ppaca news Archives - Page 2 of 4 - Employee Benefits I AP Benefit Advisors

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 […]

Read More...

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 […]

Read More...

5.66 Years Later – We Have Final Regs for PPACA’s 2010 Features – Departments Finalize Healthcare Reform Guidance

The Departments of Labor, Treasury and Health and Human Services (DOL, IRS, HHS) have jointly issued final regulations coverage a number of health care reform topic, many dating back to 2010’s initial implementation of the Affordable Care Act (PPACA). These include: Appeals and Review of Claims Dependent Coverage Designating a Primary Care Physician Emergency Care […]

Read More...

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 […]

Read More...

IRS Reporting on Employer and Individual Mandates – Final Instructions

On February 9, 2015, the Internal Revenue Service (IRS) released final forms and instructions for reporting on individual and employer mandates. The instructions and forms will be used by applicable large employers, insurers and employers with self-insured plans. The Final Rules on Minimum Essential Coverage (MEC) and Large Employer reporting were released on March 5, […]

Read More...

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 […]

Read More...

New SBCs for 2015 – for use on/after September 1, 2015

The Departments (Departments of Health and Human Services, Labor, and the Treasury) released proposed changes to the regulations regarding SBCs (Summary of Benefits and Coverage) and the uniform glossary that goes with it. These proposed regulations amend the final regulations that were published on 02/14/2012 (the 2012 final regulations) and includes revisions to the templates, […]

Read More...