compliance webinar Archives - Page 2 of 3 - Employee Benefits I AP Benefit Advisors

IRS Proposes New Rules on Employer Mandate

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]. […]

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DOMA Unconstitutional: What's Next for my Employee Benefit Plans?

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? […]

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Your OOPMax, Your PBM and Your Non-Grandfathered Health Plan

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 […]

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PPACA News – Minimum Value for Employer Sponsored Coverage – A Win for Self-Funded Plans

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 […]

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HHS Delays SHOP (Smallgroup Health Options Program) Exchange until 2015

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 […]

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PPACA FAQs & Implementation Part 11

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 […]

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IRS and PPACA: New Employer Mandate Guidance

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 […]

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