healthcare insurance 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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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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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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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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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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COBRA Updates Include Marketplace Options

            The United States DOL (Department of Labor) released some new/revised notices at the end of last week. These include: New Model General Notice (used in IROC & COBRA FAQ letters. IROC = Initial Rights of COBRA notice, given to new plan entrants to remind them that certain events can […]

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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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Updates from the DOL: PPACA FAQ & Updates, Part 18

Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of the market reform provisions of the Affordable Care Act, as well as FAQs regarding implementation of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), as amended by the Affordable Care Act. These FAQs have been […]

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