Tag: health care reform

Question: What are the employer reporting requirements for the 2015 Employer Shared Responsibility Payment under Section 6056? Answer: The Affordable Care Act (ACA) includes several new reporting requirements under the Internal Revenue Service (IRS) tax codes. Section 6056 requires employers to report information to the IRS about their compliance with the employer shared responsibility provisions,…

Question:  Are there any drawbacks to moving the effective renewal date of a group health plan in order to capitalize on additional savings before the “Community Rating” standards go into effect on 1/1/14? Answer:  Certain health insurers are offering “early renewals” (prior to 2014) suggesting that they can offer more attractive rates. The Affordable Care…

Question: With recent revisions to COBRA Model Notice by DOL to accommodate options to participants on ability to purchase coverage through exchanges; has Texas indicated if they will update their State Continuation to reflect this? Answer: It our understanding that Texas has elected NOT to open a state exchange (for more information, visit:  http://www.tdi.texas.gov/consumer/cpmhealthcare.html), so Texans will…

Question: We are meeting with a large employer client who is considering reducing all employee hours below 30 hours per week to avoid the 2014 health care reform mandate.  Can you provide us with some  HR pros and cons to share with the client? Answer: What follows below are some thoughts about reducing employee hours below the…

Ask the Experts: The following question recently came from one of our clients requesting our assistance to better understand and manage this issue.  Question:  When PPACA’s guidelines on excessive waiting period limits go into effect for plan years on or after January 1, 2014, does this mean that groups can no longer have a waiting period…

Question: Can you provide us with the IRS or HHS rules relating to transition relief from the 2014 ACA “play or pay” rules if the plan operates on a fiscal year as opposed to a calendar year? Answer: An easy-to-read reference to that rule can be found in the Question and Answer document provided by the IRS…

Question: Can you provide me with general guidelines regarding how controlled groups and affiliated services groups are considered under ACA for the employer mandate?  My company has a number of affiliated companies and we need to start thinking about compliance.  Does having separate EINs matter? Answer: “Controlled group” is not a new concept just for…

Question: Did I just hear that the SHOP requirement under the Affordable Care Act was delayed?  If so, until when?  And what does this mean for certain states where the exchanges are ready to operate? Answer: It is true.  The Department of Health and Human Services recently announced that full implementation of the Small Business Health Options…

Question: Do you have an outline of the different coverage requirements for silver, bronze and gold as far as health care reform requirements? Answer: In summary fashion, PPACA defines specific levels of coverage to be offered by the state exchanges. They are: BRONZE LEVEL– A plan at the bronze level shall provide a level of coverage that…

Question: When PPACA’s guidelines on excessive waiting period limits go into effect for plan years on or after Jan 1, 2014, does this mean that small groups can no longer have a waiting period that is “the first of the month following 90 days”? Answer: The current thinking (absent explicit guidance from the IRS/DOL on the 90-day…