Tag: health care reform

Question: How will I know if I am subject to paying the penalty as a large employer under the health care reform rules? Answer: Beginning in 2014, employers with 50 or more full-time equivalent employees may be required to make an annual shared responsibility payment if any full-time employee is certified to receive a premium…

Question: Is there any special guidance for temporary staffing agencies regarding the employer mandate under the Affordable Care Act and definitions of seasonal employees? Answer: The Affordable Care Act (federal health care reform) includes provisions for “employer shared responsibility” often referred to the employer mandate of “play or pay”. Briefly, beginning in 2014, a large…

Question: Are employers with both unionized and nonunion employees covered by different health plans responsible for the employer shared responsibility provisions of health care reform? Answer: Please note that the regulations that have been published to date for the employer shared responsibility provisions have been proposed rules (not final rules), with a comment period until…

Question:  What is the future of limited health plans (Mini-Med Plans) come 2014? My business hires mainly part time employees, and we offer them a limited health plan.  I am hoping that we can continue to offer this benefit under the new health plan rules. Answer: We wish that we had a crystal ball to…

Question: Are we able to give a signing up bonus to encourage employees to sign up for health insurance or  will that be an issue with health care reform? Answer: An employer may provide bonuses at its discretion as long as the amount is reported as taxable compensation.  Federal law prohibits employers from providing incentives…

Question:  Under the Health Care Reform rules, do small employers have any special reporting requirements for medical care right now? Answer: With respect to employer-sponsored group health coverage, the majority of requirements under the Affordable Care Act impact the insurance carrier that issues the group contract.  Thus, the carrier takes the required actions while the…

Question:   With the Supreme Court decision made, which employers have to comply with the W-2 reporting requirement for 2012?  If we don’t have 250 regular employees on the staff, are we exempt from the reporting requirement? Answer: With few exceptions, all employers that provide applicable employer-sponsored health coverage during a calendar year are subject to…

Keeping us in suspense until the last possible moment before breaking for the summer, this morning the Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (PPACA) in a narrow 5-4 ruling, including validating the individual mandate requiring people to have health care by 2014.  The Medicaid provision was limited but…

Question: Are critical illness/accident plans paid for by employers subject to COBRA now, and under health care reform? Answer: Federal COBRA comes into play when (1) the coverage is a group health plan subject to COBRA, and (2) the plan participant experiences a specific event resulting in loss of coverage.   (NOTE: Certain small employer plans,…