Employee Benefits Compliance, Exchanges, Exchanges / Marketplaces / Subsidies, Laws, Regulations & FAQs, Marketplaces, Small Employers, Taxes, Fees & Penalties

IRS and HHS Issue MORE Health Care Reform Guidance

Today is a very busy day for Health Care Reform guidance from the Federal government.  Here’s a quick list of new guidance issued today:

  1. IRS Proposed Regulations on Health Insurance Providers Fee (tax on health insurance issuers) “This [55-page] document contains proposed regulations that provide guidance on the annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks. This fee is imposed by section 9010 of the Patient Protection and Affordable Care Act, as amended. The regulations affect persons engaged in the business of providing health insurance for United States health risks.”
  2. HHS Proposed Regs on Establishment of Exchanges and QHPs; SHOP Exchanges. (26 pages)  “This proposed rule would amend existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and would implement a transitional policy regarding employees’ choice of qualified health plans (QHPs) in the SHOP.”
  3. HHS Announcement of Notice of Benefit and Payment Parameters (HHS Fact Sheet) (3 pages)
  4. HHS Final Regs. on Notice of Benefit and Payment Parameters (483 pages)  “This final rule provides detail and parameters related to: 1) the risk adjustment, reinsurance, and risk corridors programs; 2) cost-sharing reductions; 3) user fees for Federally-facilitated Exchanges; 4) advance payments of the premiuim tax credit; 5) the Federally-facilitated Small Business Health Option Program; and 6) the medical loss ratio program.”
  5. HHS Interim Final Regulations: Amendments to the Notice of Benefit and Payment Parameters (53 pages)  “This document will adjust risk corridors calculations that would align the calculations with the single risk pool provision, and set standards permitting issuers of qualified health plans the option of using an alternate methodology for calculating the value of cost-sharing reductions provided for the purpose of reconciliation of advance payments of cost-sharing reductions.” (53 pages)