ACA Reporting Starts March 31 st! Presented February 2016 by Mary Powell, Tiffany Santos, Elizabeth Loh, Callan Carter & Eric Schillinger Agenda Introduction The Big Picture Open Questions
More informationAffordable Care Act Title 1: Employer Mandate. MAJ Philip Durando CPT Elvis Gonzalez CPT Stephanie Kessinger
Affordable Care Act Title 1: Employer Mandate MAJ Philip Durando CPT Elvis Gonzalez CPT Stephanie Kessinger Agenda Employer Mandate Tax Penalties and Credits Components defined Full Time Employee Affordability
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 informationNavigating the Employer Mandate
Navigating the Employer Mandate The Employer Mandate is the Health Care Reform provision that requires all employers with 50 or more full time equivalent employees to offer a certain level of health insurance
More informationIssue Fifty-Seven February 2013
Issue Fifty-Seven February 2013 February 13, 2013 The IRS recently released a Notice of Proposed Rule Making clarifying employers shared health care reform responsibilities. The notice covers many of the
More informationHealth Reform Update: Proposed Regulations on Employer Shared Responsibility
May 24, 2013 Action Required Health Reform Update: Proposed Regulations on Employer Shared Responsibility In January, the Internal Revenue Service (IRS) issued proposed regulations and a Frequently Asked
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 informationPatient Protection and Affordable Care Act (PPACA) Overview
Patient Protection and Affordable Care Act (PPACA) Overview Outline Overview Key Concepts Definition of Terms Measurement and Stability Periods Section 6056 Reporting Employment Considerations ACA Overview
More informationREVIEW OF THE REPORTING REQUIREMENTS UNDER CODE SECTIONS 6055 AND 6056
REVIEW OF THE REPORTING REQUIREMENTS UNDER CODE SECTIONS 6055 AND 6056 By Larry Grudzien Attorney at Law (708) 717-9638 larry@larrygrudzien.com September 2014 Introduction The Affordable Care Act ( ACA
More 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 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 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 informationComplying with Health Care Reform
Complying with Health Care Reform April 17, 2013 1 1 What Happened? In March 2010, Congress passed and the President signed health reform in: The Patient Protection and Affordable Care Act The Health Care
More informationHealth Care Reform Update. April 2013
Health Care Reform Update April 2013 2013 Compliance Issues Summary of Benefits and Coverage Simple explanation of benefits and costs 4 double sided pages, 12 point or larger font Can provide in paper
More 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 informationPay or Play Penalty Transition Relief Provisions
Brought to you by Stellar Benefits Group Pay or Play Penalty Transition Relief Provisions Effective Jan. 1, 2015, the Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that
More informationHealth Care Reform s Pay or Play Rule: Action Items for Employers
Health Care Reform s Pay or Play Rule: Action Items for Employers John Barlament Quarles & Brady LLP john.barlament@quarles.com 414.277.5727 Topics for Today Political / regulatory forecast Seven Steps
More informationEmployer Shared Responsibility and Healthcare Reporting Requirements
Employer Shared Responsibility and Healthcare Reporting Requirements Presented by: Heather Stone Fletcher August 2015 Employer Shared Responsibility In general, requires applicable large employers to offer
More informationHEALTH CARE REFORM: EMPLOYER ACTION OVERVIEW
CORPORATE BENEFITS COMPLIANCE WHITE PAPER HEALTH CARE REFORM: EMPLOYER ACTION OVERVIEW MARCH 23, 2010 EMPLOYER ACTION REQUIRED NOTES Nursing Mothers Employers must provide a reasonable break time for non-exempt
More informationHealthcare Reform Update. HR Rep Meeting June 18, 2013
Healthcare Reform Update HR Rep Meeting June 18, 2013 Health care reform timeline PPACA signed into law Summary of Benefits and Coverage (SBC) and uniform glossary disclosure Supreme Court rules individual
More informationPotential Employer Penalties Under the Patient Protection and Affordable Care Act (ACA)
Potential Employer Penalties Under the Patient Protection and Affordable Care Act (ACA) Janemarie Mulvey Specialist in Health Care Financing July 22, 2013 CRS Report for Congress Prepared for Members and
More informationVEHI FAQ. General Questions & Answers about the Affordable Care Act
VEHI FAQ General Questions & Answers about the Affordable Care Act Updated August, 2014 This VEHI FAQ has been updated to reflect recently released guidance on affordability provisions of the ACA. These
More informationHealth Care Reform Compliance: An Employer Perspective
Health Care Reform Compliance: An Employer Perspective L& E Breakfast Briefing February 20, 2014 Houston, Texas Presented by: Andrea Bailey Powers 205.244.3809 apowers@bakerdonelson.com Select ACA Provisions
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 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 information6/23/10 9/23/10 1/1/11 1/1/12 6/28/12 11/6/12 1/1/
Thinking Ahead: Getting Our Hands Around PPACA in 2014 and Beyond Presenter: Don Heilman Area Senior Vice President id 303.889.2686 don_heilman@ajg.com Timeline ERRP High Risk Pool Increased Penalties
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 informationFinal Employer Play or Pay Mandate Guidance: Employer Action Needed
Employee Benefits & Executive Compensation Alert March 2014 Final Employer Play or Pay Mandate Guidance: Employer Action Needed The federal health care reform law enacted in 2010, known as the Affordable
More informationHealth Care Reform UPDATE. A periodic publication about Health Care Reform December 2015 FEATURE STORY ALSO IN THIS ISSUE DISSECTING THE 1095-C FORMS
Health Care Reform UPDATE A periodic publication about Health Care Reform December 2015 FEATURE STORY ALSO IN THIS ISSUE DISSECTING THE 1095-C FORMS The Employer Mandate: Let Us Guide You Through It! Confused?
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 informationHEALTH CARE REFORM 2010 A CHRONOLOGICAL OVERVIEW OF THE LAW'S OBLIGATIONS FOR EMPLOYERS. Henry Smith. Smith & Downey.
HEALTH CARE REFORM 2010 A CHRONOLOGICAL OVERVIEW OF THE LAW'S OBLIGATIONS FOR EMPLOYERS Henry Smith Smith & Downey hsmith@smithdowney.com 410-321-9350 [Note that this presentation is merely a very broad
More informationHealth Care Reform EMPLOYER BASICS 11/11/13. Health Care Reform Update. Ross Manson, Principal Tonya M. Rule, Tax Manager
Health Care Reform Ross Manson, Principal Tonya M. Rule, Tax Manager 1 Health Care Reform Update ACA employer penalties delayed until 2015 1/1/2014 Establishment of Public Exchanges Payment of Individual
More informationAffordable Care ACT. What you Need to Know. Presented by Rachel Cutler Shim
Affordable Care ACT What you Need to Know Presented by Rachel Cutler Shim Agenda What You Need to Know Up To Date Health Care FSA Contribution Limits Patient-Centered Outcome Research Fee Exchange Notice
More informationHealth Care Reform Update
Health Care Reform Update Issue 8-2013 March 13, 2013 Pay or Play Penalty Examples for Determining Full-time Status Under section 4980H of the Affordable Care Act (ACA), large employers may be subject
More 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 Beyond the Basics. Ross Manson, Principal Fargo, ND
Health Care Reform Beyond the Basics Ross Manson, Principal rmanson@eidebailly.com Fargo, ND 1 Health Care Reform EMPLOYER BASICS Employers key number is > 50 = Large Employer and subject to penalties
More 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 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 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 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 informationDetermining Full-Time Employee Status for 2017
Affordable Care Act Employer Mandate Determining Full-Time Employee Status for 2017 Will Your Business Be Assessed An Employer Mandate Penalty? bcbsks.com MC18 05/17 An independent licensee of the Blue
More 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. Employer Shared Responsibility Provisions SAFE HARBOR QUALIFICATION
Health Care Reform Employer Shared Responsibility Provisions SAFE HARBOR QUALIFICATION This document provides an overview of the employer shared responsibility (ESR) provisions of the Affordable Care Act
More informationShared Responsibility for Employers Regarding Health Coverage The Pay or Play Rules. Mary Powell & Brian Gilmore March 4, 2014
Shared Responsibility for Employers Regarding Health Coverage The Pay or Play Rules Mary Powell & Brian Gilmore March 4, 2014 Introduction On December 28, 2012, the Department of Treasury/IRS issued proposed
More informationHEALTH CARE REFORM: Strategies and Updates
Presented by: Kirsten L. Vignec Hill Ward Henderson February 10, 2011 Today s Topics 2014: Should Employers Provide Coverage or Pay the Penalty? Health Care Reform Court Challenges Recent Changes, Updates
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 informationTHE HEALTH CARE LAW AND YOUR BUSINESS: WHAT YOU NEED TO KNOW. International Franchise Association
THE HEALTH CARE LAW AND YOUR BUSINESS: WHAT YOU NEED TO KNOW David Barr PMTD Restaurants Chairman Anne Phelps Principal Andria Herr The Hylant Group President, Orlando Operations Judith Thorman International
More information