Individuals

Posted February 20th, 2018 in Producers, Employers, Individuals
Congress keeps finding ways to include certain healthcare provisions into federal spending bills. A temporary spending bill passed in January included a suspension or delay of the Cadillac Tax, health insurer tax and medical device tax.
Posted February 13th, 2018 in Producers, Employers, Individuals

Happy Fat Tuesday! Much like the paczki, we will soon be without a "donut hole"- for Medicare Part D. The donut hole, also known as the gap in Medicare prescription drug coverage, will close a year earlier than expected as a result of a budget deal signed by President Donald Trump this past Friday. The donut hole will now close in 2019 instead of 2020.

Posted February 6th, 2018 in Producers, Employers, Individuals
The state of Idaho is looking to do something no other state has done – allow for the sale of health insurance plans which don’t comply with the Affordable Care Act (ACA). The primary purpose is to allow for lower premiums plans to be available.  
 
Posted January 30th, 2018 in Producers, Employers, Individuals
The Tax Cuts and Jobs Act was signed into law on December 22, 2017. It has been making headlines for many reasons over the past few weeks, but some parts of the law aren’t receiving as much attention – such as the provisions pertaining to the use of the Chained Consumer Price Index for Urban Consumers, also known as the Chained CPI.
 
Posted January 23rd, 2018 in Producers, Employers, Individuals
Last night, President Donald Trump signed into law a temporary spending bill which ends the government shutdown and funds federal spending obligations for the next few weeks. The spending bill also included a few healthcare surprises. The bill suspends or delays three taxes that were created by the Affordable Care Act (ACA).
 
Posted January 18th, 2018 in Producers, Employers, Individuals
Originally posted on October 13, 2017
 
President Donald Trump signed an executive order on October 12th instructing the Department of Labor (DOL), Department of Treasury (DOT), and Department of Health and Human Services (HHS), known as the tri-agencies, to review and potentially revise existing regulatory guidance. This includes:
 
Posted January 16th, 2018 in Producers, Employers, Individuals
In a letter sent to state Medicaid Directors on Thursday, the Trump Administration announced that it would allow states to impose work requirements to qualify for Medicaid. States will have the flexibility to design their work requirement eligibility structure, but they must submit details to the Centers for Medicare and Medicaid Services (CMS) for approval. 
 
Posted January 11th, 2018 in Producer, Employers, Individuals
In response to an executive order issued by President Donald Trump in October of last year, the Department of Labor (DOL) has proposed new rules that aim to expand the availability of association health plans (AHPs) in the small group market.
Posted December 26th, 2017 in Individuals, Producers, Employers

The Tax Cuts and Jobs Act, also known as the Tax Act, was signed into law on December 22, 2017. The Tax Act makes several changes to the existing tax code, including the repeal of the Individual Mandate (kind of, sort of). The Individual Mandate was not literally repealed by the Tax Act, but the penalty for failing to have minimum essential coverage (e.g., health insurance) has been reduced to $0 starting on January 1, 2019. This is effectively the equivalent of repeal; however, the Individual Mandate will still be applicable for the 2017 and 2018 tax years. This change to the Individual Mandate has spurred numerous questions and/or speculations, including:

Posted December 19th, 2017 in Producers, Employers, Individuals
The state of Maryland passed a law known as the Contraceptive Equity Act which is scheduled to take effect on January 1, 2018. The law requires fully insured health plans issued in the state of Maryland to cover male sterilization procedures (i.e. vasectomies) as preventive care without any copay, deductible or other cost-sharing requirements for the member. 
 

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