Archive For The “ACA” Category

Healthcare Reform Bulletin: Annual Deductible Limit Repealed for Small Health Plans

By | April 22, 2014

On April 1, 2014, President Obama signed the Protecting Access to Medicare Act of 2014 (Act) into law. The Act’s main provisions preserve the pay rate for physicians treating Medicare patients and delay the compliance deadline for converting to the updated International Classification of Diseases codes for at least one year. The Act also eliminates […]

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Maximizing Employee Benefits

By | April 22, 2014

Employee Benefits: Essential But Unruly Employers and employees both know the critical role that the workplace plays in offering a better quality of life through a robust benefits package. What employees may not know, however, is how to capitalize on benefit offerings, or how to select the right benefit options for themselves or their families. […]

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Healthcare Reform Bulletin: Final Rules Released on Reporting for Issuers and Self-Funded Employers

By | March 10, 2014

The Affordable Care Act (ACA) requires health insurance issuers, self-insured health plan sponsors, government agencies that administer government-sponsored health insurance programs and any other entity that provides minimum essential coverage (MEC) to report information on that coverage to the IRS and covered individuals. This requirement is found in Internal Revenue Code section 6055. On March […]

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Healthcare Reform Bulletin: HHS Issues Notice of Benefit and Payment Parameters for 2015 Final Rule

By | March 10, 2014

On March 5, 2014, the Department of Health and Human Services (HHS) released its 2015 Notice of Benefit and Payment Parameters Final Rule. The final rule describes payment parameters applicable to the 2015 benefit year and standards relating to the: Premium stabilization programs; Open enrollment period for 2015; and Annual limitations on cost-sharing. Among other […]

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Healthcare Reform: Plans Subject to the Affordable Care Act

By | March 3, 2014

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, patient protections, and cost limitations. These changes generally apply to group health plans and health insurance issuers, but not to certain “excepted benefits.” This Legislative Brief provides an overview of […]

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Healthcare Reform: Workplace Wellness Program Incentives

By | February 28, 2014

Many companies operate wellness programs to keep their employees productive and their insurance costs down. Some wellness programs include incentives or rewards to promote healthy lifestyle choices and discourage behaviors that are detrimental to employees’ good health. The Affordable Care Act (ACA) established new guidelines to regulate and encourage the use of workplace wellness programs. […]

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Healthcare Reform Bulletin: IRS Confirms Delay of Nondiscrimination Rules for Fully Insured Health Plans

By | February 19, 2014

The Affordable Care Act (ACA) requires non-grandfathered fully insured health plans to satisfy nondiscrimination rules regarding eligibility to participate in the plan and eligibility for benefits. This requirement was originally set to take effect for plan years beginning on or after Sept. 23, 2010. However, in late 2010, the IRS announced that the nondiscrimination requirement […]

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Healthcare Reform Compliance Bulletin: Final Employer Shared Responsibility Rules Issued

By | February 19, 2014

The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer minimum essential coverage to full-time employees and their dependents. Large employers that offer this coverage may still be liable for a penalty if the coverage is unaffordable or does not provide minimum value. The ACA’s employer mandate provision […]

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Healthcare Reform Bulletin: Employer Mandate Transition Relief Extended for 2015

By | February 19, 2014

The Affordable Care Act (ACA) imposes a penalty on applicable large employers (ALEs) that do not offer affordable, minimum value coverage to full-time employees and their dependents. These penalties are often referred to as the “employer shared responsibility” or “pay or play” penalties. On Feb. 10, 2014, the U.S. Treasury Department released final regulations implementing […]

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White House Delays Health Insurance Mandate for Medium-sized Employers Until 2016

By | February 19, 2014

For the second time in a year, the Obama administration is giving certain employers extra time before they must offer health insurance to almost all their full-time workers. Under new rules announced Monday by Treasury Department officials, employers with 50 to 99 workers will be given until 2016 — two years longer than originally envisioned […]

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