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Upcoming Change to ACA Age Band Rating

Nov 27, 2017 11:14:00 AM / by Deborah Hyde posted in ACA, benefits CONSULTING, hr compliance, Affordable Care Act

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In an effort to make health coverage more affordable and accessible, the Affordable Care Act (ACA) implemented parameters to the premium rating methodologies used by insurers in the individual and small group markets. Insurers in these markets can vary premium based on age so long as the insurers adhere to the proper age band rating procedure. This procedure has remained unchanged since 2014, but pursuant to a rule issued by the Department of Health and Human Services (HHS), the rating methodology will change come 2018.

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Coming Soon: ACA Employer Penalty Assessments

Nov 6, 2017 3:02:00 PM / by Deborah Hyde posted in ACA, Affordable Care Act, ACA Compliance, penalty

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On November 2, the Internal Revenue Service (IRS) issued revised FAQs on the employer shared responsibility provisions under the Affordable Care Act (ACA). Question sets 55-58 now detail the procedure the IRS will use to begin issuing proposed penalty assessments to employers that failed to comply with these provisions in 2015. Though the IRS was previously silent on the details of penalty assessments, this new information serves as a reminder to employers that compliance enforcement is a priority for the IRS.

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An Update on Executive Action on the ACA

Oct 23, 2017 4:22:00 PM / by Deborah Hyde posted in ACA, Affordable Care Act, ACA Compliance, Deborah Hyde

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The Patient Protection and Affordable Care Act (ACA) remains intact after several failed attempts by Congressional Republicans to repeal and replace the law. However, executive action taken throughout the month of October will result in substantive changes to various components of the ACA.

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Two New Labor Laws for California Employers

Oct 13, 2017 3:03:00 PM / by Deborah Hyde posted in ACA, Affordable Care Act, benefits CONSULTING

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In California yesterday, Governor Brown signed into law two bills, SB 63 and AB 168, that will significantly impact California employers come January 1, 2018:

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Opt-out Arrangements: Critical Considerations for Employers

Sep 24, 2017 8:43:33 PM / by Deborah Hyde posted in ACA, affordability, Affordable Care Act, Deborah Hyde, hr compliance, Front Page Post, opt-out payments, overtime pay, regular rate of pay

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An opt-out arrangement offered as part of a group health plan can provide significant advantages to employers. Through such an arrangement, employees who have alternative sources of coverage are incentivized to forego participation in the employer plan. In exchange for the waiver, the employee receives a (taxable) payment. However, recent developments - both regulatory and judicial - may undermine the effectiveness of opt-out arrangements in certain circumstances.

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PCORI Fee due by July 31, 2017

May 21, 2017 8:00:37 PM / by Deborah Hyde posted in ACA, Affordable Care Act, Deborah Hyde, fee, hr compliance, Front Page Post, PCORI

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The PCORI Fee Applies to Health Insurance Issuers and Self-funded Health Plans

Under the Affordable Care Act, health insurance issuers and self-funded health plans are required to pay an annual Patient-Centered Outcomes Research Institute Fee (PCORI), set to expire in 2019. Because health insurance issuers are subject to this fee, the sponsor of a fully-insured health plan does not need to take any action. However, sponsors of self-funded health plans (including level-funded arrangements) are obligated to comply. Payment of the PCORI fee must be submitted to the IRS by July 31 of the year following the last day of the plan year. This year, payment is due no later than Monday, July 31, 2017

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An Update on Healthcare Reform: Market Stabilization

Apr 16, 2017 10:26:46 PM / by Deborah Hyde posted in Affordable Care Act, Deborah Hyde, individual market, Front Page Post

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The Department of Health and Human Services (HHS) released final regulations (the Regulations) on April 13 aimed at stabilizing the individual and small group markets. Effective June 19, 2017, the Regulations represent President Trump’s first major change to the Affordable Care Act in an effort to provide insurers with more flexibility – and reasons to stay in the marketplace. The Regulations implement the following:

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New Compliance Requirements for 2017

Jan 5, 2017 3:41:17 PM / by Tacha Merritt posted in Affordable Care Act, hr compliance, Front Page Post, Tacha Merritt

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With a new year comes new compliance obligations for employers. Here are some of the most important State, local, and federal updates for employers to be aware of in 2017.

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Extended Deadline for 2016 ACA Reporting

Nov 20, 2016 2:53:28 PM / by Deborah Hyde posted in ACA, ACA Reporting, Affordable Care Act, Deborah Hyde, hr compliance, IRS, Front Page Post

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On November 18, the IRS issued a release that provides employers with an unexpected extension of time to comply with 2016 ACA reporting requirements. Although this deadline extension is not nearly as generous as the extension provided for 2015 reporting, it will undoubtedly be a welcome relief to employers.
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