Limits on Out-of-Pocket Maximums: Full Compliance Delayed for Some Health Plans
Tuesday, September 10, 2013

The Affordable Care Act (ACA) limits the amount that health plan enrollees can be forced to pay out of pocket for essential health benefits. Once the annual out-of-pocket maximum is reached for the year, an enrollee will not be responsible for additional cost-sharing for these benefits for the re... .. read more..

IRS to Recognize All Legal Same-Sex Marriages for Federal Tax Purposes
Tuesday, September 10, 2013

Quick Facts IRS announced ruling on Aug. 29, 2013. Same-sex couples treated as married for federal tax purposes if married in jurisdiction that recognizes same-sex marriage. Ruling applies even if the couple resides in a jurisdiction that does not recognize same-sex marriage. Ruling can be applie... .. read more..

Small Business Health Options Program (SHOP) and Multi-state Plans
Friday, May 10, 2013

Beginning in 2014, the Affordable Care Act (ACA) requires online competitive marketplaces, or Exchanges, to be available in each state for individuals and small businesses to purchase health insurance coverage. The first open enrollment period for plans offered through ACA’s Exchanges will begin ... .. read more..

DOL Issues Model Exchange Notice and Sets Compliance Deadline
Friday, May 10, 2013

Beginning Jan. 1, 2014, individuals and employees of small businesses will have access to insurance coverage through the Affordable Care Act’s (ACA) health insurance exchanges (Exchanges). Open enrollment under the Exchanges will begin on Oct. 1, 2013. ACA requires employers to provide all new hi... .. read more..

Proposed Rule Released on Minimum Value and Affordability
Friday, May 10, 2013

On May 3, 2013, the Internal Revenue Service (IRS) released a proposed rule on the minimum value and affordability rules under the Affordable Care Act (ACA). In this proposed rule, the IRS provides guidance on determining whether health coverage under an employer-sponsored plan is affordable and ... .. read more..

Exchange Health Insurance Subsidies
Friday, May 10, 2013

The Affordable Care Act (ACA) calls for the creation of state-based competitive marketplaces, known as Affordable Health Insurance Exchanges (Exchanges), for individuals and small businesses to purchase private health insurance. According to the Department of Health and Human Services (HHS), the ... .. read more..

2014 Compliance Checklist
Friday, May 10, 2013

The Affordable Care Act (ACA), which was signed into law in March 2010, put in place comprehensive health coverage reforms with effective dates spread out over a period of four years and beyond. Some of ACA’s reforms are already in effect for employers and their group health plans, such as the Fo... .. read more..

Additional FAQs Released on Summary of Benefits and Coverage
Friday, May 10, 2013

The Affordable Care Act (ACA) requires health plans and health insurance issuers to provide a summary of benefits and coverage (SBC) to applicants and enrollees. The SBC is intended to be a short, simple explanation about the health plan’s benefits and coverage than can help consumers more easily... .. read more..

Health Care Reform Fees – Special Rules for HRAs
Wednesday, April 10, 2013

The Affordable Care Act (ACA) made a variety of changes affecting health reimbursement arrangements (HRAs). To cover the cost of some of these changes, ACA imposed a number of fees on health insurance issuers and sponsors of self-insured health plans. These fees include: • Patient-Centered Outcom... .. read more..

Proposed Guidance Issued on 90-day Waiting Period Limit
Wednesday, April 10, 2013

For plan years beginning on or after Jan. 1, 2014 , the Affordable Care Act (ACA) prohibits group health plans and group health insurance issuers from applying any waiting period that exceeds 90 days . ACA’s 90-day waiting period limit applies to both non-grandfathered and grandfathered group hea... .. read more..

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