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Employers with 51-100 Employees:  Upcoming ACA Changes in 2016

By   /  July 23, 2015  /  Employer Mandate, Health Care Reform, Insurance Market Reforms, Small Employers  /  No Comments

expanded-100-employees2

As of January 1, 2016, the ACA definition of “small” group employer increases from 50 to 100 employees. Renewing early to delay small group rating may be a good strategy for many employers with 51-100 employees, but for certain employers this will NOT be a good strategy. This article discusses various factors an employer should consider.

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ACA Information Reporting: Increased Penalties for Reporting Failures

By   /  July 15, 2015  /  Health Care Reform, Large Employers, Penalties  /  No Comments

US Capitol Building

Penalties were recently increased for information reporting failures under the Affordable Care Act (ACA).   The Trade Preferences Extension Act of 2015 was passed by Congress and on June 29, 2015 , signed by President Obama. The Act has little to do with the ACA, but a minor provision within it increases penalties for failures related […]

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Health Insurance Acronym Reference Guide

By   /  July 15, 2015  /  Health Care Reform, Publications  /  No Comments

healthcare-acronym

Health insurance is a complex topic, but all of the acronyms and abbreviations make the subject even more difficult. Whether you’re trying to understand the latest developments in health care reform law or trying to make sense of your own health plan documents, you are likely to run into many of these acronyms. We know […]

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ALERT! Self-Funded Plans: PCORI Fees Due by July 31st

By   /  July 7, 2015  /  Health Care Reform, PCORI Fee, Taxes, Fees & Penalties  /  No Comments

alert

Patient-Centered Outcomes Research Institute (PCORI) fees are due by July 31, 2015 for plan years ending on or after October 1, 2014 and before January 1, 2015.

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Upcoming Deadlines and Reminders for Group Health Plans – 2015 3rd Quarter

By   /  July 3, 2015  /  Health Care Reform, PCORI Fee  /  No Comments

calendar-alert

This is Leavitt’s Quarterly Update of Deadlines and Reminders in the upcoming quarter. This is for third quarter of 2015. June 30: Transition relief under Notice 2015-17 ends for Employer Payment Plans offered by small employers (with fewer than 50 employees). Small employers that continue to pay for employees’ premiums for individual health insurance will be […]

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DOL Proposes Changes to FLSA White Collar Exemption Rule

By   /  July 3, 2015  /  Health Care Reform  /  No Comments

talking-coworkers

On June 30, 2015, the DOL proposed a rule to modify the “white collar exemptions” to the overtime and minimum wage protections of the Fair Labor Standards Act (FLSA). The proposed rule would increase the annual salary threshold for the white collar exemption to $47,892 for 2015.

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Individual Out-of-Pocket Maximums must Apply for Family Coverage in 2016

By   /  June 29, 2015  /  Cost-Sharing (Reductions), Health Care Reform  /  No Comments

family-wellness

Starting with the 2016 plan yea­r the self-only, in-network annual out-of-pocket maximum (OOPM) applies to each individual, even those enrolled in family coverage.  Although the ACA limits on cost-sharing have applied since 2014, before 2016 the maximums applied separately for self-only and “other-than-self-only” (family) coverage.  Recent guidance (since February 2015) from the Departments of HHS, […]

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2016: “Small” group increases to 100 Employees; and Embedded Individual OOPM Applies to All Size Plans

By   /  June 28, 2015  /  Cost-Sharing (Reductions), Health Care Reform, Small Employers  /  No Comments

expanded-100-employees2

As employers start preparing for 2016 renewals, here are two important changes to keep in mind: “Small” group definition increases to 100 employees, and Embedded individual out-of-pocket maximum (OOPM) applies for all size plans “Small” Group Definition Starting with the 2016 plan year, “small” group increases to 100 employees.  Under the ACA, the definition is […]

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Supreme Court Rules Same-Sex Marriage is Legal Nationwide

By   /  June 26, 2015  /  Health Care Reform  /  No Comments

same-sex-marriage

The Supreme Court ruled 5-4 that gay marriage is legal nationwide. The U.S. Constitution guarantees same-sex couples the right to marry. The case is Obergefell v Hodges issued June 26, 2015.

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Supreme Court Rules in Favor of ACA on Subsidies

By   /  June 25, 2015  /  Exchanges / Marketplaces / Subsidies, Health Care Reform  /  No Comments

supreme-court-building

The US Supreme Court ruled (6-3) today that federal tax subsidies under the Affordable Care Act are available to people who purchase individual health policies in both federal and state exchanges.   The majority opinion said “Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them.  If at all possible, we must interpret the […]

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