benefits compliance Archives - Employee Benefits I AP Benefit Advisors

ACA – Pay or Play Enforcement has arrived

As we reported in our 2nd Quarter Newsletter, the IRS has indicated it would notify applicable large employers (ALEs) in 2017 of their potential penalties for failing to comply with the employer shared responsibility mandate, for the 2015 calendar year.  With the numerous attempts this year to repeal or replace the ACA, ALEs may have […]

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Senate GOP’s Better Care Reconciliation Act – Updates

Senate Republicans released their health reform overhaul today after weeks of intrigue. The fight going forward is going to be over the reoriented subsidies and Medicaid. There is nothing explicit that allows states to waive out of anything new but the general waiver requirements process has been expanded. The greatly anticipated (and robustly debated) Senate […]

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IRS Reduces Affordability Percentages for 2018

In Revenue Procedure 2017-36, the IRS announced that for plan years beginning on or after January 1, 2018, employer-sponsored health plan coverage will be considered affordable if the employee’s required contribution for self-only coverage does not exceed 9.56% of the employee’s household income for the year (down from 9.69% for 2017). This percentage is considered […]

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ACA Repeal & Replace – New House Bill Details

House Republicans just released the latest version of the ACA repeal and replace legislation.  The good news for many of our clients is that the Congress has listened to you and us as your brokers, consultants, agents and administrators.  Many of us didn’t see the wisdom in upsetting the employer-sponsored-healthcare market (150+ million Americans enjoy […]

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The Future of the ACA and Employee Benefit Plans

It’s been over a week since the election results came in and since then, you have likely been inundated with emails, seen many television interviews, and heard other news sources espousing predictions of what is on the horizon for employee benefit plans, and specifically, the future of the Affordable Care Act (“ACA”). Indeed, the Trump […]

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Did You Receive an Exchange Subsidy Notice? Ready to Appeal?

Please see our Compliance Alert about the need to timely appeal subsidy notices.  If your employees incorrectly tell a federal or state exchange that you didn’t offer them coverage, or that your coverage wasn’t creditable or wasn’t affordable, then there’s a good chance that you will face a fine.  You need to appeal these subsidy […]

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2016 Updated Healthcare Reform Timeline (Version 16)

If you want to see 10 pages of health reform in a 1 page timeline (well, 1 page for Employer and 1 page for Employees) then please visit our website (www.apbenefitadvisors.com/news).  But, if you are looking for details specific to just a certain year or plan, then you can’t do better than this implementation timeline […]

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Updates from the IRS, DOL and HHS – 2017 HSA Limits and More. Agencies Provide Guidance on Preventive Services, Rescissions, Mental Health Parity, and More

As April began to close out, the DOL, HHS, and IRS jointly issued FAQs with guidance on several health care reform requirements, along with mental health parity and the Women’s Health and Cancer Rights Act (WHCRA). Here are the highlights in order of the Questions and Answers. Preventive Services (Questions/Answers 1 & 2).  Q/A-1 confirms […]

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DOL Issues Final SBC Template and Instructions

On Wednesday, April 6, 2016, the DOL (United States Department of Labor) issued final regulations on the new SBC (Summary of Benefits and Coverage) template and related documents, intended for use as of April 1, 2017. Final documents and a completed sample SBC are available on the DOL website, see the link below. PPACA (aka […]

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