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Affordable Care Act: Tracking Information Overview

By   /  April 20, 2015  /  Health Care Reform, Large Employers, Reporting Requirements  /  No Comments

capitol_web

Affordable Care Act: Tracking Information Overview for Information Reporting provisions & Employer Shared Responsibility provisions There are two separate provisions under the Affordable Care Act (ACA) that require a large employer (at least 50 full-time employees and full-time employee equivalents) to track monthly information about the health benefits they offer: Employer Shared Responsibility  (“Employer Mandate”) Information […]

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EHB Benchmark Plans: HHS Issues Updated List

By   /  April 13, 2015  /  Essential Health Benefits, Health Care Reform, Small Employers, State-Specific Information  /  No Comments

health and human services

HHS (CCIIO) issued a New list – April 8, 2015—of the largest 3 small group insurance products by state

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California SB 128: End-of-Life Option Act

By   /  April 6, 2015  /  Health Care Reform, State-Specific Information  /  No Comments

california cal/OSHA

California Senate Bill 128 – the End-of-Life Option Act – would allow a terminally ill, mentally competent adult to request a prescription for aid-in-dying medication, which the patient can self-administer when they choose.  An individual has a “terminal illness” if he or she has a medical diagnosis that the illness is expected to result in […]

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Recent Benefits News: January – March 15th

By   /  March 25, 2015  /  Health Care Reform, Reporting Requirements, Small Employers  /  No Comments

US Capitol Building

A summary of guidance issued in January, February and the first half of March 2015 on Health Care Reform and other benefits topics.

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Reminder: CA Paid Sick Leave (AB 1522) is Effective July 1st

By   /  March 18, 2015  /  Health Care Reform, State-Specific Information  /  No Comments

paid-sick-time-CA

AB 1522 —the Healthy Workplaces, Healthy Families Act of 2014—will provide California employees up to three days of paid sick leave per year. It is effective July 1, 2015. This article provides a quick summary of
AB 1522 provisions and addresses questions we have received from clients in the past two months.

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HHS Benefit and Payment Parameters for 2016: Items of Interest

By   /  March 13, 2015  /  Health Care Reform, Health Insurance Marketplaces, Minimum Value  /  No Comments

health and human services

On February 20, 2015, HHS issued its final Notice of Benefit and Payment Parameters for 2016. This article highlights some items that may be of interest to group health plan sponsors, such as the transitional reinsurance fee for 2016, the out-of-pocket maximums for non-HDHP group health plans, and various Rx rules on health insurance issuers.

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King v Burwell: ACA Round 2 at the US Supreme Court

By   /  March 5, 2015  /  Health Care Reform, Subsidies  /  No Comments

US-Supreme-Court-02

The federal Affordable Care Act went before the Supreme Court again yesterday (March 4th). The case was King v Burwell. The issue before the court yesterday was whether the IRS, in issuing regulations allowing tax credit subsidies in the federal exchange, had properly interpreted four words in the ACA: “established by the state.”

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No Penalties through June 30, 2015 for Premium Reimbursement Plans of Small Employers

By   /  February 25, 2015  /  Health Care Reform, Insurance Market Reforms, Penalties, Small Employers  /  No Comments

US-capital-building

In the past two years the IRS, DOL, and HHS have issued three FAQs and one Notice stating and reiterating their position that “employer payment plans” are prohibited because they fail to comply with certain Affordable Care Act (ACA) market reforms.  On February 18, 2015, the IRS issued Notice 2015-17, which again reiterates this position, […]

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Special Enrollment Period for Federal Exchanges: March 15 – April 30

By   /  February 20, 2015  /  Exchanges, Exchanges / Marketplaces / Subsidies, Health Care Reform, Marketplaces  /  No Comments

medicare-enrollment

On February 20, 2015, the Centers for Medicare & Medicaid Services (CMS) announced a special enrollment period (SEP) for March 15th  – April 30th in the Federally-facilitated Marketplace (FFM), for  individuals and families who did not have health coverage in 2014 and were subject to the tax penalty or “shared responsibility payment” when they filed […]

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Action Required! Medicare Part D: March 1st Deadline for Calendar Year Plans to Notify CMS

By   /  February 12, 2015  /  Health Care Reform, Notices & Disclosures (Sample forms), Reporting Requirements  /  No Comments

alert

By March 1, employers who sponsor calendar-year group health plans must notify CMS online as to whether their group health plan prescription drug coverage (for the current year) is “creditable coverage” under Medicare Part D.

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