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Archive | Affordable Care Act

New SHOP Exchange Tools for Employers

On April 23, 2014, the Department of Health and Human Services (HHS) released two new tools for small employers purchasing coverage through a Small Business Health Options Program (SHOP) Exchange. The SHOP Tax Credit Estimator can help determine the potential amount of any Small Business Health Care Tax Credit an employer may be eligible for. […]

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HHS Delays Online Enrollment for Federal SHOP Exchanges

Beginning with the 2014 plan year, individuals and small employers will be able to purchase health insurance through online competitive marketplaces, or Exchanges. Each state’s Exchange includes a Small Business Health Options Program (SHOP) component that small employers can use to provide health insurance options for their employees. The Department of Health and Human Services […]

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ACA Marketplace FAQ’s

The Affordable Care Act (ACA) requires employers to provide all new hires and current employees with a written notice about the ACA’s health insurance exchanges (Exchanges), effective Oct. 1, 2013. On Sept. 11, 2013, the Department of Labor (DOL) issued a frequently asked question (FAQ) on the penalties for failing to provide an Exchange Notice. […]

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Health Care Reform FAQ: Getting Lower Costs on Coverage

How much will Marketplace health insurance cost? Prices of Marketplace plans have not been set yet. Prices will be available Oct. 1, 2013, when open enrollment starts and you can begin shopping. How will Marketplace health plans be priced? All insurance plans available through the Marketplace will be offered by private insurance companies. The insurance […]

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Employer Mandate Penalties Delayed Until 2015

The Obama Administration has postponed the Affordable Care Act (ACA) employer mandate penalties for one year, until 2015. The Department of the Treasury announced the delay on July 2, 2013, along with a similar delay for information reporting by employers, health insurance issuers and self-funded plan sponsors. The delay does not affect any other provision […]

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Health Care Reform: Final Rule Issued on HIPAA Privacy and Security Protections

DID YOU KNOW? While most health plans are now required to cover contraceptives for women without charging a copayment, deductible or coinsurance, churches are currently exempt from this requirement. On Feb. 1, a rule was proposed that would exempt additional religious employers from the contraceptive coverage requirement. This proposal, however, also contains provisions that would […]

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Health Care Reform: Relief for Non-calendar Year Plans

DID YOU KNOW? An employer’s coverage is considered unaffordable if the employee’s required contribution for self-only coverage exceeds 9.5 percent of the employee’s household income. Employers can determine affordability based on the employee’s Form W-2 wages, even though his or her household may have other sources of income. Two additional safe harbors—the rate of pay […]

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Health Care Reform: Proposed Rules on Workplace Wellness Programs

DID YOU KNOW? While insured small group plans and individual health insurance policies will be subject to new deductible and out-of-pocket limit caps in 2014, proposed legislation indicates that the government does not intend to impose these regulations on self-insured group health plans or insured large group health plans. In addition, remaining grandfathered group health […]

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