PPACA penalty deadline could move

2013-10-22T20:39:39+00:00

By Arthur D. Postal, Allison Bell The Obama administration might consider adjusting at least one Patient Protection and Affordable Care Act exchange application deadline. Jay Carney, the White House press secretary, said today during a press briefing aired live on C-SPAN that the U.S. Department of Health and Human Services might be working on a fix for the conflict between the PPACA individual health insurance mandate penalty and the end of the open enrollment period.. Under current PPACA public exchange program rules, to get 2014 exchange health coverage in place by Jan. 1, consumers must sign up for coverage by Dec.
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PPACA penalty deadline could move2013-10-22T20:39:39+00:00

Brass Tacks = Employers and Health Care Reform (ACA)

2021-04-07T01:51:10+00:00

We’ve had a lot of employers request a simple, at-a-glance way to see all the PPACA requirements that apply to their business. This is no easy task given group size, SHOP exchanges and self-funding variables! Let’s just look at a few provisions that are effective for the plan year beginning on or after 1/1/2014:   Here’s what (non-grandfathered) large group insured plans (more than 50 employees) should be focused on:  Eligibility waiting period maximum of 90 days Pre-ex not permitted on anyone Annual dollar limits prohibited on essential health benefits Protections for those in clinical trials Out of pocket may not
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Brass Tacks = Employers and Health Care Reform (ACA)2021-04-07T01:51:10+00:00

CA Maximum eligibility waiting period is 60 days

2013-09-23T17:41:21+00:00

California AB 1083,(Chaptered Sept. 30, 2013)  enacts various provisions of the federal Affordable Care Act (ACA) into California state law and applies these provisions to insured health plans and HMO contracts in California, effective for plan years beginning on or after January 1, 2014. Most of the provisions in AB 1083 mirror those in the ACA, but one very important difference is that California’s maximum eligibility waiting period is 60 days after date of hire rather than 90 days. Maximum 60-day Waiting Period Applies to both Small and Large Insured Plans Initially it was widely believed that California’s maximum 60-day waiting
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CA Maximum eligibility waiting period is 60 days2013-09-23T17:41:21+00:00

Another ACA requirement has been delayed

2013-07-07T17:02:20+00:00

Another ACA requirement has been delayed. Read more here: http://www.insurancejournal.com/news/national/2013/07/08/297625.htm And if you are curious as to what the Essential Benefits are: http://news.anthem.com/bcp/index.php/articlepreview/index.html/certain_essential_benefits_must_be_included_for_some_individual_and_small_g

Another ACA requirement has been delayed2013-07-07T17:02:20+00:00

IMPORTANT HCR UPDATE: Employer Mandate Delayed until 2015

2013-07-07T17:02:15+00:00

Have you heard the news? The ACA has been postponed! http://www.washingtonpost.com/blogs/wonkblog/wp/2013/07/02/white-house-delays-employer-mandate-requirement-until-2015/?print=1 Let's talk details: 1. What’s Been Delayed The play or pay provision requires employers with 50 or more employees to do the following to avoid penalties: Offer minimum essential coverage to 95 percent of full-time employees Offer minimum value (60 percent) coverage to full-time employees Offer affordable (less than 9.5 percent of income) coverage to full-time employees Consider employees who average 30 or more hours per week full-time for purposes of their health plan Count employees’ hours to determine whether they average 30 or more hours work per week Because
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IMPORTANT HCR UPDATE: Employer Mandate Delayed until 20152013-07-07T17:02:15+00:00

Less than 50 Employees – Does Health Care Reform apply to me??

2013-05-25T16:54:44+00:00

(Most of these do not apply to grandfathered plans) Text Highlighted in Red = Requires action by the employer o Mandate to cover specific benefits in the small group market - preventive, no preexisting for children, no lifetime limit, limitedannual maximum, no rescission, dependent to age 26 - 2010 o Existing plans grandfathered as of date of enactment from some, but not all, of the new plan requirements - 2010 o Non-discrimination requirements for insured plans - 2010 o An internal and external appeals process - 2010 o No prior authorization for emergency services - 2010 o Plans must allow designation
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Less than 50 Employees – Does Health Care Reform apply to me??2013-05-25T16:54:44+00:00

Exchange Model Notices – EMPLOYER ACTION REQUIRED!

2013-05-20T17:01:10+00:00

On May 8, the U.S. Department of Labor issued employer notices regarding the Health Insurance Exchanges (Marketplaces). In a nutshell, employers have until October 1, 2013 to decide whether they will offer or not offer insurance coverage to their employees. Below are links to two forms: one for employers offering coverage and those which will not. The notice text must be used and there are penalties for not distributing them by October 1, 2013, the date open enrollment in the exchanges is set to begin. Model notice for employers who offer a health plan to some or all employees, available at
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Exchange Model Notices – EMPLOYER ACTION REQUIRED!2013-05-20T17:01:10+00:00

Covered California Takes A Major Step To Launching SHOP

2013-05-17T16:59:53+00:00

COVERED CALIFORNIA TAKES MAJOR STEP TOWARD LAUNCHING NEW HEALTH CARE OPTIONS FOR SMALL BUSINESS Contract Awarded to Pinnacle Claims Management, Inc. to Administer Innovative, Affordable Marketplace Sacramento, Calif. -- The Covered California Board has approved Irvine-based Pinnacle Claims Management, Inc. (PCMI) to administer its Small Business Health Options Program (SHOP). The program will offer approximately 375,000 California small businesses unprecedented access to a considerable array of affordable health coverage options for its employees. California is one of a few states nationally that will be able to offer small businesses an array of health insurance options for their employees come this fall. 
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Covered California Takes A Major Step To Launching SHOP2013-05-17T16:59:53+00:00

Affordable Care Act – Unsure of Personal Impact

2013-04-11T16:50:53+00:00

The majority of Americans are still unsure how the Affordable Care Act (ACA) will impact them. These are the findings from Kaiser Family Foundation's March 2013 Health Tracking Poll. Here are the highlights of the March poll. Affordable Care Act - Unsure of Personal Impact According to the poll, two-thirds of the uninsured and a majority (57%) of Americans overall say they have too little information to know how the Affordable Care Act will impact them. Affordable Care Act - Unaware of Medicaid Expansion & Insurance Marketplaces Generally, the public is not aware or knowledgable on the decisions states are making about ACA
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Affordable Care Act – Unsure of Personal Impact2013-04-11T16:50:53+00:00

The Affordable Care Act – It’s Time to Start Counting Hours

2013-04-10T16:49:35+00:00

Melissa Weaver and Julie Song -Triad Business Journal April 4, 2013 The 2010 enactment of the Affordable Care Act (“ACA” or the “Act”) ushered in an enormous social reform effort aimed at improving the nation’s health care system through a series of mandates, premium subsidies, and taxes. Although the full impact of the Act will not be known for years to come, its intended goals were to expand health insurance coverage and to reduce costs. After much discussion and debate, as well as legal challenges all the way to the U.S. Supreme Court, implementation of the ACA is upon us. As
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The Affordable Care Act – It’s Time to Start Counting Hours2013-04-10T16:49:35+00:00
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