health care reform Archives - Page 2 of 7 - Employee Benefits I AP Benefit Advisors

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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New SBC Updates from the DOL

On Friday, March 11, 2016, the DOL, HHS and the Treasury Departments, jointly issued PPACA FAQ  Part 30, which provided the deadline by which health plans and plan issuers will have to use the new SBC (Summary of Benefits and Coverage) template and the other corresponding activity associated with that. Start Using them on/after April […]

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Opt-Out Payment 180! And, ER Shared Responsibility Payments Indexed.

Departments change their minds on opt-out guidance:  Until future guidance is issued, opt-out payments under existing opt-out arrangements (as defined in the Notice) are not added to the stated cost of the employer’s lowest cost self-only health coverage for ACA affordability test purposes. As you may recall from prior meetings, webinars and other presentations, beginning […]

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US Supreme Court Upholds Subsidies

The Affordable Care Act survived its second Supreme Court test in three years. In a 6-3 majority ruling, the Supreme Court upheld the federal government’s authority to provide health insurance subsidies through a federal exchange. The King v. Burwell decision ultimately hinged on just four words — “established by the State.” The decision reviewed in […]

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IRS Releases Draft 2015 Forms 1094 and 1095

On Tuesday of this week, the IRS release 2015 versions of Form 1094 and 1095. These will be used to report information that is needed to satisfy and comply with both the Individual Mandate and the Employer Shared Responsibility provisions of the Affordable Care Act (in addition to assisting with the complex evaluation process for […]

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DOL: Affordable Care Act Implementation FAQs, Part 26

Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of the Affordable Care Act. These FAQs have been prepared jointly by the Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury (collectively, the Departments). Like previously issued FAQs (available at http://www.dol.gov/ebsa/healthreform/ and http://www.cms.gov/cciio/resources/fact-sheets-and-faqs/index.html), these FAQs answer questions from stakeholders to […]

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