employee health benefits Archives - Employee Benefits I AP Benefit Advisors

IRS and HHS: Prepping for Your Tax Season PPACA Questions

The Treasury Department and the Department of Health and Human Services are getting ready for the tax-filing season (for tax year 2014) and the onslaught of questions they anticipate about the Affordable Care Act. The Obama Administration has prepared some resources and online tools to help individuals connect with local tax preparation services and determine […]

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HHS is Consistent! Pre-Thanksgiving Regulation Dump – 2014 Version

The Department of Health and Human Services (HHS) has come through for us again.  This year’s pre-Thanksgiving regulation dump came a bit earlier than expected.  They issued proposed regulations that address a variety of Patient Protection and Affordable Care Act (PPACA) benefit provisions for 2016 affecting both the group and individual markets. There is a 30-day […]

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Infographic – Employers Act to Control Health Care Costs

Insights from the 2014 Towers Watson/National Business Group on Health (NBGH) employer survey on purchasing value in health care. Key concepts: Nearly all employers are changing their health care strategy. Employers use account-based health plans to avoid excise tax. Employers rethink support for spouses. Best performers spend significantly less and deliver high-performance benefits. Contact AP […]

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High Performance Networks Entice Health Plan Sponsors

In a recent SHRM article, it was reported that Health plan sponsors are taking a closer look at high performance networks—also known as “narrow networks”, an exclusive groups of high-value health care providers and health professional organizations recruited to serve a defined patient population. High performance networks among employer-sponsored plans is growing because they promote […]

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IRS Comments (even informal ones) Help Clarify PPACA's Employer Penalties

Annually, the American Bar Association’s Joint Committee on Employee Benefits (“JCEB”) meets with representatives from the IRS and Treasury for a question and answer (“Q&A”) session. While the responses are informal and cannot be relied upon, they provide helpful clarification on a number of issues. In this year’s meeting, the agency highlighted the employer shared […]

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DOL: PPACA Final Rules on 90 Day Waiting Period

Today the U.S. Departments of Labor, Treasury, and Health and Human Services have announced the publication of final regulations implementing a 90-day limit on waiting periods for health coverage.   Under PPACA (the Patient Protection and Affordable Care Act), employers and plan sponsors are prohibited from sponsoring/offering health plans that have waiting periods in excess of […]

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Obama administration delays PPACA Employer Mandate – again

Under regulations issued today (Monday, February 10, 2014) only employers with more than 100 full-time workers will be subject to fines in 2015 (unless they offer coverage). The “Employer Mandate”, originally due to take effect for January 1, 2014, but was delayed under prior guidance. The requirement that large employers provide their workers with health […]

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More Questions and Answers from the IRS on Same Sex Marriage Issues

  Employers/Plan Sponsors can now correct inadvertent over-withholding or under-withholding due to the recognition of an employee’s marital status, but only if they act quickly to do so before the end of the year.  Also, since this can and will affect the amount of reportable income on W-2s, you must make your payroll departments aware […]

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Self-insured win partial PPACA fee exemption

From BenefitsPro.com Self-insured employers and self-administered health plans are about to catch a break, thanks to fine-tuning of the Patient Protection and Affordable Care Act by the Departmentof Health and Human Services. In a soon-to-be-published compendium of rule modifications, HHS says it will exempt certain self-insured employers from the second two years of paying the […]

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