A 40 percent nondeductible excise tax will be assessed, beginning in 2018, on the cost of employer-sponsored group health coverage that exceeds a certain annual limit. The provision is often called the “Cadillac tax” because it is intended to target health plans that provide workers and retirees the most generous level of health benefits. The [...]Read More »
The Internal Revenue Service (IRS) issued final regulations on Feb. 12, 2014, regarding the employer shared responsibility or “play or pay” provisions of the Affordable Care Act (ACA). The final rule contains several changes from the proposed rule, including a delay of the requirements for employers with 50-99 full-time employees (including full-time equivalent employees) who [...]Read More »
The U.S. Department of Health and Human Services (HHS) released on Mar. 11, 2014, the final Notice of Benefit and Payment Parameters for 2015. The rule included a one-month extension of the 2015 open enrollment period for individual coverage purchased inside and outside of health insurance marketplaces. The new dates will be Nov. 15, 2014, [...]Read More »
Self-insured employers should be aware of and begin preparing to comply with a proposed rule under the Affordable Care Act (ACA) that requires health plans – including self-insured employer groups – to certify their compliance with standards and operating rules for certain electronic transactions as adopted under the Health Insurance Portability and Accountability Act of [...]Read More »
Self-insured employers should act now to prepare for an upcoming requirement under the Affordable Care Act’s (ACA) administrative simplification rules. The rules require all health plans – including self-insured employer groups – to obtain a unique health plan identification number (HPID). HPIDs will be used to standardize and further automate administrative processes affecting health care [...]Read More »
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Can multiple children be on the same child-only policy?
Who will verify dependent eligibility for applicants to the exchange?
Will there be a universal standard application for enrollment through the exchange?
Are there any restrictions on movement between carriers during special open enrollment periods?