Insurers and Employer sponsoring self-funded plans should note that the Departments (IRS, DOL and HHS) have issued final regulations that apply to plan years beginning on or after July 1, 2014 (in the individual market they are referred to as policy years). Calendar year plans (and policies) have until January 1, 2015 to comply; however, […]
19 states and the District of Columbia now permit same-sex couples to marry. Through various court rulings, states that previously banned same-sex marriages now must recognize them (from other states) and permit its citizens to marry too. PA and OR became the 18th and 19th states to recognize these marriages when both states declined to […]
If you want to see 10 pages of health reform in a 1 page timeline (well, 1 page for Employers 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 […]
On Sept. 5, 2013, the IRS released two long-awaited proposed rules governing health care coverage information reporting requirements. These requirements were originally supposed to apply to coverage in 2014 but the IRS has decided to delay these reporting requirements until 2015, in conjunction with the employer mandate delay. [Read prior news about the delay here]. […]
Now that the U.S. Supreme Court found section 3 of DOMA to be unconstitutional, employers, plan sponsors and employees are E-mailing and calling with questions. How soon can we amend our tax returns from single and single to married filing jointly? When will the imputed income stop? When will my spouse be allowed to enroll? […]
Your first plan year that begins on or after January 1, 2014 will be subject to cost-sharing limitations under PPACA. All non-grandfathered plans, and by all we mean all self-insured and insured plans in the large-group market, will need to comply with annual out-of-pocket limits, referred to as OOPMaxes (Out-Of-Pocket Maximums). (See, ER-Timeline, 2014, letter […]
On Tuesday, April 30, 2013, the IRS (Internal Revenue Service) issued a proposed rule (“Proposal”) primarily addressing the health insurance premium tax credit for individuals who enroll in qualified health plans through the new Affordable Insurance Exchanges (“exchanges”). This proposal also fills in some additional details for determining whether health coverage under employer-sponsored plans provide […]
The Obama administration, through the Department of Health and Human Services (HHS/CMS), announced that it will delay, until 2015, the offer of a choice of plans with health insurance marketplaces specifically for small businesses (defined in most states as employers with less than 50 full-time employees). The transition policy, outlined in HHS’ latest guidance, would […]
If you’ve been following along with our PPACA-timelines you’ve seen on the 2013 Timeline the blurb that Employer/Plan Sponsors are required to “Provide employees with HHS information notices about 2014 exchanges and subsidies.” You may also recall that this was supposed to be accomplished by March 1st of this year. Well, the DOL is not […]
The IRS issued its long awaited proposed rules implementing the employer mandate provisions of the Patient Protection and Affordable Care Act (PPACA) on Friday, December 28th (Rules here and FAQs here). Under the mandate, a “large employer” (defined as an employer that employs 50 or more full time employees or full-time equivalents (see our prior guidance […]