- ACA Employer Reporting - Frequently Asked Questions
January 2016 rings in the newest employer mandate dictated by the Affordable Care Act (ACA) - Employer Reporting. We have created a Frequently Asked Questions (FAQ) document to assist our clients maneuver through this latest compliance maze. Click on the title above to read the FAQ.
- BCBSM/BCN Will Not Extend Legacy Plans
Blues will continue to transition small group customers into ACA-compliant health plans; will not extend legacy plans
- Small Group Max Deductible Limitations Repealed
Recall that on March 5, the Department of Health and Human Services (HHS) finalized the maximum deductible limitations for 2015.
- 2014 Drug Changes for Individuals and Small Groups
The Affordable Care Act mandated changes to pharmacy programs. Some preventive medications are now available at no cost to members, while other drugs are no longer covered
- Treasury Announces Lastest ACA Delay in Final Guidance
Treasury and IRS Issue Final Regulations Implementing Employer Shared Responsibility Under the Affordable Care Act for 2015
- Healthcare.gov Will Be Down FEB 15th to FEB 18th
Release from the Centers for Medicare & Medicaid Services (CMS)
- MI is the 24th State to Ban Abortions in the FFM
Michigan became the 24th state to ban most abortions in its exchange plans when the state legislature passed a bill Wednesday afternoon by sizable margins.
- Time to Begin Counting Hours for Variable Hour Employees
With the delay of the Employer Mandate in PPACA until January 1, 2015, many employers set aside their plans to track the hours of their variable hour employees. It is time to pull that back to the top of the pile as we enter 2014.
- Proposal to help consumers facing product discontinuation
On November 14, President Barack Obama announced administrative guidance in an effort to allow insurers to renew existing individual market and small group market plans even if they do not include the full menu of required health care reform benefits.
- IRS Releases Change to FSA "Use It or Lose It" Rule
Health flexible spending accounts (FSAs) are becoming more flexible.
- Health Insurance Premiums Rise Faster Than Wages
Employees are contributing nearly 6% more for health insurance for their families in 2013, more than three times the increase in workers' wages.
- IRS Issues Final Guidance on PCORI Fees
Fees, due by July 31, will be charged to health care insurers, and to sponsors of self-insured health plans, to fund the new Patient-Centered Outcomes Research Institute (PCORI)
- ACA Employer Mandate Delayed Until 2015
The US Dept of the Treasury announced late TUE 07/02 that large businesses (those with 50+ employees) will not be penalized in 2014 for not offering affordable health insurance to its employees
- ACA - What Must A Small Employer Do? - Part IV
Digging Deeper Into Pay-or-Play Penalties
- ACA - What Must Small Employers Do? - Part III
How Do You Count To 50?
- ACA - What Must A Small Employer Do? Part II
This is a continuation of our effort to help small employers understand what they need to know about the Affordable Care Act (ACA).
- New PPACA Updates Since November 2013
Over the past several weeks, federal agencies in charge of implementing health care reform have issued guidance on several different aspects of the Patient Protection and Affordable Care Act (“PPACA”).
- ACA - What Must A Small Employer Do? - Part I
Issues Affecting Employers of All Sizes
- Final Guidance on HIPAA/HITECH Rule
The Final Omnibus HIPAA/HITECH Rule: Significant Changes to Breach Notification Requirements
- New DOL FAQ - Delay with Exchange Notice to Employees
DOL Issues Update on ACA FAQ
- Employee Counts Required to Comply With Reform Law
Blues need employee counts from customers to comply with reform law
- NEW Required Prior Authorization on Certain Drugs
Blues now require prior authorization of certain physician-administered specialty drugs
- First Six State Exchanges Approved by HHS
Progress Continues in Setting up Health Insurance Marketplaces
- Federal-State Health Exchange Reduces Flexibility
A federal-state partnership health insurance exchange for Michigan is expected to be in place in October 2013, but the state's health plans, employers and individuals will find less flexibility than if the state had approved its own exchange, several experts told Crain's.
- Michigan Will Not Have a State-Run Health Exchange
Michigan will not have its own state-based health exchange after House Republicans shot down one last attempt to create one Thursday, paving the way for the federal government to come in and control it, with much less state oversight and involvement.
- Insurers Will Be Charged to Use New Exchanges
WASHINGTON — The Obama administration said Friday that it would charge insurance companies for the privilege of selling health insurance to millions of Americans in new online markets run by the federal government.
- ACA - Expands Access to Preventive Services for Women
The Affordable Care Act, the health insurance reform legislation passed by Congress and signed into law by President Obama on March 23, 2010, helps make prevention affordable and accessible for all Americans by requiring health plans to cover recommended preventive services without cost sharing.
- Additional Medicare Tax Under the Affordable Care Act
Beginning on January 1, 2013, pursuant to IRC §3101(b) as modified by the Affordable Care Act (ACA), an Additional Medicare Tax will be imposed.
- Final Guidance on $2,500 Health FSA Cap for 2013
Additional $2,500 Health FSA Cap Guidance
- Delta Dental: Change to MI Claims Tax Collection
Delta Dental recently communicated information regarding the Michigan Health Insurance Claims Assessment Act (HICAA), which imposes a one percent tax on certain health claims. This tax takes effect on January 1, 2012. (See previous post from Delta Dental)
- Delta Dental: 1% Tax on Health Claims FAQ
Michigan's Health Insurance Claims Assessment Act (HICAA)
- 1% Tax on Medical Claims
State of Michigan Enacts 1% Tax on Medical Claims - Effective January 1, 2012