ACA

Posted April 24th, 2015 in Producers, Employers

The Affordable Care Act (ACA) has eliminated the need for certificates of creditable coverage (a.k.a. HIPAA notices) as of this year. These notices detailed the amount of time a person was covered under a health plan, and their primary purpose was to reduce or eliminate pre-existing condition waiting periods when someone was changing from one health plan to another. Since the ACA has eliminated pre-existing condition waiting periods in almost all market segments, these notices are deemed to be no longer relevant.

Posted August 1st, 2014 in Producers, Employers, Individuals

July 22nd was quite an eventful day as it relates to the Affordable Care Act (ACA). On the same day, two different U.S. Courts of Appeals came to opposite conclusions as it relates to the ability for federally-facilitated Exchanges to provide subsidies to enrollees. 

Posted June 27th, 2014 in Producers, Employers, Individuals

On June 26, 2014, the Department of Health and Human Services (HHS) issued proposed regulations on the renewal process for individuals that have purchased health coverage through the Exchange. The regulations aim to streamline the renewal process by auto-enrolling the vast majority of existing members into a health plan for the 2015 plan year.

Posted May 9th, 2014 in Producers, Employers, Individuals

The Department of Health and Human Services (HHS) issued some new guidance on May 2, 2014 as it relates to Special Enrollment Periods and Hardship Exemptions in the individual marketplace. The new guidance has been summarized below:

Posted March 28th, 2014 in Producers, Employers, Individuals

Applies to those who have started the enrollment process and experienced an error

Earlier this week, the Obama administration announced that some consumers will have until mid-April if they were unable to enroll because of an error by the federal exchange or by the Department of Health and Human Services (HHS). People will be able to qualify for an extension by checking a box on HealthCare.gov to indicate that they tried to enroll for on-exchange plans before the deadline. 
Posted March 14th, 2014 in Producers, Employers, Individuals

Last week, the Obama administration released several new Affordable Care Act (ACA) guidelines. Of particular note, any individual or small group with a non-ACA compliant plan will be able to keep that plan in place for additional time.

Posted February 28th, 2014 in Producers, Employers

Today is the last day of February which means we are only one month away from the end of the first open enrollment period for individual health plans. March 31st is the last day that individuals can sign up for coverage without a qualifying event, but there is one big question that is still looming – Will the open enrollment period get extended to a later date? 

Posted February 11th, 2014 in Producers, Employers, Individuals

Yesterday, IRS officials made a significant announcement that impacts the Employer Shared Responsibility requirements, also known as the Employer Mandate. New guidance issued by the IRS confirms that a new phased approach will be utilized to implement it.

The new approach has 3 significant changes to the previously written rules:

Posted February 7th, 2014 in Producers, Employers, Individuals
  • The Department of Health and Human Services (HHS) has reported Exchange application submissions have exceeded 3 million.
  • The Congressional Budget Office (CBO) has updated 2014 Exchange enrollment estimates to 6 million.
  • Some reports are showing that 22,000 Exchange applicants were enrolled in the wrong plan or received a lower subsidy than expected,  15,000 Exchange applications were lost and only 11% of Exchange applicants were previously uninsured.
Posted January 22nd, 2014 in Producers, Employers

An employer can be fined up to $100 per day for every employee that had a waiting period in excess of 90 calendar days.

The Affordable Care Act (ACA) imposes a new rule that group health plans cannot have a waiting period of more than 90 calendar days.

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